The Minnesota Emergency Medical Services (EMS) Regulatory Board (EMSRB) is a state agency that protects the public’s health and safety through regulation and support of the EMS system. We are the lead agency in Minnesota responsible for certifying EMS personnel, licensing and inspecting ambulance services, registering medical response units, and approving and auditing education programs. We also investigate all complaints and allegations of misconduct involving those individuals and entities subject to our jurisdiction. Our services start prior to the 9-1-1 call requesting response to a medical emergency: we safeguard the quality of care delivered by EMS personnel by ensuring the delivery of nationally-recognized education and testing standards. The EMSRB was established by the 1995 Minnesota Legislature and began operations on July 1, 1996. The Governor appoints 15 members of the Board: an emergency physician, a representative of a Minnesota hospital, a fire chief, a full-time firefighter, a volunteer firefighter, an active member of a licensed ambulance service, an ambulance service director, a representative of Minnesota sheriffs, a member of a local board of health, two representatives of regional emergency medical services programs, a registered nurse currently practicing in a hospital emergency department, a pediatrician, a family practice physician, and a public member who resides in Minnesota. Additional members are: the commissioner of health, the commissioner of public safety, a state representative, and a state senator. Our agency services include distributing state and federal grant funds that support the EMS community with retention and recruitment of EMS personnel, ambulance-to-hospital communications, education reimbursement, equipment acquisition, and improving the pediatric care infrastructure. Our service delivery continues with assessing and advising rural ambulance services and their managers, and it concludes with reinforcing quality care through inspections and audits, complaint reviews and investigations, and intervention in both a disciplinary and non-disciplinary nature. In the event of a natural or human-caused disaster or emergency, we coordinate ambulance and EMS assets and communication as part of our emergency management responsibilities. The EMSRB Board has formed committees and workgroups to aid in the execution of its mission. One such committee is the Medical Direction Standing Advisory Committee, which is comprised of physicians experienced in emergency medicine and emergency medical services and is led by a Board member/emergency physician who serves as the State’s EMS Medical Director. This committee discusses, evaluates, and recommends improvements in matters pertaining to the delivery of pre-hospital emergency care. Our contribution to ensuring continuous, consistent and safe emergency medical services in Minnesota supports the statewide outcomes of: All Minnesotans have optimal health and the people in Minnesota are safe.