State Requirements

This list is not exhaustive, however includes available resources by state. If you would like to suggest an update, please email info@massgatheringmedicine.org

State	Primary Regulation / Reference	"Trigger" / Threshold
Alabama	Admin. Code r. 420-2-1-.28	Requires a medical plan for events over 500 people.
Alaska	7 AAC 12.830	Mass gathering permits require a medical plan for 500+ people.
Arizona	A.R.S. § 36-2201	General EMS law applies to all event medical standbys.
Arkansas	Ark. Code § 20-13-101	2,000+ people for 12+ hours.
California	EMS Authority #182	Statewide guidelines for all special events.
Colorado	6 CCR 1010-13	Mass gathering sanitary standards for 1,000+ people.
Connecticut	CGS § 19a-437	2,000+ people for 12+ hours.
Delaware	16 Del. C. § 122(3)	State health regulations for gatherings of 5,000+.
Florida	FL Stat. § 381.006	Mass gatherings over 1,000 require a health permit.
Georgia	Ga. Code § 31-27-3	Permits required for 5,000+ people.
Hawaii	HAR Title 11, Ch. 11	Sanitary requirements for "Gatherings of Large Groups."
Illinois	77 Ill. Adm. Code 515.945	Explicitly regulates "Special Event EMS."
Indiana	Ind. Code § 16-41-22	5,000+ people for 18+ hours.
Iowa	Iowa Code § 135.1	Health dept. oversight of mass gatherings (triggers vary by county).
Kansas	K.A.R. 28-1-17	Sanitary and medical oversight for over 5,000 people.
Kentucky	KRS 227.200	Fire and life safety for mass assemblies.
Louisiana	LAC 51:XXV	Extensive mass gathering medical requirements.
Maine	22 MRS § 1601	2,000+ people for 12+ hours.
Maryland	COMAR 30.03.02	Regulations for "Commercial EMS" at special events.
Massachusetts	105 CMR 170.000	Standby EMS agencies must be state-licensed.
Michigan	MCL 333.20919	Local Medical Control Authorities set event protocols.
Minnesota	Special Event Matrix	State guideline matrix based on event risk.
Mississippi	MS Code § 41-71-1	Health safety for mass gatherings.
Missouri	RSMo § 190.100	General EMS standards applied to special events.
Montana	MCA 50-2-116	County boards of health regulate mass gatherings.
Nevada	NRS 450B.650	Specific "Special Event Medical" requirements.
New Hampshire	NH SOG Template	Risk-based scoring matrix for medical coverage.
New Jersey	N.J.A.C. 8:40	Standby EMS must be licensed; strict staffing rules.
New Mexico	NMAC 7.27.10.19	Dedicated "Special Event EMS" section.
New York	10 NYCRR Part 18	5,000+ people.
North Carolina	NCGS § 130A-251	5,000+ people for 24+ hours.
North Dakota	NDCC 23-15	Mass gathering permits required via Health Dept.
Ohio	ORC 3701.04	Local health districts set specific event medical rules.
Oklahoma	63 OK Stat § 63-1-701	Health dept. oversight of large assemblies.
Oregon	ORS 433.735	3,000+ people for 24+ hours.
Pennsylvania	28 Pa. Code § 1033	Dedicated "Special Event EMS" protocols.
Rhode Island	RIDOH Rules 216-20-10-2	Licensing for "EMS Special Events."
South Carolina	SC Code § 44-128-10	Oversight for "Large Outdoor Events."
South Dakota	SDCL 34-18	Health permits for temporary mass gatherings.
Tennessee	TN Code § 68-11-210	5,000+ people for 18+ hours.
Texas	Health & Safety Code § 773	State EMS act including standby licensing.
Utah	Rule R392-400	Medical requirements for "Temporary Mass Gatherings."
Vermont	18 V.S.A. § 901	Health dept. oversight of mass assemblies.
Virginia	12 VAC 5-31-600	Explicitly regulates "Licensed EMS Special Events."
Washington	RCW 70.108	"Outdoor Music Festivals" act (3,000+ people).
West Virginia	W. Va. Code § 16-1-9	Public health standards for mass gatherings.
Wisconsin	Wis. Stat. § 440.98	Fire and health safety for large assemblies.
Wyoming	Wyo. Stat. § 35-1-620	Public health oversight for mass gatherings.

Let's Work Together

Special events and mass gatherings may present unique challenges to public safety event planners. Please help us keep this list updated by emailing info@massgatheringmedicine.org with your requested updates.