1. (a) Permits shall be issued for two types of ambulance service. These types shall be known as air ambulance and ground ambulance.

2. (b) Each air ambulance service shall meet the following requirements:

   1. (1) Provide advanced life support or critical care transport as defined in K.A.R. 109-1-1;
   2. (2) have at least one licensed air ambulance; and

   3. (3) not be subject to public call as defined in K.A.R. 109-1-1.

      1. (cv) (1) Each ground ambulance service shall meet the following requirements:

         1. (A) Provide basic life support at a minimum as defined in K.A.R. 109-1-1;
         2. (B) have at least one licensed ambulance that meets all requirements of K.A.R. 109-2-8;
         3. (C) staff each ambulance with, at a minimum, either two attendants or one attendant and a health care provider, as defined in K.A.R. 109-1-1, and ensure that an attendant certified pursuant to K.S.A. 65-6119, 65-6120, or 65-6121, and amendments thereto, or a health care provider is in the patient compartment during patient transport; and
         4. (D) have a method of receiving calls and dispatching ambulances that ensures that an ambulance leaves the station within an annual average of five minutes from the time an emergency call is received by the ambulance service.

   4. (2) Any ground ambulance service operator may provide advanced life support or critical care transport as defined in K.A.R. 109-1-1 and described in K.S.A. 65-6123, 65-6120, and 65-6119, and amendments thereto, if all of the following conditions are met:

      1. (A) At a minimum, an attendant certified pursuant to K.S.A. 65-6119, 65-6120, or 65-6123, and amendments thereto, or a health care provider is in the patient compartment during patient transport.
      2. (B) The ambulance or personnel, or both, are adequately equipped.
      3. (C) The treatment is approved by medical protocols or medical control pursuant to K.S.A. 65-6119, 65-6120, and 65-6123, and amendments thereto.

(Authorized by K.S.A. 2015 Supp. 65-6110; implementing K.S.A. 2015 Supp. 65-6110, K.S.A. 65-6128, and K.S.A. 2015 Supp. 65-6135; effective May 1, 1985; amended May 1, 1987; amended, T-88-24, July 15, 1987; amended May 1, 1988; amended July 17, 1989; amended Jan. 31, 1997; amended Jan. 27, 2012; amended April 29, 2016.)