Relating to waivers permitting non-certified drivers to operate in partnership with state-certified emergency medical personnel.

SB 2640 extends existing and future waivers allowing non-certified drivers to work alongside state-certified emergency medical technicians (EMTs) and paramedics in ambulance services. It eliminates the need for additional approval steps ("variance requests") for these waivers after initial approval, applying to both current waivers and new ones approved after the bill's effective date. The Texas Department of State Health Services may create rules to help providers understand updated certification requirements. The bill takes effect on September 1, 2025, directly affecting emergency medical services providers and non-certified ambulance drivers in Texas.