§ 45-20. Prohibition.

(a)

It shall be unlawful for any person, either as owner, agent, employee, or otherwise, to operate, conduct, advertise, or otherwise be engaged in the business of providing ambulance services, or the transportation of patients within the County by means of an ambulance or air ambulance, or operate an ambulance upon any public road, or provide any medical services associated therewith, without first having entered into a Provider Agreement with the LEMSA and obtained the current applicable licenses or certificates as hereinafter provided.

(b)

EOA Ambulance Service Provider Agreements. Every ambulance company providing 911 ground ambulance services in an Exclusive Operating Area (EOA) established in the county pursuant to Section 45-30 shall, in addition to entering into a Provider Agreement with the LEMSA, enter into an EOA Agreement with the LEMSA in accordance with the provisions of Article III, unless otherwise provided.

(c)

Air Ambulance Service Provider Agreements. Every Air ambulance company located in the County and/or operating and providing air ambulance services in the county shall enter into an air ambulance service Provider Agreement in accordance with the provisions of Article IV, unless otherwise provided.

(d)

Ambulance Certificates. Every ambulance or air ambulance shall have a current inspection certificate issued by the California Highway Patrol or applicable air carrier operating certificate from the Federal Aviation Administration, unless a public agency is exempted by law.

(e)

Driver's License. Every Driver operating an ambulance shall hold a currently valid California State Ambulance Driver's License. Excepted from this requirement are persons operating an ambulance in the line of duty as salaried, regular, full-time police officers, deputy sheriffs, or members of a fire department of a public agency.

(f)

Attendant. Every person accompanying an ambulance patient shall be an Attendant or, when determined by an attending physician to be necessary in the case of an inter-facility transfer, shall be a physician or registered nurse.

(Ord. No. 4057, § 1, 5-21-13)