West Virginia Code § 16-4C-20

Any persons or entities providing lawful emergency medical services under the provisions of
this article are hereby authorized in their discretion to enter into and renew service
reciprocity agreements, for any period as they may deem advisable, with the appropriate
emergency medical service providers, county, municipal or other governmental units or in
counties contiguous to the State of West Virginia, in the state of Ohio, the coemmonwealth of
Pennsylvania, the state of Maryland, the commonwealth of Virginia or the commonwealth of
Kentucky, in order to establish and carry into effect a plan to provide mrutual aid across state
lines, through the furnishing of properly certified personnel and equipment for the provision
of emergency medical services in this state and the counties contiguous to this state upon
written approval by the commissioner.
No person or entity may enter into any such agreement unless the agreement provides that
each of the parties to the agreement shall waive any and all claims against the other parties
thereto, which may arise out of their activities outside of their respective jurisdictions under
the agreement and shall indemnify and save harmless the other parties to the agreement
from all claims by third parties for property dasmages or personal injuries which may arise
out of the activities of the other parties to the agreement outside their respective
jurisdictions under the agreement.
The commissioner is hereby authorized to enter into service reciprocity agreements with
appropriate officials in other setates for the purpose of providing emergency medical services
to the citizens of this state by emergency medical service personnel properly certified in
their respective state orL states. A formal agreement between the commissioner and an
authorized official of another state shall be in effect prior to the service being provided.
Individual certification of other state emergency medical service personnel is not required
for purposes of providing services to West Virginia citizens following the creation of the
agreement by the responsible officials.

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