22 (1) The Lieutenant Governor in Council may make regulations, (0.a)  governing grants made under subsection 4 (3), including, (i)  determining the amount of the grants or providing the method of determining the amount of the grants, (ii)  respecting the portion of the costs associated with the provision of land ambulance services for which a grant may be made and determining the amount of that portion or providing that the amount be determined by the Minister, and (iii)  prescribing terms and conditions under which a grant may be made and providing that the Minister may impose terms and conditions; (a)  prescribing the standards of ambulances, vehicles and equipment for ambulance services and paramedics and of their maintenance and repair; (a.1)  prescribing standards for the equipment used in communication services and for their maintenance and repair; (b)  governing the management, operation and use of ambulance services and communication services, including insurance against liability in connection with their operation; (b.1)  designating persons for the purposes of clause (a) of the definition of “designated air ambulance service provider” in subsection 1 (1); (b.2)  respecting the powers and duties of special investigators in connection with designated air ambulance service providers, including providing for additional powers and duties; (b.3)  respecting and governing provisions that are to be deemed to be included in an agreement between Ontario and a designated air ambulance service provider; (b.4)  respecting the appointment and the rights and responsibilities of provincial representatives appointed under section 7.1; (b.5)  respecting performance standards and performance measures for designated air ambulance service providers and requiring compliance with those standards and performance measures; (b.6)  requiring designated air ambulance service providers to enact by-laws and respecting the content of the by-laws of designated air ambulance service providers; (b.7)  respecting provisions to be contained in the articles or letters patent of a designated air ambulance service provider that has Ontario articles, letters patent or letters patent of continuance, and requiring designated air ambulance service providers to include such provisions in their articles or letters patent; (b.8)  respecting the governance and management of designated air ambulance service providers; (c)  prescribing the records, books, audits and accounting system to be kept, made or followed by operators and by communication services and the returns, reports and information to be submitted to the Director or the Minister; (d)  prescribing the qualifications of persons employed in ambulance services and communication services and respecting the testing and examination, physical or otherwise, of such persons and their duties and obligations; (d.1)  respecting the duties and obligations of upper-tier municipalities and delivery agents; (e)  providing for the issuing of certificates and prescribing classes of certificates; (e.1)  respecting the certification process referred to in subsections 8 (2) and (4), prescribing qualifications and eligibility criteria for participation in the certification process and respecting the certification criteria referred to in subsection 8 (5); (e.1.1) respecting the expiry of certificates and providing that different classes of certificates expire within different time periods; (e.2)  governing the costs associated with the provision of land ambulance services in an upper-tier municipality or designated area, including the method of determining such costs and the payment of the costs; (e.3)  governing the compensation to be paid by an upper-tier municipality or delivery agent to another upper-tier municipality or delivery agent in the event an ambulance is dispatched from an ambulance service situated in an upper-tier municipality or designated area to an area outside the municipality or designated area to which ambulances from the ambulance service are not regularly dispatched; (e.4)  governing agreements made under subsection 6 (3); (e.5)  governing the apportionment and the payment of the costs of a delivery agent associated with the provision of land ambulance services in a designated area for the purposes of section 6.9; (e.6)  respecting the functions and duties of base hospitals, of corporations designated under subsection 4 (2.1), and of communication services; (e.7)  prescribing anything that must or may be prescribed or that must or may be made in accordance with the regulations or as provided in the regulations; (f)  exempting any class of persons, services, conveyances, vehicles or equipment from any provision of this Act or the regulations and attaching any conditions to any such exemption, including exemptions for the purpose of pilot projects; (g)  Repealed:  1997, c. 15, s. 1 (4). (h)  prescribing the standard of care to be provided to persons by emergency medical attendants and paramedics.  R.S.O. 1990, c. A.19, s. 22 (1); 1996, c. 32, s. 59 (3); 1997, c. 15, s. 1 (4); 1997, c. 30, Sched. A, s. 18 (1-7); 1999, c. 9, s. 9; 1999, c. 12, Sched. J, s. 22 (1-3); 2005, c. 31, Sched. 1, s. 3; 2014, c. 13, Sched. 2, s. 4; 2017, c. 25, Sched. 1, s. 8. Same (2) A regulation under clause (1) (e.2) or (e.3) may provide that it applies despite any provision in an agreement or class of agreements referred to in subsection 6 (3).  1997, c. 30, Sched. A, s. 18 (8). Apportionment in upper-tier municipalities (2.1) A regulation under clause (1) (e.2) may do one or more of the following: 1.  Authorize local municipalities situated in an upper-tier municipality to determine by agreement how the costs associated with the provision of land ambulance services in the upper-tier municipality are to be apportioned among them, subject to prescribed conditions. 2.  Provide for an arbitration process to determine how the costs associated with the provision of land ambulance services in an upper-tier municipality are to be apportioned among the local municipalities situated in the upper-tier municipality. 3.  Set out the manner in which the costs associated with the provision of land ambulance services in an upper-tier municipality are to be apportioned among the local municipalities situated in the upper-tier municipality.  1997, c. 30, Sched. A, s. 18 (8); 1998, c. 34, s. 9 (1). Same (2.1.1) A regulation under clause (1) (e.3) may, (a)  prescribe the time and manner in which compensation must be paid; (b)  provide that an upper-tier municipality or delivery agent may charge a penalty if payment is late and require the payment of the penalty; (c)  provide that an upper-tier municipality or delivery agent may charge interest if payment is late, require the payment of the interest and either prescribe the interest or method of determining interest or provide that the interest or the method of determining the interest be set by the municipality or delivery agent.  1999, c. 12, Sched. J, s. 22 (4). Agreements (2.2) A regulation made under clause (1) (e.4) may be limited in application to specified municipalities or delivery agents.  1997, c. 30, Sched. A, s. 18 (8). Apportionment in designated areas (2.3) A regulation under clause (1) (e.5) may do one or more of the following: 1.  Authorize local and upper-tier municipalities in a designated area to determine by agreement how the costs, or a part of the costs, of their delivery agent are to be apportioned among them, subject to prescribed conditions. 2.  Provide for an arbitration process to determine how the costs of a delivery agent are to be apportioned among the local and upper-tier municipalities and territory without municipal organization included in the designated area for which the delivery agent is responsible. 3.  Set out the manner in which the costs of a delivery agent are to be apportioned among the local and upper-tier municipalities and territory without municipal organization included in a designated area and classify municipalities for such purposes. 4.  If a designated area includes territory without municipal organization, provide for the amount, or the method of determining the amount, of the costs of the delivery agent that is to be paid by the residents of the territory, set out the manner in which those costs are to be apportioned among the residents (and for that purpose classify the residents or areas of the territory) and provide for the collection of the amount by the Province, including collection under the Provincial Land Tax Act, 2006, and the payment of the amount collected to the delivery agent. 5.  Exempt a delivery agent or class of delivery agent or a person or class of person from section 6.9 or from a regulation made under clause (1) (e.5).  1997, c. 30, Sched. A, s. 18 (8); 1998, c. 34, s. 9 (2-4); 2006, c. 33, Sched. Z.3, s. 2 (2). Same (2.4) A regulation under paragraph 1 or 2 of subsection (2.1) or (2.3) may, (a)  provide for the manner in which costs are to be apportioned and for the time and manner in which they are to be paid, on an interim basis, until such time as an agreement is reached or as a determination is made by arbitration; (b)  permit an agreement or the arbitration decision to apply to costs incurred and paid before the agreement or the arbitration decision is reached; and (c)  provide for the reconciliation of amounts paid on an interim basis.  1997, c. 30, Sched. A, s. 18 (8). Same (2.5) A regulation under paragraph 3 of subsection (2.1) or (2.3) may provide that it applies despite any agreement or arbitration decision or class of agreement or arbitration decision, or any provision thereof, referred to in paragraph 1 or 2 of subsection (2.1) or (2.3).  1997, c. 30, Sched. A, s. 18 (8). Same (2.6) A regulation under subsection (2.1) or (2.3) may, (a)  prescribe the time and manner in which apportioned amounts must be paid to an upper-tier municipality or a delivery agent, as the case may be; (b)  provide that an upper-tier municipality or delivery agent may charge a penalty if payment is late and require the payment of the penalty; (c)  provide that an upper-tier municipality or delivery agent may charge interest if payment is late, require the payment of the interest and either prescribe the interest or method of determining interest or provide that the interest or the method of determining the interest be set by the municipality or delivery agent.  1997, c. 30, Sched. A, s. 18 (8); 1998, c. 34, s. 9 (5, 6); 1999, c. 12, Sched. J, s. 22 (5, 6). Retroactive (2.7) A regulation under subsection (2.1) or (2.3) may, if it so provides, be effective with respect to a period before it is filed so long as that period commences no earlier than January 1, 1998.  1998, c. 34, s. 9 (7). Classes (3) A regulation may create different classes of ambulances, ambulance services and operators and may establish different requirements, standards or conditions for each class created.  1997, c. 30, Sched. A, s. 18 (8). Incorporation (4) A regulation under subsection (1) may adopt by reference, in whole or in part and with such changes as are considered necessary, any code, standard or document and require compliance with the code, standard or document as adopted.  1999, c. 12, Sched. J, s. 22 (7). Rolling incorporation (5) If a regulation under subsection (4) so provides, a code, standard or document adopted by reference shall be a reference to it as amended from time to time and whether the amendment was made before or after the regulation was made.  1999, c. 12, Sched. J, s. 22 (7). Section Amendments with date in force (d/m/y) 1996, c. 32, s. 59 (3) - 6/03/1997; 1997, c. 15, s. 1 (4) - 10/10/1997; 1997, c. 30, Sched. A, s. 18 (1-4, 7, 8) - 1/01/1998; 1998, c. 34, s. 9 (1-4, 7) - 5/03/1999; 1999, c. 9, s. 9 - 23/12/1999; 1999, c. 12, Sched. J, s. 22 (1, 4- 6) - 16/02/2000; 1999, c. 12, Sched. J, s. 22 (2, 3, 7) - 1/05/2000 2005, c. 31, Sched. 1, s. 3 - 15/12/2005 2006, c. 33, Sched. Z.3, s. 2 (2) - 01/01/2009 2014, c. 13, Sched. 2, s. 4 - 01/07/2015 2017, c. 25, Sched. 1, s. 8 (1, 3) - 12/12/2017; 2017, c. 25, Sched. 1, s. 8 (2) – 01/11/2019