Except as otherwise provided in this section, advanced life support personnel must, through the use of direct and indirect control, be supervised by a physician licensed in accordance with chapter 36-4. If advanced life support personnel are affiliated with an ambulance service that has been granted a hardship exemption in accordance with chapter 34-11, the personnel must, through the use of direct and indirect control, be supervised by a:

1. (1) Physician licensed in accordance with chapter 36-4;
2. (2) Physician assistant licensed in accordance with chapter 36-4A; or
3. (3) Nurse practitioner licensed in accordance with chapter 36-9A. A physician, or a physician assistant or nurse practitioner if the ambulance service has been granted a hardship exemption, must oversee the practice and review the patient care reports of the advanced life support personnel.

Source: SL 1978, ch 269 , § 3; SL 2022, ch 144 , § 2; SL 2024, ch 153 , § 10; SL 2025, ch 150 , § 2, eff. Feb. 18, 2025.