Stricken language would be deleted from and underlined language would be added to present law. *CEB099* 03/17/2025 3:37:32 PM CEB099 State of Arkansas 1 95th General Assembly A Bill 2 Regular Session, 2025 HOUSE BILL 1841 3 4 By: Representative L. Johnson 5 6 7 For An Act To Be Entitled 8 AN ACT TO CREATE THE ARKANSAS REVENUE INVESTMENT IN 9 VITAL EMS SYSTEMS (ARRIVES) ACT; TO CREATE THE 10 ARKANSAS REVENUE INVESTMENT IN VITAL EMS SYSTEMS 11 (ARRIVES) FUND FOR EMERGENCY MEDICAL SERVICES 12 AGENCIES; AND FOR OTHER PURPOSES. 13 14 15 Subtitle 16 TO CREATE THE ARKANSAS REVENUE 17 INVESTMENT IN VITAL EMS SYSTEMS 18 (ARRIVES) ACT; AND TO CREATE THE 19 ARKANSAS REVENUE INVESTMENT IN VITAL EMS 20 SYSTEMS (ARRIVES) FUND FOR EMERGENCY 21 MEDICAL SERVICES AGENCIES. 22 23 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 24 25 SECTION 1. Arkansas Code Title 19, Chapter 6, Subchapter 8, is amended 26 to add an additional section to read as follows: 27 19-6-846. Arkansas Revenue Investment in Vital EMS Systems (ARRIVES) 28 Fund. 29 (a) There is created on the books of the Treasurer of State, the 30 Auditor of State, and the Chief Fiscal Officer of the State a special revenue 31 fund to be known as the “Arkansas Revenue Investment in Vital EMS Systems 32 (ARRIVES) Fund”. 33 (b) The fund shall consist of such revenues as may be authorized by 34 law. 35 (c) The fund shall be distributed by the Department of Health to 36 HB1841 2 03/17/2025 3:37:32 PM CEB099 emergency medical services agencies as set out in § 20 -13-1901 et seq. to be 1 used for emergency medical services. 2 3 SECTION 2. Arkansas Code Title 20, Chapter 13, is amended to add an 4 additional subchapter to read as follows: 5 Subchapter 19 — ARRIVES Act 6 7 20-13-1901. Title. 8 This subchapter shall be known and may be cited as the "Arkansas 9 Revenue Investment in Vital EMS Systems (ARRIVES) Act". 10 11 20-13-1902. Eligibility. 12 (a) To be eligible for funding under this subchapter, an emergency 13 medical services agency shall: 14 (1) Be actively licensed and in good standing in the state for 15 no less than three (3) years from the date of the application for funding; 16 (2) Be the provider of record for a county or municipality for a 17 minimum of twelve (12) months unless the provider of record has been selected 18 by the county or municipality through a competitive bid process; and 19 (3) Offer emergency ground ambulance services at the: 20 (A) Advanced life support level; or 21 (B) Basic life support level if the funds will be used to 22 license and operate an ambulance at the advanced live support level within 23 one year of receiving funding. 24 (b) An emergency medical services agency is not eligible to apply for 25 funding under this subchapter if the agency: 26 (1) Is currently under a state sanction or disciplinary action; 27 (2) Is currently under a Corporate Integrity Agreement with the 28 United States Office of the Inspector General; 29 (3) Provides non-emergency transport; 30 (4) Is licensed as a volunteer emergency medical services 31 provider; or 32 (5) Is a first responder agency that does not provide ambulance 33 operations at the advanced life support level twenty -four (24) hours a day. 34 35 20-13-1903. Application. 36 HB1841 3 03/17/2025 3:37:32 PM CEB099 (a) An emergency medical services agency shall apply with the State 1 Board of Health for funding under this subchapter. 2 (b) An emergency medical services agency applying for funding under 3 this subchapter shall include in its application the following documentation: 4 (1) Proof of state emergency medical services licensure at the 5 advanced life support level; 6 (2) A certificate of good standing with the state; 7 (3) Articles of incorporation; and 8 (4) Proof of insurance from an agency authorized to write 9 insurance in the state. 10 11 20-13-1904. Disbursement. 12 (a) The premium tax moneys assessed for disbursement from the Arkansas 13 Revenue Investment in Vital EMS Systems (ARRIVES) Fund, § 19 -6-846, by the 14 Department of Health shall be disbursed to eligible emergency medical 15 services agencies as described in subsection (b) of this section. 16 (b)(1) Each county shall be designated a tier based on its population 17 at the time of the most recent federal decennial census as follows: 18 (A) A county having one hundred thousand (100,000) 19 inhabitants or more is designated Tier 1; 20 (B) A county having fifty thousand (50,000) inhabitants or 21 more, but fewer than one hundred thousand (100,000) inhabitants, is 22 designated Tier 2; 23 (C) A county having twenty -five thousand (25,000) 24 inhabitants or more, but fewer than fifty thousand (50,000) inhabitants, is 25 designated Tier 3; 26 (D) A county having ten thousand (10,000) inhabitants or 27 more, but fewer than twenty -five thousand (25,000) inhabitants, is designated 28 Tier 4; and 29 (E) A county having fewer than ten thousand (10,000) 30 inhabitants, is designated Tier 5. 31 (2) The department shall disburse the moneys to the qualified 32 emergency medical services agencies of a county in the following percentages 33 based on the designated tier in which an emergency medical services agency is 34 located: 35 (A) Two and seventy -six hundredths percent (2.76%) to 36 HB1841 4 03/17/2025 3:37:32 PM CEB099 emergency services agencies in Tier 1 counties; 1 (B) Three and forty -five hundredths percent (3.45%) to 2 emergency services agencies in Tier 2 counties; 3 (C) Twelve and forty -four hundredths percent (12.44%) in 4 Tier 3 counties; 5 (D) Sixty and sixty -two hundredths percent (60.62%) in 6 Tier 4 counties; and 7 (E) Twenty and seventy -three hundredths percent (20.73%) 8 in Tier 5 counties. 9 10 20-13-1905. Rules. 11 The State Board of Health shall promulgate rules to implement this 12 subchapter. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36