The Coastal Valleys EMS Agency has released Special Memo 21-003 intended to authorize the implementation of a CMS-approved ET3 Pilot Project within the LEMSA jurisdiction. This Special Memo is required due to a CMS approval deadline of December 31 2021 by any regulatory agencies approving such pilots.

Greater discussion about the expansion of the ET3 study component(s) including on-scene treat and release, telemedicine and alternate care facility diversion/transportation within CVEMSA will occur at EMCC, MAC, and the policy revision group. Those components need to have robust stakeholder discussion and input. Ultimately, operationalized treatment guidelines and policy infrastructure will be built through a collaborative effort between CVEMSA and outside interested parties.