ontario regulation 251/25

made under the

Ambulance Act

Made: August 28, 2025
Filed: November 7, 2025
Published on e-Laws: November 7, 2025
Published in The Ontario Gazette: November 22, 2025

Amending O. Reg. 257/00

(GENERAL)

1. Section 1 of Ontario Regulation 257/00 is amended by adding the following definition:

“valid driver’s licence” means a driver’s licence that is not expired, cancelled or under suspension; (“permis de conduire valide”)

2. (1) Clause 6 (1) (d) of the Regulation is revoked and the following substituted:

(d) have maintained a valid driver’s licence during the two years immediately prior to the date the person first began employment as an emergency medical attendant or paramedic;

(2) Clause 6 (1) (f) of the Regulation is revoked and the following substituted:

(f) hold a valid driver’s licence that authorizes the person to drive an ambulance;

(3) Clause 6 (1) (j) of the Regulation is revoked and the following substituted:

(j) be certified in cardiopulmonary resuscitation to the Basic Rescuer level or the Advanced Cardiac Life Support level or in a course approved by the Director at the time the person commences employment and be re-certified on, at least, an annual basis.

(4) Subsection 6 (2) of the Regulation is amended by striking out the portion before clause (a) and substituting the following:

(2) The requirement in clause (1) (j) to be re-certified on an annual basis does not apply,

. . . . .

(5) Section 6 of the Regulation is amended by adding the following subsection:

(4) An emergency medical attendant or paramedic employed, or engaged as a volunteer, in a land ambulance service shall not practise as an emergency medical attendant or paramedic during any period in which their driver’s licence is suspended but may return to active duty after the suspension expires.

3. (1) Subsection 9 (3) of the Regulation is amended by adding the following paragraph:

6. They must have a valid document signed by the operator stating that the person has successfully completed training on each type of aircraft in which the person is required to work.

(2) Section 9 of the Regulation is amended by adding the following subsection:

(4) Despite subsection (1), the operator of an air ambulance service may employ a person to provide patient care for a period of not more than 210 consecutive days after the person meets,

(a) all of the qualifications of subsection (2), other than the requirement in paragraph 3 of that subsection; or

(b) all of the requirements of subsection (3), other than the requirement in paragraph 3 of that subsection.

4. Clause 17 (1) (c) of the Regulation is amended by striking out “Public Accountancy Act” and substituting “Public Accounting Act, 2004”.

5. Part VIII of the Regulation is revoked and the following substituted:

Part VIII
Response Time Standards

22. (1) Every upper-tier municipality, every delivery agent responsible under the Act for ensuring the proper provision of land ambulance services and every land ambulance communication service shall comply with the requirements respecting response times that are set out in the document entitled “Response Time Standards”, published by the Ministry, as that document may be amended from time to time.

(2) The requirements described in subsection (1) may include, but are not limited to, requirements respecting response time targets, performance plans, performance measures and reporting.

Commencement

6. This Regulation comes into force on the day it is filed.