Like others have said, it varies. Sometimes it is by company or season. I started off work as an EMT for a BLS IFT company, and they did everything they could possible to make sure you were never paid overtime. People badly wanted overtime. I went to another IFT company since they offered daily overtime, they were the IFT division for the 911 in our area, and they offered to put me on CCT right away. That second company was always short staffed, you could pick up as many shifts as you want for overtime, and they always held you over. When I went to my first 911 job as an EMT, it was for a small/slow system, and I rarely got held over or overtime. When I became a paramedic, I went to a large busy system that was bleeding for staff. They offered overtime and double time like crazy. I went to another large busy system, and they were hurting even more for staff. Even though my pay is $31.74/hour working 10 hours four times a week, I am held over almost every single shift. I thankfully work weekends so I don't get mandated (for double pay) to come in on my days off, but they have when things get crazy like flu seasons or California fires. I once got mandated twice in the same week, so I worked 6 days in a row.... I was so angry. The government took most of that money, so my checks weren't too amazing.