1. A. An individual applying for reciprocal licensure or certification shall meet the requirements of Regulation .04 of this chapter.

2. B. To qualify for licensure or certification, an applicant other than an applicant under §A of this regulation shall be 18 years old or older, except an individual:

   1. (1) Who is between the ages of 16 and 18 may apply for emergency medical responder or emergency medical technician examination and certification with written permission from a parent or legal guardian;
   2. (2) Shall be 16 years old or older before participating in any BLS clinical training or internship; and
   3. (3) Shall be 18 years old or older before participating in any ALS clinical training or internship.

3. C. In addition to the requirements of §B of this regulation, an applicant for emergency medical responder certification shall:

   1. (1) Have successfully completed an emergency medical responder course approved by the EMS Board;

   2. (2) Submit to MIEMSS evidence of current active status registration as an emergency medical responder with the National Registry of Emergency Medical Technicians, including:

      1. (a) Successfully completing the practical certification examination administered in conjunction with the emergency medical responder course; and
      2. (b) Passing an emergency medical responder cognitive certification examination administered by the National Registry of Emergency Medical Technicians.

4. D. In addition to the requirements of §B of this regulation, an applicant for emergency medical technician certification shall:

   1. (1) Have successfully completed:

      1. (a) An emergency medical technician course approved by the EMS Board; or
      2. (b) If the applicant is a licensed nurse, licensed physician, or certified physician assistant, the health care provider to emergency medical technician program;
   2. (2) Have successfully completed an internship approved by MIEMSS;

   3. (3) Submit to MIEMSS evidence of current active status registration as an emergency medical technician with the National Registry of Emergency Medical Technicians, including:

      1. (a) Successfully completing the emergency medical technician practical certification examination administered by MIEMSS; and
      2. (b) Passing an emergency medical technician cognitive certification examination administered by the National Registry of Emergency Medical Technicians; and
   4. (4) Be currently affiliated with an EMS operational program.

5. E. In addition to the requirements of §B of this regulation, an applicant for initial paramedic licensure shall:

   1. (1) Have successfully completed:

      1. (a) A paramedic course approved by the EMS Board;
      2. (b) If the applicant is a licensed nurse, licensed physician, or certified physician assistant, the health care provider to paramedic program; or
      3. (c) If the applicant is a CRT, the paramedic bridge course;

   2. (2) Have successfully completed immediately before application for licensure:

      1. (a) At least 12 full months of experience in providing patient care as an emergency medical technician with an EMS operational program;
      2. (b) At least 150 documented ambulance responses providing patient care, including patient assessment, with an EMS operational program;
      3. (c) If the applicant is a licensed nurse, licensed physician, or certified physician assistant, the health care provider to paramedic program; or
      4. (d) If the applicant is a CRT, the paramedic bridge course;
   3. (3) Submit evidence of current active status registration as a paramedic with the National Registry of Emergency Medical Technicians;
   4. (4) Successfully complete a MIEMSS-approved protocol orientation; and;
   5. (5) Be currently affiliated with an ALS EMS operational program.

6. F. In addition to the requirements of §B of this regulation, an applicant for EMD licensure shall:

   1. (1) Have successfully completed:

      1. (a) The basic telecommunicator course or an equivalent course approved by the Maryland 9-1-1 Board; or
      2. (b) 2,000 hours of public safety call-taking or call-allocating experience;
   2. (2) Have successfully completed an EMD training program approved by the EMS Board; and
   3. (3) Be affiliated with an EMD operational program which has been approved by the EMS Board.
7. G. In determining whether any experience or internship required for licensure or certification has been completed, the EMS Board shall give credit to the individual for all relevant experience as a service member.

8. H. The EMS Board shall credit any training and education provided by the military and completed by a service member toward any training or education requirements for licensure or certification if the training or education is determined by the EMS Board to be:

   1. (1) Substantially equivalent to the training or education required by the EMS Board; and
   2. (2) Not otherwise contrary to any other licensing requirement.

Authority: Education Article, §13-516, Annotated Code of Maryland

Effective date: January 1, 1999 (25:26 Md. R. 1926)

Regulations .01—.09 amended effective July 1, 2002 (29:12 Md. R. 930)

Regulation .02 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .03 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); May 12, 2014 (41:9 Md. R. 523); June 9, 2025 (52:11 Md. R. 533)

Regulation .03D amended as an emergency provision effective March 3, 2022 (49:7 Md. R. 462); amended permanently effective July 11, 2022 (49:14 Md. R. 705)

Regulation .04 amended as an emergency provision effective December 22, 2008 (36:2 Md. R. 98); amended permanently effective March 23, 2009 (36:6 Md. R. 492); June 9, 2025 (52:11 Md. R. 533)

Regulation .04 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017)

Regulation .04D, E amended effective May 12, 2014 (41:9 Md. R. 523)

Regulation .05 amended effective May 30, 2011 (38:11 Md. R. 672); December 12, 2013 (40:24 Md. R. 2017); May 9, 2016 (43:9 Md. R. 531); June 9, 2025 (52:11 Md. R. 533)

Regulation .06 amended effective May 30, 2011 (38:11 Md. R. 672); June 9, 2025 (52:11 Md. R. 533)

Regulation .06D amended effective December 19, 2005 (32:25 Md. R. 1944)

Regulation .06H, J amended effective December 12, 2013 (40:24 Md. R. 2017)

Regulation .07 repealed and new Regulation .07 adopted effective October 4, 2010 (37:20 Md. R. 1396)

Regulation .07 amended effective December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .07F amended effective April 9, 2018 (45:7 Md. R. 347)

Regulation .08 amended effective June 9, 2025 (52:11 Md. R. 533)

Regulation .08A, C amended effective December 12, 2013 (40:24 Md. R. 2017)

Regulation .09 amended effective December 12, 2013 (40:24 Md. R. 2017); June 9, 2025 (52:11 Md. R. 533)

Regulation .09B amended effective April 9, 2018 (45:7 Md. R. 347)

Regulation .09B, D amended effective May 30, 2011 (38:11 Md. R. 672)

Regulation .13 adopted as an emergency provision effective June 1, 2020 (47:13 Md. R. 640); adopted permanently effective October 5, 2020 (47:20 Md. R. 877)

Regulation .13 amended as an emergency provision effective March 2, 2022 (49:7 Md. R. 462); amended permanently effective July 11, 2022 (49:14 Md. R. 705)