(1) An ECP licensed at an EMR or EMT 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 ECP Practice Guidelines;

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

(c) participating in a continuing education program.

(2) An ECP licensed at an EMT with endorsement(s), AEMT, or paramedic level may perform any acts allowed within the ECP's licensure level or endorsement level when:

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

(b) participating in a continuing education program.

(3) An ECP legally licensed in good standing in the state from which they are responding may perform within their scope of practice at the level licensed, when functioning as a member of a licensed ambulance service that finds itself within the boundaries of Montana, while:

(a) responding to an emergency where the border is not clearly known;

(b) responding to an emergency in accordance to a mutual aid agreement with a Montana licensed EMS service; or

(c) conducting a routine transfer to or from a Montana medical facility.

(4) A student may perform beyond the level of his or her individual licensure when functioning as a student in an ECP training course conducted in accordance with board rules including 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 (4), 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 or federally managed incident in compliance with the Montana ECP Practice Guidelines, but shall comply with all of the following:

(a) the ECP's practice shall be limited to the duration of the state or federally managed incident;

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

(c) practice at the EMR level, even if the ECP is licensed at a higher level in another state, unless the individual is licensed at an EMT with endorsement(s), AEMT, or paramedic level, and the federally managed incident has medical direction provided by a Montana licensed physician approved by the board as a medical director, 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 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.