(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 may perform beyond the level of the ECP's individual licensure when functioning as a student in an approved course and under the direct observation of a clinical preceptor. The ECP must perform within the acts allowed at the level for which the ECP is a student candidate.

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

(5) 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.

(6) 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.

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

(8) 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.