1. (1) The department issues four levels of licenses for ECPs. Each level has endorsements that may be added to an ECP license. Endorsements do not have to be acquired in the order listed below and may consist of one or more combinations within each ECP level. The levels of licensure and endorsements are as follows:

   1. (a) EMR licenses:

      1. (i) EMR monitoring;
      2. (ii) lead instructor; and
      3. (iii) CIHC.

   2. (b) EMT licenses:

      1. (i) medication;
      2. (ii) IV and IO (intravenous infusion and intraosseous infusion) initiation;
      3. (iii) IV and IO (intravenous infusion and intraosseous infusion) maintenance;
      4. (iv) airway;
      5. (v) lead instructor; and
      6. (vi) CIHC.

   3. (c) AEMT licenses:

      1. (i) AEMT medication;
      2. (ii) AEMT-99;
      3. (iii) lead instructor; and
      4. (iv) CIHC.

   4. (d) Paramedic licenses:

      1. (i) critical care paramedic;
      2. (ii) lead instructor; and
      3. (iii) CIHC.

Authorizing statute(s): 50-6-203, MCA

Implementing statute(s): 50-6-101, 50-6-105, 50-6-201, 50-6-202, 50-6-203, 50-6-301, 50-6-302, MCA

History: NEW, 2004 MAR p. 188, Eff. 1/30/04; AMD, 2007 MAR p. 1813, Eff. 11/9/07; AMD, 2013 MAR p. 120, Eff. 2/1/13; AMD, 2015 MAR p. 820, Eff. 6/26/15; AMD, 2019 MAR p. 431, Eff. 4/27/19; AMD, 2020 MAR p. 679, Eff. 4/18/20; AMD, 2023 MAR p. 1407, Eff. 10/21/23; TRANS and AMD, from 24.156.2751, 2026 MAR, Notice No. 2025-149, Eff. 1/10/26.