The purpose and effect is to develop rule language to provide clarification on the application processes for EMS training centers, medical director participation, documentation needed for site reviews, training center equipment lists; allowing the Medical Directors to assume the responsibility for the use of a glucometer, administration of aspirin, and use of any medicated auto injector by an EMT, which will have the effect of improving the care given to patients in the prehospital setting; to ensure EMTs and paramedics are trained in pediatric education every two years which will have the effect of improving and expanding pediatric prehospital care; to create rule that defines the portion/percentage of the ALS field internship that may be done on an ALS permitted vehicle other than an ambulance, which will have the effect of expanding the opportunities to certify prehospital care givers in a more efficient manner while maintaining the integrity of education in the prehospital care setting; and to redefine the Certificate of Public Convenience and Necessity definition in Rule 64J-1.001, F.A.C., for the effect of clarifying the term “licensee” and the provision of services.