49 U.S.C. § 44730: Helicopter air ambulance operations

Except as provided in paragraph (2), a part 135 certificate holder providing air ambulance services shall comply, whenever medical personnel are onboard the aircraft, with regulations pertaining to weather minimums and flight and duty time under part 135. If a certificate holder described in paragraph (1) is operating, or carrying out training, under instrument flight rules, the weather reporting requirement at the destination shall not apply if authorized by the Administrator of the Federal Aviation Administration. Not later than June 1, 2012 , the Administrator shall issue a final rule, with respect to the notice of proposed rulemaking published in the Federal Register on October 12, 2010 (75 Fed. Reg. 62640), to improve the safety of flight crewmembers, medical personnel, and passengers onboard helicopters providing air ambulance services under part 135. Flight request and dispatch procedures, including performance-based flight dispatch procedures. preventing controlled flight into terrain; and recovery from inadvertent flight into instrument meteorological conditions. helicopter terrain awareness and warning systems; radar altimeters; and devices that perform the function of flight data recorders and cockpit voice recorders, to the extent feasible. Such other matters as the Administrator considers appropriate. establishes a flight risk evaluation program, based on FAA Notice 8000.301 issued by the Administration on August 1, 2005 , including any updates thereto; as part of the flight risk evaluation program, develops a checklist for use by pilots in determining whether a flight request should be accepted; and requires the pilots of the certificate holder to use the checklist. The Administrator shall ensure that a part 135 certificate holder providing helicopter air ambulance services using 10 or more helicopters has an operational control center that meets such requirements as the Administrator may prescribe. mandatory training requirements, including a minimum time for completing the training requirements; training subject areas, such as communications procedures and appropriate technology use; and crew resource management; flight risk evaluation; operational control of the pilot in command; and use of flight simulation training devices and line-oriented flight training. Use of safety equipment that should be worn or used by flight crewmembers and medical personnel on a flight, including the possible use of shoulder harnesses, helmets, seatbelts, and fire resistant clothing to enhance crash survivability. Nothing in this subsection shall be construed to require the Administrator to propose or finalize any rule that would derogate or supersede the rule required to be finalized under subsection (b). The term “part 135” means part 135 of title 14, Code of Federal Regulations. The term “part 135 certificate holder” means a person holding an operating certificate issued under part 119 of title 14, Code of Federal Regulations, that is authorized to conduct civil helicopter air ambulance operations under part 135.