Maryland Promoters of Outdoor Musical Festivals — Md. Code Ann., Bus. Reg. §§ 17-1401 to 17-1407 and COMAR 10.16.05.06 (Emergency Medical Services)[1]
Summary
Maryland runs a promoter-licensing statute plus Maryland Department of Health permit rules with tiered on-site medical minimums. An "outdoor musical festival" is an event at which a group participates in musical entertainment in an open space, not in a permanent structure, and not on publicly owned property; the subtitle applies only if admission is charged, and only in listed counties — at 1,000 or more spectators in fifteen named counties, and at 500 or more in Carroll, Frederick, Kent, Queen Anne's and Washington. COMAR 10.16.05.06 requires an EMS plan approved by the local jurisdictional EMS operational program, confirmation that local EMS has been notified, a communication system reaching fire, rescue, police and 9-1-1, and patient-care documentation procedures. Staffing tiers: under 5,000 attendees a minimum of two Maryland-licensed or certified first responders; 5,000–10,000 four first responders and two advanced life support providers; over 10,000 four first responders, two ALS providers, one physician and one ALS ambulance on site.
So what
Maryland puts a hard number on the medical tent: an admission-charged outdoor festival above 10,000 attendees in a covered county must field a physician and a dedicated ALS ambulance on site, under an EMS plan pre-approved by the local jurisdictional EMS operational program. Approval — not merely submission — is the gate, and the health-permit application is due at least 60 days before the festival, so the EMS programme conversation is early critical path. Check county coverage first: the subtitle does not apply in Baltimore City or in Allegany, Howard and Montgomery Counties, and the spectator threshold is 500 rather than 1,000 in five counties.