Emergency Medical Services Program
Attention EMS service providers: All ambulances that operate in the City of Houston will be required to meet the equipment requirements.
Effective October 1st, 2025, the EMS Program will be adopting a new minimum equipment list pursuant to changes made to chapter 4 of the City of Houston Code of Ordinances. All ambulances will be required to have the specified equipment for the appropriate level of care when presented for a routine annual inspection prior to being awarded a decal.
Please click on the link to find the updated minimum equipment list.
Download Essential Equipment for Ambulances (effective October 1, 2025)
Let us help you with questions about
- Private ambulance service initial and renewal application
- Permitted ambulance service providers list
- Ambulance driver permit application
- Decal inspections guide
- Spot inspections
- Inspection reports
- EMS program-related enforcement
- Houston Code of Ordinances: Chapter 4: Ambulances
- HHS: Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports
- Update or add a vehicle
Book Your Decal Inspection Using the Scheduler Below
Decal inspections are by appointment only. Be sure when your ambulance is brought to for inspection, it is equipped and supplied to the highest level listed on the Texas DSHS license. For example; if the ambulance is licensed as BLS with MICU capability, it will be inspected at the MICU level, and will be required to have all MICU equipment and medications. Unit must meet City of Houston essential equipment requirements, as well as the equipment requirements set by the company medical director.