<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.se493418a-8d58-47f9-8482-e0944f452229P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.se493418a-8d58-47f9-8482-e0944f452229C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se493418a-8d58-47f9-8482-e0944f452229C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se493418a-8d58-47f9-8482-e0944f452229000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se493418a-8d58-47f9-8482-e0944f452229000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } h1.se493418a-8d58-47f9-8482-e0944f452229P1 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } span.se493418a-8d58-47f9-8482-e0944f452229C0-000003 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.se493418a-8d58-47f9-8482-e0944f452229P0-000004 { 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.se493418a-8d58-47f9-8482-e0944f452229C0-000005 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000000">44:05:07</span></a></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229000001"> </span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0">HARDSHIP EXEMPTION</span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229000002"> </span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229000002"> </span></p><h1 dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P1"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">Section</span></h1><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0-000004"><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:01"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000005">44:05:07:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">        </span><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">Application form</span><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">.</span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0-000004"><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:02"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000005">44:05:07:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">        </span><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">Approval of hardship exemption</span><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">.</span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0-000004"><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:03"><span style="white-space: pre-wrap;" class="se493418a-8d58-47f9-8482-e0944f452229C0-000005">44:05:07:03</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229C0-000003">        Renewal of hardship exemption.</span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229000002"> </span></p><p dir="ltr" class="se493418a-8d58-47f9-8482-e0944f452229P0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="se493418a-8d58-47f9-8482-e0944f452229000002"> </span></p></div></body></html><br /><hr><br /><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.sb8be6c72-c6e1-4993-848a-a237c236428cP0 { 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.sb8be6c72-c6e1-4993-848a-a237c236428cC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb8be6c72-c6e1-4993-848a-a237c236428cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb8be6c72-c6e1-4993-848a-a237c236428c000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb8be6c72-c6e1-4993-848a-a237c236428cC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:01"><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000000">44:05:07:01</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">.  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">Application form</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0"> </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">An application for a hardship exemption must include:</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428c000002"> </span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">(1)  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">The name of the ambulance service</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">;</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    (2)  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">The ambulance service owner s or chief executive officer s name, official title, address, email address, and phone number</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">;</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    (3)  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">Documentation that the ambulance service solicited applications from family medicine, internal medicine, emergency medicine, or other qualified medical specialty physicians who are within a fifty-mile radius of the ambulance service coverage area and credentialed to work at the primary receiving facility for the ambulance service and from whom no applications were received</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">;</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    (4)  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">Documentation that any fee that might be charged by physician willing and available to serve as the medical director is not reasonable and customary and would pose a financial hardship to the ambulance service; and</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    (5)  </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">The name, credentials, and contact information for the program director being requested</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428c000002"> </span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">An application must be received by the department at least thirty days prior to the intended start date of the program director</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428c000002"> </span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0"> </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">51 SDR 36, effective September 30, 2024</span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000003">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000003">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428c000002"> </span></p><p dir="ltr" class="sb8be6c72-c6e1-4993-848a-a237c236428cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000001">Cross Reference: </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">Approval of hardship exempion applications, § </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:02"><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0-000003">44:05:07:02</span></a><span style="white-space: pre-wrap;" class="sb8be6c72-c6e1-4993-848a-a237c236428cC0">.</span></p></div></body></html><br /><hr><br /><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.s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0 { 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.s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s39ad1f2f-5948-4c02-81d5-9107a32c6e39C2 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:02"><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000000">44:05:07:02</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">.  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">Approval of hardship exemption application</span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">The department shall approve a hardship exemption if an ambulance service:</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002"> </span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">(1)  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">Demonstrates by clear and convincing evidence that no physician who is within a fifty-mile radius of the ambulance service coverage area or credentialed to work at the primary receiving facility for the ambulance service is available and willing to serve as the medical director of the ambulance service for a fee that is less than five percent of the ambulance service s annual budget; and</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002"> </span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">(2)  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">Provides documentation that the program director selected has:</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002"> </span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">        (a)  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">A minimum of two years of clinical experience as a physician assistant or nurse practitioner;</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">        (b)  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">Agreed, in writing, to be responsible for the supervision and healthcare direction of the ambulance service; and</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">        (c)  </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">Attested to having reviewed and to understanding the Rural EMS Healthcare Direction in South Dakota document on the department website.</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002"> </span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">51</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> SDR </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">36</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">, effective </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">September 30, 2024</span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">.</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000003">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">.</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000003">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">.</span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39000002"> </span></p><p dir="ltr" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">    </span><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0-000001">Collateral Reference:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0"> Rural EMS Healthcare Direction in South Dakota, 2024. Copies available at no cost at </span><a href="https://doh.sd.gov/healthcare-professionals/ems-trauma-program/ambulance-services/"><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C2">https://doh.sd.gov/healthcare-professionals/ems-trauma-program/ambulance-services/</span></a><span style="white-space: pre-wrap;" class="s39ad1f2f-5948-4c02-81d5-9107a32c6e39C0">.</span></p></div></body></html><br /><hr><br /><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.sfc787d7d-7e7c-4327-89bd-329f96870807P0 { 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.sfc787d7d-7e7c-4327-89bd-329f96870807C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfc787d7d-7e7c-4327-89bd-329f96870807C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfc787d7d-7e7c-4327-89bd-329f96870807C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfc787d7d-7e7c-4327-89bd-329f96870807C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfc787d7d-7e7c-4327-89bd-329f96870807000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:03"><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000000">44:05:07:03</span></a><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000001">.  Renewal of hardship exemption.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">To renew the exemption approved pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=44:05:07:01"><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000002">44:05:07:01</span></a><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">, an ambulance service must submit a new application to the department thirty days prior to the expiration of the current exemption.</span></p><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807000003"> </span></p><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">    </span><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0"> </span><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">51 SDR 36, effective September 30, 2024</span><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">.</span></p><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">    </span><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000002">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">.</span></p><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">    </span><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-11-12.2"><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0-000002">34-11-12.2</span></a><span style="white-space: pre-wrap;" class="sfc787d7d-7e7c-4327-89bd-329f96870807C0">.</span></p><p dir="ltr" class="sfc787d7d-7e7c-4327-89bd-329f96870807P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sfc787d7d-7e7c-4327-89bd-329f96870807000003"> </span></p></div></body></html>