C.R.S. § 25-3.5-315

(1) On or before January 1, 2024, the board shall adopt rules establishing minimum standards for the operation of an ambulance service within the state. The rules must address the following: (a) Minimum equipment to be carried on an ambulance; (b) Staffing requirements for ambulances; (c) Medical oversight and quality assurance of ambulance services; (d) The issuance of licenses; (e) The process used to investigate complaints against an ambulance service; (f) Data collection and reporting to the department by an ambulance service; (g) Inspection of ambulance services by the department or the department’s designated representative; (h) Minimum education, training, and experience standards for the administrator of an ambulance service; (i) The amount of general liability insurance coverage that an ambulance service shall maintain in accordance with section 25-3.5-314 (3)(b) and the manner in which an ambulance service shall demonstrate proof of insurance to the department. The board may establish by rule that an ambulance service may obtain a surety bond in lieu of liability insurance coverage. (j) Qualifications, training, and roles and responsibilities for a medical director of an ambulance service; (k) Communication equipment, reporting capabilities, patient safety, and safety and staffing of crew members; (l) Management of patient safety with regard to minimum clinical staffing; (m) Administrative and operational standards for governance, patient records and record retention, personnel, and policies and procedures; (n) Mandatory incident reporting to the department, including specifying the acts or events that trigger mandatory reporting; (o) Fees for ambulance service applications and licenses, if deemed necessary to cover the department’s direct and indirect costs in implementing and administering this part 3; (p) Requirements for motor vehicle liability insurance, as required by section 10-4-619 ; (q) Vehicle standards to ensure minimum safety standards; (r) Criteria for waivers to the rules; and (s) Any other rules as necessary to implement this part 3.