Except as otherwise provided in this section, emergency medical services personnel must, through the use of direct and indirect control, be supervised by a physician licensed in accordance with chapter 36-4.
If emergency medical services personnel are affiliated with an ambulance service that has been granted a hardship exemption in accordance with chapter 36-11, the personnel must, through the use of direct and indirect control, be supervised by a:
A physician, or a physician assistant or nurse practitioner if the ambulance service has been granted a hardship exemption, must oversee the practice and review the patient care reports of the emergency medical services personnel.
SDCL 36-4B-15