<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 30.09.04.07" title_num="30" subtitle_num="09" chapter_num="04" heading="Fees.">
  <paragraph num="A.">
    <text>Commercial Ambulance License Fees.</text>
    <paragraph num="(1)">
      <text>Ground ambulances.</text>
      <paragraph num="(a)">
        <text>Annual commercial ambulance ALS or BLS license fee as of July 1,1999 — $780</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Semiannual commercial ambulance ALS or BLS license fee as of July 1, 1999 — $415</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Specialty Care Transport Service License.</text>
        <paragraph num="(i)">
          <text>Annual commercial specialty care service license fee as of December 31, 2004 — $500.</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Semiannual commercial specialty care service license fee as of December 31, 2004 — $265.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Annual neonatal commercial ambulance license fee as of July 1, 1999 — $940</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Semiannual neonatal commercial ambulance license fee as of July 1, 1999 — $500</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Commercial Air Ambulance Service License.</text>
      <paragraph num="(a)">
        <text>Annual commercial air ambulance service license fee as of July 1, 2002 — $845.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Semiannual commercial air ambulance service license fee as of July 1, 2002 — $450.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Specialty Care Transport Service License.</text>
      <paragraph num="(a)">
        <text>Annual commercial specialty care service license fee as of December 31, 2004 — $500.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Semiannual commercial specialty care service license fee as of December 31, 2004 — $265.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Miscellaneous Service Fees.</text>
    <paragraph num="(1)">
      <text>Ambulance license transfer — $50</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Change in level of ambulance license — $50</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Preliminary determination to prospective buyer — $100</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Replacement of commercial ambulance vehicle license — $5</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Replacement of commercial ambulance service license — $5</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Replacement of ambulance licensing decal — $10</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Service license application packet — $20.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Initial service license application review — $100.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The licensing fee for adding a commercial ambulance vehicle during the fiscal year is:</text>
    <paragraph num="(1)">
      <text>One half of the semiannual fee rounded to the nearest $5 increment if the vehicle is added after April 1 and before June 30 of the current fiscal year;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Equal to the semiannual fee if the vehicle is added after January 1 and before March 31 of the current fiscal year;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Equal to the semiannual fee rounded to the nearest $5 increment if the vehicle is added after October 1 and before December 31 of the current fiscal year; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Equal to the annual fee if the vehicle is added after July 1 and before September 30 of the current fiscal year.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>SOCALR shall make noninflationary adjustments to the fees listed in §§A and B of this regulation by means of the regulatory promulgation process which affords interested parties the opportunity to make both oral and written comments to SOCALR before the adoption of a new fee schedule. The fees established in §§A and B of this regulation may be adjusted by SOCALR, from time to time, notwithstanding the inflationary adjustment in §E of this regulation, in order to provide funds sufficient to cover the actual direct and indirect costs of maintaining the licensing program in accordance with Education Article, §13-515, Annotated Code of Maryland, and this subtitle.</text>
  </paragraph>
  <paragraph num="E.">
    <text>SOCALR may make inflationary adjustments to the fees listed in §§A and B of this regulation before the beginning of each fiscal year by applying the percent change in the consumer price index for the most recent complete calendar year to the annual licensing fee for the fiscal year ending rounded to the nearest $5 increment. This inflationary adjustment may be made by SOCALR without any additional consultation or amendment to the regulations. If the consumer price index ceases to be published, a comparable statistic on the purchasing power of the consumer dollar shall be adopted. If the base year (1982/84 = 100) or other base year used in computing the consumer price index is changed, the figures used in making the computation below shall be changed accordingly. The following formula shall be used in determining the annual inflationary adjustment to the fees:</text>
  </paragraph>
  <paragraph num="F.">
    <text>SOCALR may set semiannual licensing fees that are adjusted to cover the additional costs incurred for semiannual rather than annual processing of licenses and decals. The semiannual licensing fee shall be one half of the annual licensing fee plus 6 percent of the halved annual fee, the sum of which is rounded to the nearest $5 increment.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Additional Fees.</text>
    <paragraph num="(1)">
      <text>SOCALR may set fees to recoup, on a cost basis, the cost of services and materials that are not covered by the licensing fees, provided to commercial ambulance services and other interested parties. These materials and services may include:</text>
      <paragraph num="(a)">
        <text>MAIS run reports;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Additional narratives;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Instruction booklets;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Triage tags;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Protocols;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Certification or license patches;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Reproduction of documents;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Production of statistical reports;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Copies of statutes and regulations; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Bank service charges for checks returned for insufficient funds.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The price adjustments in §G(1) of this regulation may be made by SOCALR as necessary without any additional consultation or amendments to the regulations, if these fees are published in the fee schedule distributed in accordance with §H of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>When the fee schedule is adjusted, SOCALR shall provide a copy of the new fee schedule to all commercial ambulance services that:</text>
    <paragraph num="(1)">
      <text>Are licensed by SOCALR at the time of issuance of any new or revised fee schedule; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Apply for a license after the issuance of each new or revised fee schedule.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>All applicable fees listed in the fee schedule currently in effect shall be submitted to SOCALR with each application.</text>
  </paragraph>
  <paragraph num="J.">
    <text>A license fee may not be refunded, in whole or in part, to any commercial ambulance service whose service or vehicle license is suspended or revoked.</text>
  </paragraph>
</regulation>