UT
Utah Senate Bill SB0215

Utah 2025 Regular Session

Utah Senate Bill SB0215 Compare Versions

OldNewDifferences
1-Enrolled Copy S.B. 215
1+03-07 12:36 2nd Sub. (Salmon) S.B. 215
2+Derrin R. Owens proposes the following substitute bill:
23 1
34 Emergency Medical Services Modifications
45 2025 GENERAL SESSION
56 STATE OF UTAH
67 Chief Sponsor: Derrin R. Owens
78 House Sponsor: Jefferson Moss
89 2
910
1011 3
1112 LONG TITLE
1213 4
1314 General Description:
1415 5
1516 This bill addresses ground ambulance interfacility transport services.
1617 6
1718 Highlighted Provisions:
1819 7
1920 This bill:
2021 8
2122 ▸ grants authority to and requires municipalities and counties to ensure that a minimum
2223 9
2324 level of ground ambulance interfacility transport services are provided within the
2425 10
2526 respective municipality or county;
2627 11
27-▸ requires a municipality or county to conduct a review and evaluation of an emergency
28+▸ requires a municipality or county to conduct a review and evaluation of Ĥ→ an ←Ĥ
29+11a
30+emergency
2831 12
29-medical service provider's services every four years;
32+medical service provider's Ĥ→ [sevices] services ←Ĥ every four years;
3033 13
3134 ▸ requires a municipality or county to request competitive sealed proposals for the purpose
3235 14
3336 of evaluating alternative qualified emergency medical service providers;
3437 15
35-▸ removes the Bureau of Emergency Medical Services (bureau) from involvement in the
38+▸ removes the Bureau of Emergency Medical Services Ĥ→ [Management ] ←Ĥ
39+15a
40+(bureau) from
3641 16
37-process by which a municipality or county selects emergency medical service providers,
42+involvement in the process by which a municipality or county selects emergency
3843 17
39-except verifying and providing notice that an applicant emergency medical service
44+medical service providers, except verifying and providing notice that an applicant
4045 18
41-provider meets minimum requirements;
46+emergency medical service provider meets minimum requirements;
4247 19
4348 ▸ recognizes the bureau's jurisdiction to discipline non-911 ambulance service providers;
4449 20
4550 ▸ requires a county or municipality to:
4651 21
4752 ● offer a first right to provide interfacility transports to the current 911 ambulance
4853 22
49-service provider; and
54+service provider;
5055 23
5156 ● conduct formal reviews of 911 service providers and interfacility transport service
5257 24
5358 providers;
5459 25
5560 ▸ grants investigative authority to the bureau;
5661 26
5762 ▸ makes it a class B misdemeanor to willfully disobey a valid subpoena or cease and desist
63+2nd Sub. S.B. 215 2nd Sub. (Salmon) S.B. 215 03-07 12:36
5864 27
59-letter from the bureau; and S.B. 215 Enrolled Copy
65+letter from the bureau; and
6066 28
6167 ▸ makes technical changes.
6268 29
6369 Money Appropriated in this Bill:
6470 30
6571 None
6672 31
6773 Other Special Clauses:
6874 32
6975 None
7076 33
7177 Utah Code Sections Affected:
7278 34
7379 AMENDS:
7480 35
7581 11-48-103, as last amended by Laws of Utah 2024, Chapter 506
7682 36
7783 53-2d-103, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310 and
7884 37
7985 last amended by Coordination Clause, Laws of Utah 2023, Chapter 307
8086 38
8187 53-2d-505, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
8288 39
8389 53-2d-604, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
8490 40
8591 53-2d-607, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310 and
8692 41
8793 last amended by Coordination Clause, Laws of Utah 2023, Chapter 307
8894 42
8995 ENACTS:
9096 43
9197 53-2d-606.5, Utah Code Annotated 1953
9298 44
9399 REPEALS:
94100 45
95101 53-2d-505.1, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
96102 46
97103 53-2d-505.2, as last amended by Laws of Utah 2023, Chapter 16 and renumbered and
98104 47
99105 amended by Laws of Utah 2023, Chapters 307, 310
100106 48
101107 53-2d-505.3, as last amended by Laws of Utah 2023, Chapter 435 and renumbered and
102108 49
103109 amended by Laws of Utah 2023, Chapters 307, 310
104110 50
105111 53-2d-505.4, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310 and
106112 51
107113 last amended by Coordination Clause, Laws of Utah 2023, Chapter 307
108114 52
109115 53-2d-505.5, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
110116 53
111117 53-2d-506, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
112118 54
113119 53-2d-507, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
114120 55
115121 53-2d-508, as renumbered and amended by Laws of Utah 2023, Chapters 307, 310
116122 56
117123 53-2d-509, as last amended by Laws of Utah 2024, Chapter 147
118124 57
119125
120126 58
121127 Be it enacted by the Legislature of the state of Utah:
122128 59
123129 Section 1. Section 11-48-103 is amended to read:
124130 60
125131 11-48-103 . Provision of ambulance services in municipalities and counties.
132+- 2 - 03-07 12:36 2nd Sub. (Salmon) S.B. 215
126133 61
127134 (1) The governing body of each municipality and county has exclusive authority to and
128-- 2 - Enrolled Copy S.B. 215
129135 62
130136 shall, subject to Title 53, Chapter 2d, Part 5, Ambulance and Paramedic Providers,
131137 63
132138 ensure at least a minimum level of 911 ambulance services and ground ambulance
133139 64
134140 interfacility transport services are provided:
135141 65
136142 (a) within the territorial limits of the municipality or county;
137143 66
138144 (b) by a ground ambulance provider, licensed by the Bureau of Emergency Medical
139145 67
140146 Services under Title 53, Chapter 2d, Part 5, Ambulance and Paramedic Providers; and
141147 68
142148 (c) in accordance with rules established by the Trauma System and Emergency Medical
143149 69
144150 Services Committee under Section 53-2d-105.
145151 70
146152 (2)(a) A municipality or county may:
147153 71
148154 [(a)] (i) [subject to Subsection (3), ] provide, maintain, and support 911 ambulance
149155 72
150156 services for the municipality's or county's own jurisdiction; or
151157 73
152158 [(b)] (ii) [contract to:] enter into an interlocal agreement or procurement contract with
153159 74
154-a public or private entity to provide, receive, support, or maintain 911 ambulance
160+a public or private entity to provide, receive, support, or maintain, 911 ambulance
155161 75
156162 services or ground ambulance interfacility transport services, under any
157163 76
158164 arrangement and to any extent that the municipality or county determines.
159165 77
160166 [(i) provide 911 ambulance services to any county, municipal corporation, special
161167 78
162168 district, special service district, interlocal entity, private corporation, nonprofit
163169 79
164170 corporation, state agency, or federal agency;]
165171 80
166172 [(ii) receive 911 ambulance services from any county, municipal corporation, special
167173 81
168174 district, special service district, interlocal entity, private corporation, nonprofit
169175 82
170176 corporation, state agency, or federal agency;]
171177 83
172178 [(iii) jointly provide 911 ambulance services with any county, municipal corporation,
173179 84
174180 special district, special service district, interlocal entity, private corporation,
175181 85
176182 nonprofit corporation, state agency, or federal agency; or]
177183 86
178184 [(iv) contribute toward the support of 911 ambulance services in any county,
179185 87
180186 municipal corporation, special district, special service district, interlocal entity,
181187 88
182188 private corporation, nonprofit corporation, state agency, or federal agency in
183189 89
184190 return for 911 ambulance services.]
185191 90
186192 (b)(i) A municipality or county shall enter into an interlocal agreement with a public
187193 91
188194 or private entity for the provision of backup interfacility transport services.
189195 92
190196 (ii) An interlocal agreement described in Subsection (2)(b)(i) may be used when the
191197 93
192198 primary interfacility transport service provider is unavailable.
193199 94
194200 (iii) A municipality or county shall share a copy of the interlocal agreement described
201+- 3 - 2nd Sub. (Salmon) S.B. 215 03-07 12:36
195202 95
196203 in Subsection (2)(b)(i) with dispatchers and health care facilities within the
197-- 3 - S.B. 215 Enrolled Copy
198204 96
199205 municipality's or county's jurisdiction.
200206 97
201207 (3)(a) Subject to Subsections (3)(b) and (c), at the expiration of a license term under
202208 98
203-Section 53-2d-501, a county or municipality shall offer a first right to provide
209+Subsection 53-2d-501, a county or municipality shall offer a first right to provide
204210 99
205211 interfacility transports for an area to the current 911 ambulance service provider for
206212 100
207213 that area.
208214 101
209215 (b) If the first right under Subsection (3)(a) is not exercised, the county or municipality
210216 102
211217 shall ensure that 911 ambulance services are provided in accordance with this section.
212218 103
213219 (c) If the current 911 ambulance service provider under Subsection (3)(a) is not the
214220 104
215221 current interfacility transport provider, the current interfacility provider's license shall
216222 105
217223 remain intact until the later of:
218224 106
219-(i) two years after the enactment of this Subsection (3); or
225+(i) two years after the enactment of this subsection; or
220226 107
221227 (ii) the day of the next formal review conducted in accordance with Subsection (4).
222228 108
223229 (4)(a) A county or municipality shall conduct a formal review of 911 service providers
224230 109
225231 and interfacility transport service providers:
226232 110
227-(i) in an open and public meeting in accordance with Title 52, Chapter 4, Open and
233+ Ĥ→ [(i) not less than every four years;]
228234 111
235+[(ii)] (i) ←Ĥ in an open and public meeting in accordance with Title 52, Chapter 4,
236+111a
237+Open and
238+112
229239 Public Meetings Act; and
230-112
231-(ii) not more than three months prior to the day on which the current license is set to
232240 113
241+ Ĥ→ [(iii)] (ii) ←Ĥ not more than three months prior to the day on which the
242+113a
243+current license Ĥ→ [will] is set to ←Ĥ
244+114
233245 expire under Subsection 53-2d-501(2).
234-114
246+115
235247 (b) The review under Subsection (4)(a) shall evaluate the cost, quality, and access goals
236-115
248+116
237249 for the county's or municipality's emergency medical services in the geographic area
238-116
239-pursuant to rule made by the division.
240250 117
251+pursuant to rule made by the division Ĥ→ [; and] . ←Ĥ
252+118
241253 (c) The county or municipality conducting a review under Section (4)(b) shall issue a
242-118
243-formal request for proposals for the purpose of evaluating alternative qualified
244254 119
245-emergency medical service providers and interfacility transport providers, including
255+ Ĥ→ formal ←Ĥ request for Ĥ→ [a competitive sealed proposal ] proposals ←Ĥ
256+119a
257+for the purpose of evaluating alternative
246258 120
247-for-profit emergency medical service providers, government-operated emergency
259+qualified emergency medical service providers and interfacility transport providers,
248260 121
249-medical service providers, and quasi-governmental emergency medical service
261+including for-profit emergency Ĥ→ [management] medical ←Ĥ service
262+121a
263+providers, government-operated
250264 122
251-providers.
265+emergency Ĥ→ [management] medical ←Ĥ service providers, and
266+122a
267+quasi-governmental emergency
268+- 4 - 03-07 12:36 2nd Sub. (Salmon) S.B. 215
252269 123
270+ Ĥ→ [management] medical ←Ĥ service providers.
271+124
253272 [(3)] (5)[(a)] A municipality or county that provides, maintains, and supports 911
254-124
273+125
255274 ambulance services for the municipality's or county's own jurisdiction under
256-125
275+126
257276 Subsection (2)(a) shall obtain a license as a ground ambulance provider from the
258-126
277+127
259278 Bureau of Emergency Medical Services under Title 53, Chapter 2d, Part 5,
260-127
279+128
261280 Ambulance and Paramedic Providers.
262-128
281+129
263282 [(b) Sections 53-2d-505 through 53-2d-505.3 do not apply to a license described in
264-129
283+130
265284 Subsection (3)(a).]
266-- 4 - Enrolled Copy S.B. 215
267-130
285+131
268286 Section 2. Section 53-2d-103 is amended to read:
269-131
287+132
270288 53-2d-103 . Bureau duties -- Data sharing.
271-132
289+133
272290 (1) The bureau shall:
273-133
291+134
274292 (a) coordinate the emergency medical services within the state;
275-134
293+135
276294 (b) administer and enforce any programs and applicable rules created under this chapter;
277-135
295+136
278296 (c) establish a voluntary task force representing a diversity of emergency medical
279-136
297+137
280298 service providers to advise the bureau and the committee on rules;
281-137
299+138
282300 (d) establish an emergency medical service personnel peer review board to advise the
283-138
301+139
284302 bureau concerning discipline of emergency medical service personnel under this
285-139
303+140
286304 chapter; and
287-140
305+141
288306 (e) adopt rules in accordance with Title 63G, Chapter 3, Utah Administrative
289-141
307+142
290308 Rulemaking Act, to:
291-142
309+143
292310 (i) license ambulance providers and paramedic providers;
293-143
311+144
294312 (ii) permit ambulances, emergency medical response vehicles, and nonemergency
295-144
313+145
296314 secured behavioral health transport vehicles, including approving an emergency
297-145
315+146
298316 vehicle operator's course in accordance with Section 53-2d-404;
299-146
317+147
300318 (iii) establish:
301-147
319+148
302320 (A) the qualifications for membership of the peer review board created by this
303-148
321+149
304322 section;
305-149
323+150
306324 (B) a process for placing restrictions on a license while an investigation is pending;
307-150
325+151
308326 (C) the process for the investigation and recommendation by the peer review
309-151
327+152
310328 board; and
311-152
329+153
312330 (D) the process for determining the status of a license while a peer review board
313-153
331+154
314332 investigation is pending;
315-154
333+155
316334 (iv) establish application, submission, and procedural requirements for licenses,
317-155
335+156
318336 designations, and permits; and
319-156
337+- 5 - 2nd Sub. (Salmon) S.B. 215 03-07 12:36
338+157
320339 (v) establish and implement the programs, plans, and responsibilities as specified in
321-157
340+158
322341 other sections of this chapter.
323-158
342+159
324343 (2)(a) The bureau shall share data related to the bureau's duties with the Department of
325-159
344+160
326345 Health and Human Services.
327-160
346+161
328347 (b) The Department of Health and Human Services shall share data related to the
329-161
348+162
330349 bureau's duties with the bureau.
331-162
350+163
332351 (c) All data collected by the bureau under this chapter is subject to Title 26B, Chapter 8,
333-163
352+164
334353 Part 4, Health Statistics, including data privacy protections.
335-- 5 - S.B. 215 Enrolled Copy
336-164
354+165
337355 Section 3. Section 53-2d-505 is amended to read:
338-165
356+166
339357 53-2d-505 . Ground ambulance and paramedic licenses.
340-166
358+167
341359 [(1)] If the bureau determines that the application meets the minimum requirements for
342-167
360+168
343361 licensure under Section 53-2d-504, the bureau shall issue a notice of the approved
344-168
362+169
345363 application to the applicant.
346-169
364+170
347365 [(2) A current license holder responding to a request for proposal under Section 53-2d-505.2
348-170
366+171
349367 is considered an approved applicant for purposes of Section 53-2d-505.2 if the current
350-171
368+172
351369 license holder, prior to responding to the request for proposal, submits the following to
352-172
370+173
353371 the department:]
354-173
372+174
355373 [(a) the information described in Subsections 53-2d-504(4)(a)(i) through (iii); and]
356-174
374+175
357375 [(b)(i) if the license holder is a private entity, a financial statement, a pro forma
358-175
376+176
359377 budget and necessary letters of credit demonstrating a financial ability to expand
360-176
378+177
361379 service to a new service area; or]
362-177
380+178
363381 [(ii) if the license holder is a governmental entity, a letter from the governmental
364-178
382+179
365383 entity's governing body demonstrating the governing body's willingness to
366-179
384+180
367385 financially support the application.]
368-180
386+181
369387 Section 4. Section 53-2d-604 is amended to read:
370-181
388+182
371389 53-2d-604 . Discipline of designated and licensed providers.
372-182
390+183
373391 (1) The bureau may refuse to issue a license or designation or a renewal, or revoke,
374-183
392+184
375393 suspend, restrict, or place on probation, [an] any emergency medical service provider's
376-184
394+185
377395 license or designation, including the license or designation of a non-911 service provider,
378-185
396+186
379397 if the provider has:
380-186
398+187
381399 (a) failed to abide by terms of the license or designation;
382-187
400+188
383401 (b) violated statute or rule;
384-188
402+189
385403 (c) failed to provide services at the level or in the exclusive geographic service area
386-189
404+190
387405 required by the license or designation;
388-190
406+- 6 - 03-07 12:36 2nd Sub. (Salmon) S.B. 215
407+191
389408 (d) failed to submit a renewal application in a timely fashion as required by department
390-191
409+192
391410 rule;
392-192
411+193
393412 (e) failed to follow operational standards established by the committee; or
394-193
413+194
395414 (f) committed an act in the performance of a professional duty that endangered the
396-194
415+195
397416 public or constituted gross negligence.
398-195
417+196
399418 (2)(a) An action to revoke, suspend, restrict, or place a license or designation on
400-196
419+197
401420 probation shall be done in accordance with Title 63G, Chapter 4, Administrative
402-197
421+198
403422 Procedures Act.
404-- 6 - Enrolled Copy S.B. 215
405-198
423+199
406424 (b) Notwithstanding Subsection (2)(a), the department may issue a cease and desist
407-199
425+200
408426 order under Section 53-2d-607 to immediately suspend a license or designation
409-200
427+201
410428 pending an administrative proceeding to be held within 30 days if there is evidence to
411-201
429+202
412430 show that the provider or facility poses a clear, immediate, and unjustifiable threat or
413-202
431+203
414432 potential threat to the public health, safety, or welfare.
415-203
433+204
416434 Section 5. Section 53-2d-606.5 is enacted to read:
417-204
435+205
418436 53-2d-606.5 . Investigative authority of the bureau -- Subpoenas -- Criminal
419-205
437+206
420438 penalty.
421-206
439+207
422440 (1) In connection with conducting a formal investigation or any matters pending before the
423-207
441+208
424442 peer review board, the bureau may administer oaths and affirmations, subpoena
425-208
443+209
426444 witnesses, take evidence, and require by subpoena duces tecum the production of
427-209
445+210
428446 relevant papers, records, or other documents or information.
429-210
447+211
430448 (2) A person who willfully disobeys a valid subpoena issued by the bureau is guilty of a
431-211
449+212
432450 class B misdemeanor.
433-212
451+213
434452 Section 6. Section 53-2d-607 is amended to read:
435-213
453+214
436454 53-2d-607 . Cease and desist letters -- Criminal penalty.
437-214
455+215
438456 (1) The bureau may issue a cease and desist order to any person who:
439-215
457+216
440458 [(1)] (a) may be disciplined under Section 53-2d-603 or 53-2d-604; or
441-216
459+217
442460 [(2)] (b) otherwise violates this chapter or any rules adopted under this chapter.
443-217
461+218
444462 (2) An individual who willfully disobeys a valid cease and desist letter issued by the bureau
445-218
463+219
446464 is guilty of a class B misdemeanor.
447-219
465+220
448466 Section 7. Repealer.
449-220
467+221
450468 This bill repeals:
451-221
469+222
452470 Section 53-2d-505.1, Selection of provider by political subdivision.
453-222
471+223
454472 Section 53-2d-505.2, Selection of provider -- Request for competitive sealed proposal --
455-223
473+224
456474 Public convenience and necessity.
457-224
475+- 7 - 2nd Sub. (Salmon) S.B. 215 03-07 12:36
476+225
458477 Section 53-2d-505.3, Use of competitive sealed proposals -- Procedure -- Appeal rights.
459-225
478+226
460479 Section 53-2d-505.4, Non-911 provider -- Finding of meritorious complaint -- Request
461-226
480+227
462481 for proposals.
463-227
482+228
464483 Section 53-2d-505.5, Use of competitive sealed proposals -- Procedure -- Appeal rights.
465-228
484+229
466485 Section 53-2d-506, Ground ambulance and paramedic licenses -- Parties.
467-229
486+230
468487 Section 53-2d-507, Ground ambulance and paramedic licenses -- Proceedings.
469-230
488+231
470489 Section 53-2d-508, Criteria for determining public convenience and necessity.
471-231
490+232
472491 Section 53-2d-509, Ground ambulance and paramedic licenses -- Hearing and presiding
473-- 7 - S.B. 215 Enrolled Copy
474-232
492+233
475493 officers.
476-233
494+234
477495 Section 8. Effective Date.
478-234
496+235
479497 This bill takes effect on May 7, 2025.
480498 - 8 -