Tennessee Code Title 68. Health, Safety and Environmental Protection § 68-140-317

(a)(1) The board shall establish fees for licenses, permits, and for the licenses, certification and authorization of EMS personnel. The board may assess fees for the application, testing, inspection, or other services needed to carry out this part. Licensed emergency medical services personnel who are volunteer personnel associated with nonprofit corporations or associations providing emergency medical services, and otherwise non-salaried for their provision of emergency care, shall be exempt from license fees, but shall be liable for testing and training materials or other costs incurred by the board, and shall promptly notify and amend their fee status upon any change in the nature of their remuneration for activities involving emergency medical care.

(2) The board shall have the authority to waive any fees applicable to 501(c)(3) organizations that provide air ambulance service by way of fixed wing aircraft for indigent patients; provided, that such 501(c)(3) organizations  1 shall not receive fee for service payments for such air ambulance services for indigent patients from insurance, private pay or third party reimbursement.