Since the dawn of EMS time, as much has changed, as has stayed the same. Policies, protocols, scope of practice, and inventory have all changed dramatically since the early years, but it seems that culture has stayed largely the same. Attitudes, approaches, and ideas about how EMS should be done are far more deeply rooted than the ever-changing list of skills and drugs. In this session, participants – old dogs and young dogs – will examine EMS culture through the prism of the law. We will take a close look at the differences between what providers do and have done and what the law expects them to do in 2024. Providers should come away with a refreshed perspective and enthusiasm to make positive changes.