Issue 42 - 10-17-2024 | Kansas State Board of Emergency Medical Services | Permanent Administrative Regulations

Volume 43 - Issue 42 - October 17, 2024

State of Kansas

Board of Emergency Medical Services

Permanent Administrative Regulations

Article 3.—STANDARDS FOR AMBULANCE ATTENDANTS, FIRST RESPONDERS, AND DRIVERS

109-3-2. (Authorized by K.S.A. 65-6110 and 65-6111; implementing K.S.A. 65-6110 and 65-6121; effective March 5, 2004; revoked Nov. 1, 2024.)

Article 6.—TEMPORARY CERTIFICATION

109-6-1. (Authorized by K.S.A. 2008 Supp. 65-6111; implementing K.S.A. 2008 Supp. 65-6129; effective, T-88-24, July 15, 1987; amended May 1, 1988; amended Jan. 22, 1990; amended Nov. 1, 1996; amended Feb. 12, 2010; revoked Nov. 1, 2024.)

109-6-2. Renewal of EMS provider certificate. (a) Each EMS provider certificate shall expire on December 31 of the second complete calendar year following the date of issuance.

(b) An EMS provider may renew that person’s certificate for each biennial period upon submission of a sufficient application for renewal as specified in subsection (d).

(c) Each application for certification renewal shall be submitted through the online license management system between August 1 and December 1 during the calendar year the certificate expires.

(d) Each application for renewal shall be deemed sufficient when all of the following conditions are met:

(1) The applicant provides in full the information requested and no additional information is required by the board to complete the processing of the application.

(2) The applicant submits a renewal fee in the applicable amount specified in K.A.R. 109-7-1.

(3) The applicant has completed the requirements in K.A.R. 109-5-1, K.A.R. 109-5-1a, K.A.R. 109-5-1b, K.A.R. 109-5-1c, and K.A.R. 109-5-1d that are applicable to the application being submitted.

(e) The date of receipt of the renewal application shall mean the electronic time stamp indicating when the renewal application is submitted in the license management system. (Authorized by K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6129; effective Nov. 1, 1996; amended Oct. 31, 1997; amended Nov. 12, 1999; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13, 2000; amended Feb. 12, 2010; amended Dec. 29, 2017; amended Dec. 31, 2021; amended Nov. 24, 2023; amended Nov. 1, 2024.)

Article 7.—FEES

109-7-1. Schedule of fees. (a) EMS provider and ambulance service application fees shall be nonrefundable.

(b) Emergency medical responder fees:

(1) Application for certification fee $15.00
(2) certification renewal application fee if received on or before December 1 20.00
(3) certification renewal application fee if received after December 1 and before certificate expiration 40.00
(4) certification reinstatement application fee 80.00

(1) Application for certification fee 65.00
(2) certification renewal application fee if received on or before December 1 50.00
(3) certification renewal application fee if received after December 1 and before certificate expiration 100.00
(4) certification reinstatement application fee 200.00

(d) EMT and AEMT fees:

(1) Application for certification fee 50.00
(2) certification renewal application fee if received on or before December 1 30.00
(3) certification renewal application fee if received after December 1 and before certificate expiration 60.00
(4) certification reinstatement application fee 120.00

(e) Inactive certificate fees:

(1) Application for inactive certificate 10.00
(2) inactive certificate renewal fee 25.00
(3) application fee for reinstatement of inactive certificate 20.00

(f) Ambulance service fees:

(1) Service permit application fee 100.00
(2) service permit renewal fee if received on or before permit expiration 100.00
(3) service permit renewal fee if received after permit expiration 200.00
(4) vehicle license application fee 40.00
(5) Temporary license for an ambulance 10.00

(g) Each application for certification shall include payment of the prescribed application for certification fee to the board.

(h) Payment of fees may be made by either of the following:

(1) An individual using a personal, certified, or cashier’s check, a money order, a credit card, or a debit card; or

(2) an ambulance service, fire department, or municipality using warrants, payment vouchers, purchase orders, credit cards, or debit cards.

(i) Payment submitted to the board for application for certification fee, reinstatement fee, or renewal fee for more than one EMS provider shall not be accepted, unless the fee amount is correct. (Authorized by K.S.A. 2023 Supp. 65-6110 and K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6111, K.S.A. 2023 Supp. 65-6127, K.S.A. 65-6128, K.S.A. 2023 Supp. 65-6129, and K.S.A. 2023 Supp. 65-6129d; effective July 1, 1990; amended Feb. 3, 1992; amended Nov. 1, 1996; amended, T-109-8-8-00, Aug. 8, 2000; amended Nov. 13, 2000; amended Oct. 31, 2003; amended March 9, 2012; amended April 29, 2016; amended Dec. 29, 2017; amended Dec. 31, 2021; amended Nov. 24, 2023; amended Nov. 1, 2024.)

Article 8.—EXAMINATIONS

109-8-1. Examination. (a) The cognitive certification examination for emergency medical responders, emergency medical technicians, advanced emergency medical technicians, and paramedics shall be the national registry of emergency medical technicians’ cognitive examination.

(b) Each emergency medical responder or emergency medical technician applicant shall be required to successfully complete the national registry of emergency medical technicians’ cognitive examination and shall be required to demonstrate competency in psychomotor skills as evaluated by the psychomotor skills examination prescribed by the board.

(c) Each advanced emergency medical technician or paramedic applicant shall be required to successfully complete the national registry of emergency medical technicians’ cognitive examination.

(d) Any emergency medical responder or emergency medical technician applicant who is tested in psychomotor skills and who fails may retest a maximum of three times.

(e) Each emergency medical responder, emergency medical technician, advanced emergency medical technician, and paramedic applicant shall be required to successfully complete all applicable examinations no later than 24 months after the last date of that individual’s initial course of instruction. Each emergency medical responder and emergency medical technician applicant shall be required to successfully complete both the cognitive examination and the prescribed psychomotor skills examination within a 12-month period.

(f) Any psychomotor skills examination for certification may be modified by the board as a pilot project to evaluate proposed changes to the psychomotor skills examination. (Authorized by K.S.A. 2023 Supp. 65-6110 and 65-6111; implementing K.S.A. 2023 Supp. 65-6111 and K.S.A. 2023 Supp. 65-6129; effective, T-109-1-19-89, Jan. 19, 1989; effective July 17, 1989; amended Aug. 27, 1990; amended Feb. 3, 1992; amended Dec. 19, 1994; amended Jan. 5, 1996; amended Nov. 8, 1996; amended May 16, 1997; amended, T-109-2-7-11, Feb. 7, 2011; amended June 3, 2011; amended Jan. 4, 2016; amended Dec. 29, 2017; amended March 1, 2019; amended Nov. 24, 2023; amended Nov. 1, 2024.)

109-8-2. Scheduling examinations for certification. (a) Each provider of initial courses of instruction for EMS providers shall ensure the provision of certification examinations for those students successfully completing the course.

(b) This subsection shall apply to the cognitive knowledge examination.

(1) For emergency medical responder, emergency medical technician, advanced emergency medical technician, and paramedic, the following requirements shall apply:

(A) Each candidate shall register with the national registry of emergency medical technicians.

(B) Each candidate shall schedule examinations with the computer-adaptive testing vendor specified by the national registry of emergency medical technicians.

(2) Each sponsoring organization shall validate each candidate’s successful course completion.

(1) Each sponsoring organization shall schedule the examination for emergency medical responder and emergency medical technician with the board at least 60 days in advance of the desired examination date.

(2) Each sponsoring organization shall validate each candidate’s successful course completion.

(d) Each candidate not successfully completing the examinations during the initial examination attempts shall schedule reexamination as follows:

(1) Cognitive knowledge examination reexaminations. For emergency medical responder, emergency medical technician, advanced emergency medical technician, and paramedic, the candidate shall schedule the examination with the national registry of emergency medical technicians.

(2) Psychomotor skills examination reexaminations. For emergency medical responder and emergency medical technician, the candidate shall schedule the examination with a sponsoring organization of an approved examination site. (Authorized by K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6111 and K.S.A. 2023 Supp. 65-6129; effective March 2, 2012; amended Dec. 29, 2017; amended March 1, 2019; amended Nov. 1, 2024.)

Article 11.—COURSE APPROVALS

109-11-1a. Emergency medical responder (EMR) course approval. (a) EMR initial courses of instruction pursuant to K.S.A. 65-6144, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct an EMR initial course of instruction shall submit a complete application at least 15 calendar days before the first scheduled course session.

(1) Name of the primary instructor;

(2) name of each ambulance service and medical facility utilized for field or clinical training; and

(3) a course schedule that identifies the following:

(A) The date and time of each class session;

(B) the title of the subject matter of each class session;

(D) the number of psychomotor skills laboratory hours for each class session.

(d) Each approved EMR initial course shall meet or exceed each of the educational standards specified in K.A.R. 109-10-1a.

(e) Any approved course may be monitored by the executive director.

(f) Course approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations. (Authorized by K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6111, K.S.A. 2023 Supp. 65-6129, and K.S.A. 65-6144; effective, T-109-2-7-11, Feb. 7, 2011; effective June 3, 2011; amended Dec. 29, 2017; amended Jan. 24, 2020; amended Dec. 31, 2021; amended Nov. 1, 2024.)

109-11-3a. Emergency medical technician (EMT) course approval. (a) EMT initial courses of instruction pursuant to K.S.A. 65-6121, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct an EMT initial course of instruction shall submit a complete application at least 15 calendar days before the first scheduled course session.

(1) Name of the primary instructor;

(2) name of each ambulance service and medical facility utilized for field or clinical training; and

(3) a course schedule that identifies the following:

(A) The date and time of each class session;

(B) the title of the subject matter of each class session;

(D) the number of psychomotor skills laboratory hours for each class session.

(d) In the absence of participatory field or clinical training, contrived experiences may be substituted. As used in this regulation, “contrived experience” shall mean a simulated ambulance call and shall include dispatch communications; responding to the scene; assessment and management of the scene and the patient or patients; communications with medical control; ongoing assessment, care and transportation of the patient or patients; the transfer of the patient or patients to the staff of the receiving facility; completion of records; and preparation of the ambulance for return to service.

(e) Each approved EMT initial course shall meet or exceed each of the educational standards specified in K.A.R. 109-10-1b.

(f) Any approved course may be monitored by the executive director.

(g) Course approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations. (Authorized by K.S.A. 2023 Supp. 65-6110 and K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6111, K.S.A. 65-6121, and K.S.A. 2023 Supp. 65-6129; effective, T-109-2-7-11, Feb. 7, 2011; effective June 3, 2011; amended May 1, 2015; amended Dec. 31, 2021; amended Nov. 1, 2024.)

109-11-4a. Advanced emergency medical technician (AEMT) course approval. (a) AEMT initial courses of instruction pursuant to K.S.A. 65-6120, and amendments thereto, may be approved by the executive director and shall be conducted only by sponsoring organizations.

(b) Each sponsoring organization requesting approval to conduct an AEMT initial course of instruction shall submit a complete application at least 15 calendar days before the first scheduled course session.

(1) Name of the primary instructor;

(2) name of each ambulance service and medical facility utilized for field or clinical training; and

(3) a course schedule that identifies the following:

(A) The date and time of each class session;

(B) the title of the subject matter of each class session;

(D) the number of psychomotor skills laboratory hours for each class session.

(d) Each approved AEMT initial course shall meet or exceed each of the educational standards specified in K.A.R. 109-10-1c.

(e) Any approved course may be monitored by the executive director.

(f) Course approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations. (Authorized by K.S.A. 2023 Supp. 65-6110 and K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6111, K.S.A. 2023 Supp. 65-6120, and K.S.A. 2023 Supp. 65-6129; effective March 2, 2012; amended May 1, 2015; amended Dec. 31, 2021; amended Nov. 1, 2024.)

109-11-6a. Paramedic course approval. (a) Paramedic initial courses of instruction may be approved by the executive director and shall be conducted only by sponsoring organizations that are accredited postsecondary educational institutions.

(b) Each sponsoring organization requesting approval to conduct a paramedic initial course of instruction shall submit a complete application at least 15 calendar days before the first scheduled class session.

(1) Name of the primary instructor;

(2) name of each ambulance service and medical facility utilized for field internship or clinical training; and

(3) a course schedule that identifies the following:

(A) The date and time of each class session;

(B) the title of the subject matter of each class session;

(D) the number of psychomotor skills laboratory hours for each class session.

(d) Each approved paramedic course shall meet or exceed each of the educational standards specified in K.A.R. 109-10-1d.

(e) Any approved course may be monitored by the executive director.

(f) Course approval may be withdrawn by the board if the sponsoring organization fails to comply with or violates any regulation or statute that governs sponsoring organizations. (Authorized by K.S.A. 2023 Supp. 65-6110 and K.S.A. 2023 Supp. 65-6111; implementing K.S.A. 2023 Supp. 65-6110, K.S.A. 2023 Supp. 65-6111, and K.S.A. 2023 Supp. 65-6129; effective, T-109-2-7-11, Feb. 7, 2011; effective June 3, 2011; amended May 1, 2015; amended March 1, 2019; amended Dec. 31, 2021; amended Nov. 1, 2024.)

Article 15.—CERTIFICATION

109-15-2. Recognition of non-Kansas credentials. (a) Any individual who is currently or was previously licensed or certified as an EMS provider in another jurisdiction may apply for Kansas certification through recognition of non-Kansas credentials by submitting the following:

(1) A completed application for recognition of non-Kansas credentials on a form provided by the board;

(2) application for certification fee for the level of certification sought, as specified in K.A.R. 109-7-1;

(3) documentation from another state or jurisdiction verifying one of the following:

(A) That the applicant is currently licensed or certified for the level of certification sought and is in good standing; or

(B) that the applicant was previously licensed or certified for the level of certification being sought and was in good standing at the time of expiration of that credential;

(4) documentation from another state or jurisdiction verifying that the applicant has successfully completed coursework that is substantially equivalent to the curriculum prescribed by the board for the level of certification sought, in accordance with subsection (b);

(5) documentation from another state or jurisdiction verifying that the applicant has successfully completed an examination prescribed by the board for the level of certification sought, in accordance with subsection (b); and

(6) a fingerprint card and criminal history record check fee of $60 for the board to successfully perform a state and national criminal history record check.

(b) Any applicant may validate successful completion of coursework in another state or jurisdiction that is substantially equivalent to the curriculum prescribed by the board for the level of certification sought by submitting one of the following:

(1) Documentation that the applicant is currently registered with the national registry of emergency medical technicians at the level for which certification is sought; or

(2) documentation that the applicant has successfully completed the following within four years before the date of application:

(A) The national registry of emergency medical technicians’ cognitive assessment or examination for the level of certification being sought; and

(B) the psychomotor skills assessment or examination prescribed by the board for the level of certification being sought.

(c) Information obtained from the state and national criminal history record check may be used to verify the identity of each applicant and to assist in determining the qualifications and fitness of the applicant seeking issuance of an EMS provider certificate.

(d) The results from each applicant’s criminal history record check shall be received by the board before the issuance of Kansas certification. (Authorized by and implementing K.S.A. 2023 Supp. 65-6111 and K.S.A. 2023 Supp. 65-6129; effective May 15, 2009; amended Sept. 2, 2011; amended Jan. 17, 2014; amended Dec. 31, 2021; amended Nov. 1, 2024.)

109-15-3. EMS provider certification. (a) Any individual who successfully completed an approved initial course of instruction may apply for Kansas EMS provider certification.

(b) An application for certification shall not be considered complete unless all requested information has been provided and the applicable application for certification fee, as specified in K.A.R. 109-7-1, has been submitted.

(c) Each applicant shall have 15 days to correct all identified deficiencies and submit a complete application. If the applicant fails to correct the deficiencies and submit a complete application within 15 days, the application may be considered by the board as withdrawn. All fees shall be nonrefundable.

(d) Each applicant shall be at least 17 years of age and meet the following requirements before the date of application:

(1) Have successfully completed an approved initial course of instruction at the level of certification being sought and within the previous 24 months;

(2) have passed both the cognitive and psychomotor examinations for the level of certification being sought after the date of the last class of the approved initial course of instruction completed and as specified in K.A.R. 109-8-1;

(3) if the level of certification being sought is AEMT, currently hold EMS provider certification as an EMT;

(4) if the level of certification being sought is paramedic, currently hold EMS provider certification as an EMT or AEMT; and

(5) if the applicant has not previously held an EMS provider certificate in Kansas, have submitted a fingerprint card and criminal history record check fee of $60 for the board to successfully perform a state and national criminal history record check.

(e) Information obtained from the state and national criminal history record check may be used to verify the identity of each applicant and to assist in determining the qualifications and fitness of the applicant seeking issuance of an EMS provider certificate.

(f) The results from each applicant’s criminal history record check shall be received by the board before the issuance of an initial EMS provider certificate. (Authorized by and implementing K.S.A. 2023 Supp. 65-6111 and K.S.A. 2023 Supp. 65-6129; effective Dec. 31, 2021; amended Nov. 1, 2024.)

Article 17.—SPONSORING ORGANIZATIONS

109-17-4. Sponsoring organization; continuing education. (a) Any sponsoring organization may provide prior-approved continuing education as a long-term provider or a single-program provider through in-person instruction or distance learning, or a combination of both.

(b) Each sponsoring organization providing prior-approved continuing education shall submit a training report through the online license management system within 30 days of the last date of class.

(1) The date or dates, title, and location of the class;

(2) a list of all qualified instructors used in the class;

(3) the name and certification number of each attendee; and

(4) the amount of continuing education awarded to each attendee.

(d) Each sponsoring organization shall maintain the following course records for each prior-approved continuing education class for at least three years from the last date of class:

(1) Course educational objectives;

(2) completed course attendance sheet;

(3) a completed copy of each student’s evaluation of the class and each instructor; and

(4) a copy of the submitted training report.

(e) Each completed course attendance sheet shall have the name and signature of each attendee of the prior-approved continuing education class.

(f) Each sponsoring organization providing prior-approved continuing education as a long-term provider shall develop and maintain a long-term continuing education program management plan.

(g) Each sponsoring organization shall provide any continuing education documentation requested by the executive director within 30 days of the request.

(h) Violation of any provision of this regulation may subject the sponsoring organization to a civil fine and may result in a suspension of sponsoring organization approval. (Authorized by K.S.A. 2023 Supp. 65-6110; implementing K.S.A. 2023 Supp. 65-6111; effective Dec. 31, 2021; amended Nov. 1, 2024.)

Joseph House
Executive Director
Board of Emergency Medical Services

Doc. No. 052587

Scott Schwab
Kansas Secretary of State

Kansas Register