<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 30.09.13.02" title_num="30" subtitle_num="09" chapter_num="13" heading="In General.">
  <paragraph num="A.">
    <text>To be licensed as a commercial care air ambulance service, a commercial air ambulance service shall comply with the requirements of this chapter in addition to the other applicable requirements of this subtitle.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An applicant for a commercial air ambulance service license shall submit an application to SOCALR on the required form.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An applicant for a commercial air ambulance service license shall:</text>
    <paragraph num="(1)">
      <text>Be accredited by CAMTS; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If ineligible to apply for CAMTS accreditation, because it has been in service for less than 1 year:</text>
      <paragraph num="(a)">
        <text>Submit to SOCALR a CAMTS consultation report indicating compliance with the CAMTS standards; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Apply for and receive full CAMTS accreditation within 18 months of being licensed by SOCALR.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A licensed commercial air ambulance service shall notify SOCALR within 24 hours of any change in CAMTS accreditation status and the reason for the change.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A licensed commercial air ambulance service may provide ALS, critical care, or neonatal transport service, or any combination of these, if:</text>
    <paragraph num="(1)">
      <text>The equipment and personnel requirements of this subtitle are met for the specific type of transport;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The submitted service license application includes the information required, demonstrating compliance for the specific type of transport; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The service is accredited by CAMTS at that level.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A licensed commercial air ambulance service may not provide services with an unlicensed air ambulance unless:</text>
    <paragraph num="(1)">
      <text>The unlicensed air ambulance is used as a temporary replacement for a licensed air ambulance that is out of service for routine maintenance or repair;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The temporary replacement air ambulance meets all FAA requirements;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The temporary replacement air ambulance has all required staffing and equipment; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>It has notified SOCALR of the use of the replacement air ambulance and provided the following information:</text>
      <paragraph num="(a)">
        <text>The unit designation number assigned for operational purposes;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The FAA registration number; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The make, model, and year of manufacture.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A licensed commercial air ambulance service that provides services with an unlicensed air ambulance shall notify SOCALR when the licensed air ambulance is returned to service.</text>
  </paragraph>
</regulation>