<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 30.09.11.02" title_num="30" subtitle_num="09" chapter_num="11" heading="Additional Operational Requirements.">
  <paragraph num="A.">
    <text>An ALS commercial ambulance service shall retain at least one licensed paramedic to function as an ALS coordinator who:</text>
    <paragraph num="(1)">
      <text>Is approved by the ALS service medical director;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Participates on the ALS service's quality review committee; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Oversees:</text>
      <paragraph num="(a)">
        <text>ALS operations; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The submission of patient care reports and EMS data in accordance with COMAR 30.03.04.04.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An ALS commercial ambulance service may provide BLS service with an ambulance licensed as either:</text>
    <paragraph num="(1)">
      <text>ALS; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>BLS.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>An ALS commercial ambulance service may not provide scheduled ALS service with a BLS-licensed commercial ambulance vehicle unless:</text>
    <paragraph num="(1)">
      <text>It uses a BLS-licensed ambulance for a period of not more than 30 calendar days for reasons related to:</text>
      <paragraph num="(a)">
        <text>Routine maintenance; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Mechanical failure of an ALS-licensed commercial ambulance vehicle;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The BLS-licensed ambulance has, in addition to the equipment required in COMAR 30.09.10, all the equipment required in this chapter; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>It has notified SOCALR of the proposed use before its occurrence and has been issued a confirmation number verifying authorization.</text>
    </paragraph>
  </paragraph>
</regulation>