Local Emergency Medical Services Agency

58 Counties
34 Agencies

1 Purpose

Saving Lives .

Organized EMS Systems Save Lives

Emergency Medical Services Agencies set the standard for life-saving systems in crisis situations.

We aren’t concerned about what organization provides emergency medical services – public or private ambulance, fire or police or sheriff, county agency or city department or outside contractor. Our job is to ensure that these critical emergency medical services are available, equitable, coordinated, and, most importantly, high quality.

Emergency medical services can be complex. That’s why the folks at local EMS agencies are the people to talk to when you need straight answers.

Registration Open Now!

EMSAAC 2024 Conference

May 29 - 30, 2024, San Diego

Book Your Room Today!

Conference rates are available at the Loews Coronado Bay Resort. To register/reserve a room via phone, call 800-235-6397 (General Loews Reservations)  or 877-872-8559 (Coronado Reservations). Use code EME527 to receive the discounted group rate.

What We Do

While EMSAAC itself comprises the directors of all 34 LEMSAs in the state and represents all 58 counties, it’s Local Emergency Medical Services Agencies (LEMSA) – that carries out the work under the California Emergency Medical Services Authority. LEMSAs oversee a range of activities related to emergency medical care and pre-hospital services.

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Certification & Training

Our certification standards ensure a standard of care across the state. This means that you can be sure that EMS service is consistently high quality no matter where you live in California.

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Equitable Oversight

Patient care is at the center of everything we coordinate. Our physician-driven policies and standards are based on real data and are geared toward ensuring equity and quality across the board.

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911 Emergencies

We make certain that each type of medical emergency is met with the exact right solution when Californians call 911. Our standards and training programs empower the dispatchers on the other end of the line to calmly provide help – and hope – for people experiencing a medical crisis.

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In Disasters

Our disaster planning, response coordination, and real-time supply chain support streamlines the way multiple agencies work together, preventing fragmentation and providing better outcomes for all. We get medical resources where they need to be.


Reflections on 2023

Unity was at the center of the EMS Administrators’ Association of California’s (EMSAAC) mission in 2023. At a time in our nations’ history where dividing lines can be seen in nearly every sector

2024 EMSAAC Conference – Registration Open!

MAY 29 & 30, 2024 – The EMS Administrators’ Association of California (EMSAAC) cordially invites California’s EMS leaders and professionals to join us for the EMSAAC Annual Conference at the Leows Coronado Bay Resort, San Diego. EMSAAC continues to lead the way in creating conferences that are meaningful and exciting to attend. Learn from and…

National EMS memorial Bike Ride – September 16-21, 2024

September 16-21, 2024 – Reno, NV to San Francisco, CA The National EMS Memorial Bike Ride, Inc. honors Emergency Medical Services personnel by organizing and implementing long distance cycling events that memorialize and celebrate the lives of those who serve everyday, those who have become sick or injured while performing their duties, and those who…