During the 1960s, the development of the modern EMS system began. In 1966 the National Highway Safety Act charged the United States Department of Transportation (DOT) with developing EMS standards and assisting the states to upgrade the quality of their prehospital emergency care.
In 1970, the National Registry of Emergency Medical Technicians was founded to establish professional standards. In 1973, Congress passed the National Emergency Medical Services Systems Act as the cornerstone of a federal effort to implement and improve EMS systems across the United States
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