(1) At the regularly scheduled board meetings a medical director may initiate a petition for revisions to the board-approved ECP curriculum and/or statewide protocols, policies, and procedures.

(2) The petition must be submitted on a form prescribed by the board with the following supporting documentation:

(a) a written recommendation and/or position statement for revision to the board-approved curriculum and/or statewide protocols, policies, and procedures; and

(b) literature supporting the petitioner's recommendations and/or position.

(3) Upon receiving the petition application, the board will proceed as follows:

(a) the board will consider an initial petition to determine whether to place the petition as an action item on the agenda for the next regularly scheduled board meeting;

(b) the board may request an opinion of the medical direction committee and may accept public comment regarding the petition; and

(c) the board will consider the comments and take action on the petition no sooner than the next regularly scheduled board meeting.

(4) The board shall approve the proposed revision:

(a) when it is demonstrated to the satisfaction of the board that granting the petitioner's request for revision of the board-approved curriculum and/or statewide protocols, policies, and procedures is necessary to provide appropriate standards of medical care;

(b) where in the case of an individual service approval, the board finds that the public's interest in granting the revision clearly outweighs the interest of maintaining uniform board-approved USDOT curriculum, including revisions and/or statewide protocols, policies, and procedures; and

(c) where in the opinion of the board, the revisions will provide adequate public health, safety, and welfare protection.