1. A. Prior to the expiration date of each license or certificate, MIEMSS shall send renewal notices to each EMS clinician whose license or certificate is expiring using the clinician’s contact information required under Regulation .06F of this chapter.
2. B. The renewal notice shall state the date the current license or certificate expires.
3. C. An EMS clinician who wishes to renew a license or certificate shall submit an application and any required supporting materials as specified in each applicable part of this chapter to MIEMSS on a form approved by MIEMSS at least 2 weeks before the expiration date.

4. D. For an emergency medical responder whose certificate, including any extension, expires after July 31, 2025, and is applying for renewal as an emergency medical responder, the individual shall submit to MIEMSS evidence of:

   1. (1) Current active status registration as an emergency medical responder or higher with the National Registry of Emergency Medical Technicians; or

   2. (2) Documentation of the successful completion of:

      1. (a) 8 hours of continuing education in categories designated by the State EMS Medical Director during the clinician’s current certification cycle;
      2. (b) Three of the most recent years of Annual EMS Protocol Updates; and
      3. (c) A MIEMSS-approved technical proficiency verification.

5. E. For an emergency medical technician whose certificate, including any extension, expires after July 31, 2025, and is applying for renewal as an emergency medical technician, the individual shall submit to MIEMSS evidence of:

   1. (1) Affiliation with an EMS operational program;
   2. (2) Completion of the 3 most recent years of Annual EMS Protocol Updates; and

   3. (3) Either:

      1. (a) Current active status registration as an emergency medical technician or higher with the National Registry of Emergency Medical Technicians; or
      2. (b) Successful completion of 24 hours of continuing education in categories designated by the State EMS Medical Director during the clinician’s current certification cycle, of which a minimum of 1 hour up to a maximum of 9 hours may be devoted to technical skills, including MIEMSS-approved technical proficiency verification.

6. F. For a CRT whose license, including any extension, expires after July 31, 2025, and is applying for renewal as a CRT the individual shall submit to MIEMSS evidence of:

   1. (1) Affiliation with an EMS operational program;
   2. (2) Completion of the two most recent years of Annual EMS Protocol Updates; and

   3. (3) Either:

      1. (a) Current active status registration as a paramedic with the National Registry of Emergency Medical Technicians and completion of any MIEMSS-assigned ALS education; or

      2. (b) Documentation of successful completion of:

         1. (i) 60 hours of continuing education equivalent to the requirements of a paramedic renewing with the National Registry of Emergency Medical Technicians including any MIEMSS-assigned ALS education during the clinician’s renewal cycle; and
         2. (ii) A MIEMSS-approved technical proficiency verification.

7. G. For a paramedic whose license, including any extension, expires after July 31, 2025, and is applying for renewal as a paramedic, the individual shall submit to MIEMSS evidence of:

   1. (1) Affiliation with an EMS operational program;
   2. (2) Completion of the two most recent years of Annual EMS Protocol Updates;
   3. (3) Completion of any MIEMSS-assigned ALS education during the clinician’s current renewal cycle; and
   4. (4) Current active status registration as a paramedic with the National Registry of Emergency Medical Technicians.

8. H. If applying for renewal as an EMD the individual shall submit evidence of:

   1. (1) Affiliation with an EMS operational program; and

   2. (2) Either:

      1. (a) Continued, active status certification as an EMD by a national organization approved by the EMS Board; or
      2. (b) Successful completion of 24 hours of approved EMD-related continuing education offered by an approved EMD educational program.
9. I. MIEMSS may extend a license or certificate for up to 6 months upon receipt of a written request for an extension before the expiration date.
10. J. Upon completion of the requirements for renewal, the individual shall receive a certificate or license valid for the appropriate certification or licensure period minus the period of any extension.

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)