SJAM experienced a series of changes and expansions in the 1990s. To better promote its events and activities, National Headquarters revived the publication of its own newsletter in 1991. The newsletter “Berita” was later renamed “The Responder” in 2003. Both “Berita” and “The Responder” became the primary platform in delivering the public and members with news updates.
SJAM hosted the third Far East Seminar and the Commonwealth Cadet Camp in 1990 marking the first time these events being held in the country. In the same year, a grand parade was held at the Merdeka Square, Kuala Lumpur in conjunction with HRH Prince Richard’s, the Duke of Gloucester and Grand Prior of the Order of St. John, first visit to Malaysia. In 1992, Major-General (Rtd) (later Dato’) Lai Chung Wah succeeded Encik E. Paramasivam as the fifth Commander-in-Chief following the latter’s retirement. With help from the St. John Ambulance Wiltshire county, United Kingdom, SJAM started the “Training the Trainers” Course in 1992 replacing the Lay-Lecturers’ Course. In 1992, SJAM started its first haemodialysis centre in Selangor, followed by Melaka in the following year. Dr. Low Bin Tick (later Dato’) took office as the sixth SJAM Commander-in-Chief in 1993. In the same year, the Duty Uniforms for all members and officers were changed.
In 1995, SJAM Selangor and Wilayah Persekutuan launched the Non-Emergency Ambulance Service. SJAM also been actively involved in overseas relief projects for countries like Bosnia, Somalia and North Korea. On the local front, SJAM also participated in rescue operations such as the Highland Towers collapse and the fire following an explosion at the Bright Sparklers Fireworks Factory, Sungai Buloh.
The National Headquarters published the first version of SJAM General Regulations in 1997. Thereafter, new rank markings similar to those used by the Royal Malaysian Police and Malaysian Armed Forces were introduced. With that a new version of Dress Regulations was published in 1998 to reflect the changes in the uniform. In 1997, SJAM instituted its own family of Order, Decoration and Medals to recognise the contribution of its officers and members.
SJAM Melaka launched its Clinic Care project to provide health screening service for the local residents in the same year. In 1998, SJAM trained some volunteers as first responders for the first aid standby at the 1998 Kuala Lumpur Commonwealth Games. Its officers and members were also involved in this historical event of the country. Having established its reputation and accumulated varied experiences during the last ten years, SJAM kicked started its Emergency Ambulance Service in the Klang Valley in 1998.