The Virginia Department of Health’s Office of Emergency Medical Services (OEMS), acting on behalf of the Board of Health, was tasked under Item 272 E.2–E.4 of the 2025 Appropriation Act to report to the General Assembly on: (i) the status of the Commonwealth’s 11 designated regional emergency medical services (EMS) councils; (ii) any planned changes to regional council geographic boundaries; and (iii) stakeholder engagement efforts undertaken before implementing any such changes.

This report fulfills that mandate and is submitted to the Chair of the Senate Finance Committee, Chair and Vice Chair of the House Appropriations Committee, and the Secretary of Health and Human Resources.