Ground ambulance and paramedic licenses -- Application and department review

(1) Except as provided in Section 53-2d-513, an applicant for a ground ambulance or paramedic license shall apply to the bureau for a license only by: (a) submitting a completed application; (b) providing information in the format required by the department; and (c) paying the required fees, including the cost of the hearing officer. (2) The bureau shall make rules establishing minimum qualifications and requirements for: (a) personnel; (b) capital reserves; (c) equipment; (d) a business plan; (e) operational procedures; (f) medical direction agreements; (g) management and control; and (h) other matters that may be relevant to an applicant's ability to provide ground ambulance or paramedic service. (3) An application for a license to provide ground ambulance service or paramedic service shall be for all ground ambulance services or paramedic services arising within the geographic service area, except that an applicant may apply for a license for less than all ground ambulance services or all paramedic services arising within an exclusive geographic area if it can demonstrate how the remainder of that area will be served. (4) (a) A ground ambulance service licensee may apply to the bureau for a license to provide a higher level of service as defined by bureau rule if the application includes: (i) a copy of the new treatment protocols for the higher level of service approved by the off-line medical director; (ii) an assessment of field performance by the applicant's off-line director; and (iii) an updated plan of operation demonstrating the ability of the applicant to provide the higher level of service. (b) If the bureau determines that the applicant has demonstrated the ability to provide the higher level of service in accordance with Subsection (4)(a), the bureau shall issue a revised license reflecting the higher level of service and the requirements of Section 26B-4-162 do not apply. (c) A revised license issued under Subsection (4)(b): (i) may only affect the level of service that the licensee may provide; and (ii) may not affect any other terms, conditions, or limitations of the original license. (5) Upon receiving a completed application and the required fees, the bureau shall review the application and determine whether the application meets the minimum qualifications and requirements for licensure. (6) The bureau may deny an application if it finds that it contains any materially false or misleading information, is incomplete, or if the application demonstrates that the applicant fails to meet the minimum qualifications and requirements for licensure under Subsection (2). (7) If the department denies an application, it shall notify the applicant in writing setting forth the grounds for the denial. A denial may be appealed under Title 63G, Chapter 4, Administrative Procedures Act.