MedArrow
I operated MedArrow,Inc, an air ambulance service in Utah. Our company had to be licensed by the state of Utah. We had to prove to the state we had qualified air medical crews as well as getting our medical protocols or SOP's approved by the state before we could apply for license. The state required that we have a Medical Director, Chief Flight Nurse, Program Director, and I can't remember what else. The state health dept. should be able to direct you toward the right folks to talk with. The state requirements were more restrictive than the FAA 135 requirements. Our company had to renew it's EMS license every year, which required an inspection by state EMS personnel. Hope this helps some.