The EMS Board may grant a pilot supplemental protocol for the benefit of optimal patient care upon: The recommendation of the Executive Director of MIEMSS; and A determination that the pilot supplemental protocol has the potential to become a Statewide protocol or an optional supplemental protocol. An EMS operational program medical director may request a pilot supplement to the protocols by submitting the request in writing to the State EMS medical director along with: A plan for appropriate: Training, Examination, and Oversight; and A needs assessment which justifies the requested supplement.