1. A. A license or certificate shall be issued to each applicant meeting all applicable requirements of this subtitle for the level of licensure or certification sought.
2. B. The license or certificate shall bear the emergency medical service clinician’s name, identification number, the effective date of the license or certificate, and the expiration date of the license or certificate.
3. C. An applicant may not provide patient care as an EMS clinician until the applicant has received a current license or certificate from the EMS Board, except under supervision and in the course of participating in an education program that has been approved by the EMS Board.
4. D. An EMS clinician shall, whenever possible, carry the identification card issued by MIEMSS showing the clinician is licensed or certified by the EMS Board while performing the EMS clinician’s duties.
5. E. MIEMSS shall maintain a registry of licensed or certified EMS clinicians.

6. F. An EMS provider shall notify the MIEMSS Office of Education, Licensure and Certification in writing within 30 days of any change in:

   1. (1) Name;
   2. (2) Address;
   3. (3) Email;
   4. (4) Phone number; or
   5. (5) Affiliation with an EMS operational program.
7. G. Unless renewed or extended, the term of a license or certificate shall expire on the expiration date shown on the license or certificate.

8. H. Unless the certificate is the initial certificate issued under COMAR 30.02.02.04 or is extended, revoked, or suspended, the certificate of an emergency medical responder or emergency medical technician is valid:

   1. (1) In the initial certification period for at least 36 months, but not more than 42 months, as follows:

      1. (a) Applicants for emergency medical responder and emergency medical technician certification who successfully complete the certification requirements between February 1 and July 31 are issued a certificate which is effective from the date of successful completion of all certification requirements and expires on July 31, 3 years from the year of issuance; or
      2. (b) Applicants for emergency medical responder and emergency medical technician certification who successfully complete the emergency medical technician [examination] requirements between August 1 and January 31 are issued a certificate which is effective from the date of successful completion of all certification requirements and expires on January 31, 3 years from the year of issuance; and
   2. (2) In each subsequent certification period, for a period of 3 years from the previous expiration date.
9. I. Unless the license is extended, revoked, or suspended, the license of a CRT is valid for 2 years from the previous expiration date.

10. J. Unless the license is extended, revoked, or suspended, the license of a paramedic is valid:

    1. (1) In the initial licensure period, from the date of successful completion of all licensure requirements until 30 days after the expiration of the individual's registration with the National Registry of Emergency Medical Technicians; and
    2. (2) In each subsequent licensure period, until 30 days after the expiration of the individual’s registration with the National Registry of Emergency Medical Technicians.

11. K. Unless the license is extended, revoked, or suspended, the license of an EMD is valid:

    1. (1) In the initial licensure period, for at least 24 months, but not more than 32 months, as follows:

       1. (a) Applicants for EMD licensure who register with a national organization approved by the EMS Board between January 1 and June 30 are issued a license that is effective from the date of successful completion of all required certification examinations and expires on June 30, 2 years from the year of issuance; or
       2. (b) Applicants for EMD licensure who register with a national organization approved by the EMS Board between July 1 and December 31 are issued a certificate that is effective from the date of successful completion of all required certification examinations and expires on December 31, 2 years from the year of issuance; and
    2. (2) In each subsequent licensure period, for a period of 2 years from the previous expiration date.

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)