Ch. 420                                    1994 LAWS OF MARYLAND

(ii) "Ambulance service" does not include the transporting of
individuals in an ambulance owned, operated, or under the jurisdiction of a unit of State
government, a political subdivision of the State, or a volunteer fire company or volunteer
rescue squad.

(4) ["Director" means the Director of the Maryland Institute for
Emergency Medical Services Systems at the University of Maryland.

(5)] "License" means a license issued by the [Director] INSTITUTE to
operate an ambulance service in the State.

(b) Unless issued a license under this section, an individual, firm, partnership,
corporation, association, or organization may not operate an ambulance service in the
State.

'(c) (1) The [Director] INSTITUTE, in consultation with representatives of the
ambulance service industry in Maryland, shall adopt regulations necessary to establish a
periodic licensing system for ambulance services in the State.

(2) The regulations shall, at a minimum, require:

(i) Each ambulance operated by the ambulance service to be
equipped with adequate equipment and supplies to:

1.       Care for the patients being transported; and

2.       Communicate with the dispatcher;

(ii). At least 1 individual, in addition to the driver, be in attendance on
the ambulance during each transport who:

1.       Is certified by the State as an emergency medical technician;
or

2.       Has successfully completed a course of training determined
by the [Director] INSTITUTE to be substantially equivalent to the training necessary for
certification as an emergency medical technician; and

(iii) Each ambulance operated by the ambulance service be inspected:

1. Once every 12 months by an inspection station licensed
under § 23-103 of the Transportation Article and be issued an inspection certificate by
the inspection station; or

2. In accordance with the requirements for the operation of an
ambulance owned, operated, or under the jurisdiction of a unit of State government, a
political subdivision of the State, or a volunteer fire company or volunteer rescue squad in
the jurisdiction where the ambulance service is located.

(d) To qualify for an ambulance service license, an applicant shall:

(1) Pay to the [Director] INSTITUTE an application fee established in
accordance with this section;

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