<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sc9277407-3912-43c6-83b5-991fa5d3d3a2P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000002 { background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2000003 { background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000004 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2000005 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000006 { color: black; background: white; font-family: Times; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:61:01:04"><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000000">20:61:01:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">.  </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">Medical supervision agreement--Advanced life support personnel</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">An</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> applicant </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">for an advanced life support personnel license shall file with the application an agreement with</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">the</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> physician </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">attesting that the physician assumes the responsibility to supervise, observe, direct, and review the applicant's work record and practice</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000002">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2000003"> </span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000002">    An </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">pplicant affiliated with an ambulance service that has been granted a hardship exemption in accordance with SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000004">34-11-12.2</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> may file the required agreement and statement from the program director of the ambulance service</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2000005"> </span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">    </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000006">The advanced life support personnel shall notify the board, in writing, if termination of the medical supervision agreement occurs. An advanced life support personnel may not practice without a medical supervision agreement approved by the board</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000006">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2000005"> </span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">    </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> 5 SDR 68, effective February 15, 1979; 12 SDR 151, 12 SDR 155, effective July 1, 1986</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">; 51 SDR 56, effective November 19, 2024; 52 SDR 18, effective August 25, 2025</span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">    </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-35"><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000004">36-4B-35</span></a><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">    </span><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-4B-15"><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0-000004">36-4B-15</span></a><span style="white-space: pre-wrap;" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2C0">.</span></p><p dir="ltr" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc9277407-3912-43c6-83b5-991fa5d3d3a2000005"> </span></p></div></body></html>