N.Y. Comp. Codes R. & Regs. tit. 10, § 800.5 – Requirements for an advanced life support system.

(a) An advanced life support system must meet the following requirements:
1. (1) designation of a qualified physician to provide medical supervision and direction; and
2. (2) integration with a hospital emergency service, or intensive care, coronary care, or other appropriate hospital unit.
(b) An ambulance, or advanced life support first response service, when providing advanced life support services, must meet the requirements of sections 800.23 and 800.24 of this Part and utilize a treatment record provided by or approved by the department, including submission of such record for use in quality assurance programs.
(c) An advanced life support system providing prehospital advanced EMT care must include the following:
1. (1) voice communications to receive medical direction;
2. (2) equipment and supplies to provide prehospital advanced care; and
3. (3) staffing by a certified advanced emergency medical technician, emergency medical technician-critical care, emergency medical technician-paramedic, as appropriate.
(d) An advanced life support system providing prehospital EMT-critical care and/or EMT-paramedic services must include the following:
1. (1) voice communications to receive medical direction;
2. (2) biomedical telemetry;
3. (3) equipment and supplies to provide prehospital critical care and/or EMT-paramedic services;
4. (4) a current class 3(c) institutional dispenser limited license, in accordance with article 33 of the Public Health Law and section 80.136 of this Title, unless exempt as an ALS agency owned and operated by a hospital, to purchase, possess, deliver and administer controlled substance medications to treat patients, in accordance with applicable State-approved regional protocols developed pursuant to sections 3002-a and 3004-a of the Public Health Law; and
5. (5) staffing by a certified emergency medical technician-critical care or emergency medical technician-paramedic, as appropriate.