An emergency patient who is transported by ambulance, where the point of origin is within the District, shall only be transported by a District-certified Emergency Medical Services Agency ambulance except when the transporting agency:
A transporting agency that is not District-certified shall adhere to the protocols of the District's 9-1-1 ambulance service unless otherwise specified through a DOH-approved agreement.
A patient shall be transported to the appropriate heath care facility as outlined in the District's 9-1-1 ambulance service's protocol.
Transportation of a patient by an ambulance or provider that is not certified in the District shall be reported to the state agency with jurisdiction over EMS services. The Emergency Medical Services Agency operating the ambulance may also face civil or criminal penalties from the District of Columbia.
D.C. Mun. Regs. tit. 29, r. 29-550