# Summary of EMS Personnel Rule Changes South Dakota is updating its emergency medical services regulations in three major ways. First, the state renames "ambulance drivers" to "ambulance operators" throughout the rules and changes reinstatement fees—paramedics, advanced EMTs, and intermediate EMTs now pay $50 to reinstate a lapsed license instead of a flat $100 fee, while EMRs and basic EMTs can reinstate for free. Second, the state is creating a new "community paramedic endorsement" that allows licensed paramedics to provide preventative and primary care services at patients' homes or in the community after completing an approved 114-hour classroom and 196-hour clinical training program, subject to physician oversight. Finally, the rules update medication lists and clinical skills allowed for each EMS certification level—for example, basic EMTs can now administer naloxone intranasally or via auto-injector, while paramedics gain expanded options for medications and techniques like surgical airways and medication-assisted intubation.
AI-generated from the adopted rule text — verify against the official documents.
Update EMS personnel scope, enact a community paramedic endorsement, and update language regarding ambulance drivers and supervision requirements.
No specific cites listed — see the package documents.