The provider review panel consists of 11 voting members appointed by the EMS Board and 2 nonvoting members. Appointed Members. Provider Representatives. Eight of the appointed members shall be licensed or certified emergency medical service providers who are actively providing emergency medical services at the time of their appointment. In appointing the provider representatives, the EMS Board shall give consideration to providing for reasonable representation from throughout the State. Three of these members shall be members of a governmental fire, rescue, or emergency medical services company. Three of these members shall be members of a volunteer fire, rescue, or emergency services company. One of these members shall be an employee of a commercial ambulance service. One of these members shall be an emergency medical dispatcher. One of the appointed members shall be a physician appointed by the Board of Physicians. One of the appointed members shall be a medical director with emergency medical services experience. One of the appointed members shall be a representative of the Medical and Chirurgical Faculty of the State of Maryland who has emergency medical services experience. The appointed members shall serve terms of 4 years, except that the terms of the first appointed members shall be staggered by the Board as follows: Four members shall serve a 4-year term; Four members shall serve a 3-year term; and Three members shall serve a 2-year term. The Executive Director of MIEMSS and the State EMS Medical Director shall serve as nonvoting ex officio members. The provider review panel shall elect a chair from among its members. Provider Review Panel Action. The provider review panel shall take action by majority vote when at least six voting members are present. Ordinarily at least six members shall be present in person in the same meeting room, provided that in infrequent urgent matters, with the concurrence of a majority of the provider review panel, including the PRP chair if available, the provider review panel may take action when at least six members are present in person or by phone. When reviewing a complaint concerning an EMS provider: At least one voting provider review panel member present shall be an EMS provider of the same level as the respondent; and At least one voting provider review panel member present shall have the same governmental, volunteer, or commercial service affiliation as the respondent. A tie vote on an issue is considered a recommendation that no action be taken. The EMS Board may remove any member of the provider review panel for just cause.