11 | 9 | | 7 |
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12 | 10 | | For An Act To Be Entitled 8 |
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13 | 11 | | AN ACT TO ESTABLISH AN EXEMPTION PROGRAM FOR 9 |
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14 | 12 | | AMBULANCE SERVICE'S OPERATORS FOR CERTAIN HEALTHCARE 10 |
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15 | 13 | | SERVICES; AND FOR OTHER PURPOSES. 11 |
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16 | 14 | | 12 |
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17 | 15 | | 13 |
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18 | 16 | | Subtitle 14 |
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19 | 17 | | TO ESTABLISH AN EXEMPTION PROGRAM FOR 15 |
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20 | 18 | | AMBULANCE SERVICE'S OPERATORS FOR 16 |
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21 | 19 | | CERTAIN HEALTHCARE SERVICES. 17 |
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22 | 20 | | 18 |
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23 | 21 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19 |
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24 | 22 | | 20 |
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25 | 23 | | SECTION 1. Arkansas Code § 20 -13-108(b), concerning the triage, treat, 21 |
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26 | 24 | | and transport to alternative destination by an ambulance service operator, is 22 |
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27 | 25 | | amended to read as follows: 23 |
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28 | 26 | | (b) An Except as provided under subsection (c) of this section, an 24 |
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29 | 27 | | ambulance service's operators may triage and transport a patient to an 25 |
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30 | 28 | | alternative destination in this state or treat in place if the ambulance 26 |
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31 | 29 | | service is coordinating the care of the patient through telemedicine with a 27 |
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32 | 30 | | physician for a medical -based complaint or with a behavioral health 28 |
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33 | 31 | | specialist for a behavioral -based complaint. 29 |
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34 | 32 | | 30 |
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35 | 33 | | SECTION 2. Arkansas Code § 20 -13-108, concerning the triage, treat, 31 |
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36 | 34 | | and transport to alternative destination by ambulance service operators, is 32 |
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37 | 35 | | amended to add an additional subsection to read as follows: 33 |
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42 | | - | 2 03-10-2025 10:37:58 ANS033 |
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43 | | - | |
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44 | | - | |
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45 | | - | (2) An ambulance service may: 1 |
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46 | | - | (A) Adopt one (1) or more of the protocols developed under 2 |
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47 | | - | subdivision (c)(1) of this section with the approval of the medical director 3 |
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48 | | - | of the ambulance service; and 4 |
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49 | | - | (B) Request that the council approve additional protocols 5 |
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50 | | - | for 9-1-1 emergency medical situations to be exempt from the telemedicine 6 |
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51 | | - | requirement under subsection (b) of this section. 7 |
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52 | | - | (3) The council shall review annually all protocols exempted 8 |
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53 | | - | from the telemedicine requirement developed under subdivision (c)(1) of this 9 |
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54 | | - | section. 10 |
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55 | | - | 11 |
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56 | | - | /s/L. Johnson 12 |
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57 | | - | 13 |
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58 | | - | 14 |
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59 | | - | APPROVED: 4/17/25 15 |
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60 | | - | 16 |
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| 40 | + | 2 01/28/2025 4:33:16 PM ANS033 |
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| 41 | + | this section on the basis that the healthcare service does not necessitate 1 |
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| 42 | + | coordination of care of the patient through telemedicine. 2 |
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| 43 | + | (2) The department shall establish the criteria to be used in 3 |
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| 44 | + | determining whether or not a healthcare service is exempt under subdivision 4 |
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| 45 | + | (c)(1) of this section. 5 |
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| 46 | + | (3)(A) An ambulance service's operator may apply for an 6 |
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| 47 | + | exemption for a certain healthcare service under subdivision (c)(1) of this 7 |
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| 48 | + | section on forms prescribed by the department. 8 |
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| 49 | + | (B) A separate application shall be filed for each: 9 |
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| 50 | + | (i) Each Healthcare service for which the ambulance 10 |
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| 51 | + | service's operator seeks an exemption; and 11 |
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| 52 | + | (ii) Each application shall contain information on 12 |
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| 53 | + | which the ambulance service's operator relies to justify an exemption. 13 |
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| 54 | + | (4) Upon making a determination on an application for exemption, 14 |
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| 55 | + | the department shall notify the ambulance service's operator of the 15 |
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| 56 | + | department's determination. 16 |
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62 | | - | 18 |
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63 | | - | 19 |
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64 | | - | 20 |
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65 | | - | 21 |
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66 | | - | 22 |
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67 | | - | 23 |
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68 | | - | 24 |
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69 | | - | 25 |
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70 | | - | 26 |
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71 | | - | 27 |
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72 | | - | 28 |
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| 58 | + | SECTION 3. DO NOT CODIFY. Rules. 18 |
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| 59 | + | (a) When adopting the initial rules required under this act, the 19 |
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| 60 | + | Department of Health shall file the final rules with the Secretary of State 20 |
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| 61 | + | for adoption under § 25 -15-204(f): 21 |
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| 62 | + | (1) On or before January 1, 2026; or 22 |
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| 63 | + | (2) If approval under § 10 -3-309 has not occurred by January 1, 23 |
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| 64 | + | 2026, as soon as practicable after approval under § 10 -3-309. 24 |
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| 65 | + | (b) The department shall file the proposed rules with the Legislative 25 |
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| 66 | + | Council under § 10-3-309(c) sufficiently in advance of January 1, 2026, so 26 |
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| 67 | + | that the Legislative Council may consider the rules for approval before 27 |
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| 68 | + | January 1, 2026. 28 |
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