(1) An ECP licensed or endorsed at the BLS level may perform any acts allowed within the ECP's licensure or endorsement level when:

(a) operating independently within the most current version of the Montana statewide protocols; or

(b) under the medical oversight from a medical director who is taking responsibility for the ECP; or

(c) operating on a Montana licensed EMS with a medical director; or

(d) participating in a continuing education program.

(2) An ECP licensed or endorsed at the ALS level may perform any acts allowed within the ECP's licensure level or endorsement level when:

(a) under medical oversight from a medical director who is taking responsibility for the ECP;

(b) operating on a Montana licensed EMS with a medical director; or

(c) participating in a continuing education program.

(3) An ECP legally licensed in good standing in the state which they are responding from may perform within their licensed protocols, when functioning as a member of a licensed ambulance service which finds itself within the boundaries of Montana, while responding to an emergency where the border is not clearly known, or when responding on an emergency in accordance to a mutual aid agreement with a Montana-licensed EMS service or when conducting a routine transfer to or from a Montana medical facility. The ECP must perform within the acts allowed at the level for which the ECP is licensed.

(4) A student may perform beyond the level of his or her individual licensure when functioning as a student in a board-approved course or if the student is participating in a clinical component of a course or program of instruction originating in another state that has a clinical contract with a Montana healthcare facility or a Montana-licensed EMS agency and functions under the direct supervision of a clinical preceptor licensed in Montana. The student must perform within the Montana scope of practice at the level for which the student is a student candidate.

(5) Except as provided in (3), an ECP may not perform any acts that are beyond the ECP's level of licensure or endorsement.

(6) The medical director may limit the functioning scope of an ECP due to community needs and/or issues with maintaining competency. If after remediation and review of an individual ECP's performance the medical director has continuing concerns as to the ECP's ability to perform to the ECP's scope of practice, this shall be reported to the board.

(7) An ECP currently licensed and in good standing in another state may function during a state and/or federally managed incident under the Montana statewide protocols, policies, and procedures, but shall comply with all of the following:

(a) limit the ECP's practice to the duration of the state and/or federally managed incident;

(b) practice within the geographic area, whether on federal, state, or private land, designated as being within the state and/or federally managed incident;

(c) practice at the basic level, even if the ECP is licensed at a higher level in another state, unless the individual is licensed at an ALS level, and the federally managed incident has medical control provided by a Montana licensed physician, and the physician authorizes the individual to function beyond the basic level;

(d) provide proof of current licensure and good standing in another state; and

(e) submit the appropriate form to the board.

(8) The board or their designee may conduct onsite visits of state and/or federally managed incidents to assure compliance.

(9) In the event of an emergency response in which chemical agents are used or suspected as being used, ECPs at all levels who are appropriately trained are authorized by the board to carry antidote auto-injector kits and administer them as instructed to themselves and any others. Instruction in the use of antidote kits is required in all ECP initial and refresher courses.