1. A. An applicant for EMD licensure who has completed an approved training program which provides its own examination shall be examined and reexamined in accordance with the policies of that training program.
2. B. An applicant for emergency medical technician certification or paramedic licensure is subject to the examination and reexamination policies and procedures of the National Registry of Emergency Medical Technicians..

3. C. If an applicant for emergency medical technician fails a first or second practical certification examination, the applicant may retake the practical examination:

   1. (1) Within 6 months of failing the first or second practical examination as provided in this regulation; and
   2. (2) Only after receiving remedial instruction in the areas of practical examination deficiency.
4. D. If an applicant for emergency medical technician certification fails the third practical certification examination, the applicant shall successfully complete a minimum of 9 hours of remedial education, which shall include technical skills, and pass the National Registry of Emergency Medical Technicians certification examination, after which the applicant may attempt the practical certification examination three more times, consistent with the procedure in §C of this regulation.
5. E. If an applicant for emergency medical technician certification fails the fourth, fifth, and sixth practical certification examination authorized under §D of this regulation, then the applicant shall successfully complete an approved emergency medical technician course in its entirety and pass the National Registry of Emergency Medical Technicians certification examination before taking another emergency medical technician practical certification examination.

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)