reglab/statecodes huggingface dataset:
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2102 - Medical affiliation; contract for services; funds; limitation

36-2102.
Medical affiliation;  contract for services;  funds;  limitation
A. The director may contract with any Arizona hospital,  the Arizona board of regents,  a licensed dialysis center or home delivery health service for:
1. The operation and administration of limited care dialysis centers.
2. Assistance in home dialysis.
3. Kidney transplants.
B. State funds appropriated to the department for the continuation of limited care dialysis centers,  assistance in home dialysis,  kidney transplants and related services shall not be utilized to pay for general medical care services other than kidney transplants,  dialysis treatment and necessary laboratory procedures,  including prescription drugs,  related to such treatment or transplant and complications arising in the treatment of dialysis patients.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2103 - Functions of regional limited care dialysis centers; limitations

36-2103.
Functions of regional limited care dialysis centers;  limitations
Each regional limited care dialysis center shall:
1. Provide dialysis treatment services and supplies for home dialysis treatment services and kidney transplants and related services. Such services and supplies shall be provided only when funds from medical insurance,  if any,  of an individual patient are exhausted or insufficient to purchase such supplies or services.
2. Develop and utilize methods of dialysis designed to make the process more efficient and economical.
3. Seek the active participation of and consultation with industry in order to make equipment and procedures more efficient.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2153.01 - Website information; agencies providing support for pregnant women; adoption information

36-2153.01.
Website information;  agencies providing support for pregnant women;  adoption information
A. On or before February 1,  2022,  the department of health services shall provide on the department's public website home page a conspicuous link that directs an individual to the following easily comprehensible information,  in both English and Spanish:
1. A list of public and private agencies and services available to assist a woman through pregnancy,  on childbirth and while her child is dependent. Any agency that counsels,  refers,  performs,  induces,  prescribes or provides any means for abortion may not be included on the list.
2. Each agency's services,  physical address,  telephone number and website address,  if available.
3. Information on and a link to a separate featured webpage that is accessible by redirecting from the domain name AdoptionOption.AZ.gov and that lists all of the following:
(a) Public and nonprofit adoption agencies that are not affiliated with an abortion provider and that are arranged geographically. The link shall include the information specified in paragraph 2 of this subsection.
(b) Easily comprehensible first steps to assist a pregnant woman seeking to confidentially explore the option of placing her child for adoption.
(c) Whether the adoption agency allows the woman to choose the adoptive parents.
(d) Agencies that offer obstetric ultrasounds free of charge.
(e) Agencies that offer confidential counseling free of charge to a woman considering placing her child for adoption.
B. All information provided pursuant to subsection A of this section shall be available in an easily downloadable printed format.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2154 - Right to refuse to participate in abortion; abortion medication or emergency contraception

36-2154.
Right to refuse to participate in abortion;  abortion medication or emergency contraception
A. A hospital is not required to admit any patient for the purpose of performing an abortion. A physician,  or any other person who is a member of or associated with the staff of a hospital,  or any employee of a hospital,  doctor,  clinic or other medical or surgical facility in which an abortion has been authorized,  who states in writing an objection to the abortion on moral or religious grounds is not required to facilitate or participate in the medical or surgical procedures that will result in the abortion.
B. A pharmacy,  hospital or health professional,  or any employee of a pharmacy,  hospital or health professional,  who states in writing an objection to abortion,  abortion medication,  emergency contraception or any medication or device intended to inhibit or prevent implantation of a fertilized ovum on moral or religious grounds is not required to facilitate or participate in the provision of an abortion,  abortion medication,  emergency contraception or any medication or device intended to inhibit or prevent implantation of a fertilized ovum. The pharmacy,  hospital or health professional,  or an employee of the pharmacy,  hospital or health professional,  shall return to the patient the patient's written prescription order.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2155 - Performance of an abortion by individual who is not a physician; prohibition; definitions

36-2155.
Performance of an abortion by individual who is not a physician;  prohibition;  definitions
A. An individual who is not a physician shall not perform a surgical abortion.
B. For the purposes of this section:
1. " Physician"  means a person who is licensed pursuant to title 32,  chapter 13 or 17.
2. " Surgical abortion"  means the use of a surgical instrument or a machine to terminate the clinically diagnosable pregnancy of a woman with knowledge that the termination by those means will cause,  with reasonable likelihood,  the death of the unborn child. Surgical abortion does not include the use of any means to increase the probability of a live birth,  to preserve the life or health of the child after a live birth,  to terminate an ectopic pregnancy or to remove a dead fetus. Surgical abortion does not include patient care incidental to the procedure.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2157 - Affidavit

36-2157.
Affidavit
A person shall not knowingly perform or induce an abortion before that person completes an affidavit that:
1. States that the person making the affidavit is not aborting the child because of the child's sex or race or because of a genetic abnormality of the child and has no knowledge that the child to be aborted is being aborted because of the child's sex or race or because of a genetic abnormality of the child.
2. Is signed by the person performing or inducing the abortion.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2159 - Abortion; gestational age; violation; classification; unprofessional conduct; civil relief; statute of limitations

36-2159.
Abortion;  gestational age;  violation;  classification;  unprofessional conduct;  civil relief;  statute of limitations
A. Except in a medical emergency,  a person shall not perform,  induce or attempt to perform or induce an abortion unless the physician or the referring physician has first made a determination of the probable gestational age of the unborn child. In making that determination,  the physician or referring physician shall make any inquiries of the pregnant woman and perform or cause to be performed all medical examinations,  imaging studies and tests as a reasonably prudent physician in the community,  knowledgeable about the medical facts and conditions of both the woman and the unborn child involved,  would consider necessary to perform and consider in making an accurate diagnosis with respect to gestational age.
B. Except in a medical emergency,  a person shall not knowingly perform,  induce or attempt to perform or induce an abortion on a pregnant woman if the probable gestational age of her unborn child has been determined to be at least twenty weeks.
C. A person who knowingly violates this section commits a class 1 misdemeanor.
D. A physician who knowingly violates this section commits an act of unprofessional conduct and is subject to license suspension or revocation pursuant to title 32,  chapter 13 or 17.
E. In addition to other remedies available under the common or statutory law of this state,  any of the following individuals may file a civil action to obtain appropriate relief for a violation of this section:
1. A woman on whom an abortion has been performed in violation of this section.
2. The father of the unborn child if the father is married to the mother at the time she received the abortion,  unless the pregnancy resulted from the father's criminal conduct.
3. The maternal grandparents of the unborn child if the mother was not at least eighteen years of age at the time of the abortion,  unless the pregnancy resulted from either of the maternal grandparent's criminal conduct.
F. A civil action filed pursuant to subsection E of this section shall be brought in the superior court in the county in which the woman on whom the abortion was performed resides. Relief pursuant to this subsection includes the following:
1. Money damages for all psychological,  emotional and physical injuries resulting from the violation of this section.
2. Statutory damages in an amount equal to five thousand dollars or three times the cost of the abortion,  whichever is greater.
3. Reasonable attorney fees and costs.
G. A civil action brought pursuant to this section must be initiated within six years after the violation occurred.
H. A woman on whom an abortion is performed or induced in violation of this section may not be prosecuted under this section or for conspiracy to commit a violation of this section.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2160 - Abortion-inducing drugs; definition

36-2160.
Abortion-inducing drugs;  definition
A. An abortion-inducing drug may be provided only by a qualified physician in accordance with the requirements of this chapter.
B. A manufacturer,  supplier or physician or any other person is prohibited from providing an abortion-inducing drug via courier,  delivery or mail service.
C. This section does not apply to drugs that may be known to cause an abortion but that are prescribed for other medical indications.
D. For the purposes of this section,  " abortion-inducing drug"  means a medicine or drug or any other substance used for a medication abortion.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2162 - Complications; reporting requirements

36-2162.
Complications;  reporting requirements
A. A health professional who provides medical care or treatment to a woman who,  in the good faith judgment of the health professional,  is in need of medical care because of a complication or complications resulting from having undergone an abortion or attempted abortion must file a report with the department of health services on a form prescribed by the department. The report shall not identify the individual patient by name but must contain the following information and other information as the department may require:
1. The date of the abortion.
2. The woman's age.
3. The number of pregnancies the woman may have had before the abortion.
4. The number and type of abortions the woman may have had before this abortion.
5. The name and address of the facility where the abortion was performed.
6. The gestational age of the unborn child at the time of the abortion,  if known.
7. The type of abortion performed,  if known.
8. The nature of the complication or complications,  including at least one of the following:
(a) Shock.
(b) Uterine perforation.
(c) Cervical laceration requiring suture or repair.
(d) Heavy bleeding or hemorrhage with estimated blood loss of at least five hundred cubic centimeters.
(e) Aspiration or allergic response.
(f) Postprocedure infection.
(g) Sepsis.
(h) Incomplete abortion retaining part of the fetus requiring reevacuation.
(i) Damage to the uterus.
(j) Failed termination of pregnancy.
(k) Death of the patient.
(l) Other.
9. The medical treatment given.
10. The nature and extent,  if known,  of any permanent condition caused by the complication.
B. The hospital or facility shall complete the complication report,  which may be signed electronically and shall indicate that the person who signs the report is attesting that the information in the report is correct to the best of that person's knowledge. The hospital or facility must transmit the report to the department within fifteen days after the last day of each reporting month.
C. Any report filed pursuant to this section shall be filed electronically at an internet website that is designated by the department unless the person required to file the report applies for a waiver from electronic reporting by submitting a written request to the department.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2171 - Definitions

36-2171.
Definitions
In this chapter,  unless the context otherwise requires:
1. " Advance practice provider"  means a physician assistant as defined in section 32-2501 or a registered nurse practitioner as defined in section 32-1601.
2. " Behavioral health provider"  means a physician who is a board-certified or board-eligible psychiatrist,  a psychologist,  a physician assistant or a registered nurse practitioner who is certified to practice as a behavioral health specialist or a person who is licensed pursuant to title 32 as a clinical social worker,  professional counselor or marriage and family therapist.
3. " Department"  means the department of health services.
4. " Pharmacist"  has the same meaning prescribed in section 32-1901.
5. " Rural"  means either of the following:
(a) A county with a population of less than four hundred thousand persons according to the most recent United States decennial census.
(b) A census county division with less than fifty thousand persons in a county with a population of four hundred thousand or more persons according to the most recent United States decennial census.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2173 - Obstetrical practitioners; underserved areas; payment of insurance premiums; prioritization

36-2173.
Obstetrical practitioners;  underserved areas;  payment of insurance premiums;  prioritization
A. A physician or an advance practice provider who provides obstetrical services in rural areas of this state may apply for and receive financial assistance to offset medical malpractice premium expenses.
B. To be qualified for assistance,  a person shall apply to the department on a form and in a manner prescribed by the department and shall meet the following requirements:
1. Have current obstetrical delivery privileges at one or more hospitals that are located in rural areas of this state and that are not operated by the federal government.
2. Have a contract with the Arizona health care cost containment system administration for obstetrical services with one or more of the system's prepaid contractors.
3. Be licensed under title 32,  chapter 13,  15,  17 or 25.
4. Personally incur malpractice insurance costs.
C. The department shall establish an index that uses indicators to determine a score for each applicant service area. These indicators shall include:
1. The availability of obstetrical services based on a population to provider ratio.
2. The area's geographic accessibility to obstetrical services.
3. The percentage of the area's population that is at or below a designated federal poverty level.
D. The department shall identify physicians and advance practice providers who are practicing in medically underserved areas and shall notify them of the eligibility for assistance under this section. A physician or advance practice provider shall submit an application for assistance within thirty days of receiving the notification. The department shall offer assistance to qualified applicants based on the ranking of the area in which the applicant serves as established under subsection C of this section. The applicant shall enter into a contract with the department under which the applicant agrees to remain in practice in the specific area for one year. These contracts are exempt from the requirements of title 41,  chapter 23.
E. Family physicians and advance practice providers who perform less than fifty-one deliveries per year and who are required to pay an additional premium to perform obstetrical services are eligible to receive an amount of not more than five thousand dollars. Family physicians and obstetricians who perform more than fifty deliveries per year are eligible to receive an amount of not more than ten thousand dollars.
F. The health care provider shall submit a report to the department that contains statistical information required by the department and that identifies the number of women to whom the provider has provided medical services during childbirth,  the women's ages,  the number of prenatal visits each woman received,  the number of these women who are enrolled in the Arizona health care cost containment system and the women's insurance status.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2174 - Rural private primary care provider loan repayment program; private practice; rules

36-2174.
Rural private primary care provider loan repayment program;  private practice;  rules
A. Subject to the availability of monies,  the department shall establish a rural private primary care provider loan repayment program for physicians,  dentists,  pharmacists,  behavioral health providers and advance practice providers with current or prospective rural primary care practices located in federally designated health professional shortage areas or medically underserved areas in this state,  as prescribed in section 36-2352. To be eligible to participate in the program,  an applicant shall agree to provide organized,  discounted,  sliding fee scale services for medically uninsured individuals from families with annual incomes below two hundred percent of the federal poverty guidelines as established annually by the United States department of health and human services. An applicant who works at an Indian health service or tribal facility is not required to provide a sliding fee scale to be eligible for the program. The department shall approve the sliding fee scale used by the provider. The provider shall ensure notice to consumers of the availability of these services. The department shall give preference to applicants who agree to serve in rural areas.
B. Except as provided in section 36-2172,  subsection B,  paragraph 2,  the program established pursuant to this section and loan repayment contracts made pursuant to this section shall comply with the requirements of section 36-2172.
C. The department may apply for and receive private donations and grant monies to implement the rural private primary care provider loan repayment program established pursuant to this section.
D. The department shall adopt rules to cancel or suspend a loan repayment contract,  impose a penalty for default or find a person in default of a contract.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2202.01 - Test administration

36-2202.01.
Test administration
The test for certification or recertification,  pursuant to section 36-2202,  may be administered by the department or one of the following approved by the director:
1. Representatives appointed by the director in consultation with the medical director of the emergency medical services and trauma system.
2. A testing facility.
3. An emergency medical services provider or ambulance service provider that has a training or education program. Emergency medical service providers or ambulance service providers may enter into contracts or intergovernmental agreements with other public entities for the purposes of emergency medical care technician testing and recertification testing. The training or education program must be staffed by at least three full-time persons who provide education and training to emergency services personnel. Two of these persons must be certified at a minimum of emergency medical care technician or higher and at least one person must be a paramedic or a registered nurse licensed pursuant to title 32,  chapter 15. The medical director of an emergency medical training or education program must be a physician licensed pursuant to title 32,  chapter 13 or 17.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2203 - Emergency medical services council; membership; delayed repeal

36-2203.
Emergency medical services council;  membership;  delayed repeal
(Rpld. 1/2/28)
A. The emergency medical services council is established. The medical director of the emergency medical services and trauma system shall chair the council. The council is composed of the director of the department of public safety and the governor's highway safety coordinator,  or their designees,  and the following members who are appointed by the governor to three-year terms:
1. One representative from each of the four local emergency medical services coordinating systems prescribed in section 36-2210.
2. One physician specializing in emergency medicine from each of the four local emergency medical services coordinating regions prescribed in section 36-2210.
3. One professional nurse who is licensed pursuant to title 32,  chapter 15 and who specializes in emergency medicine.
4. One emergency medical care technician.
5. Two representatives from ambulance service corporations.
6. Two hospital administrators,  one of whom represents a county with a population of less than five hundred thousand persons.
7. One representative from each of the three employers of the largest number of emergency medical care technicians and paramedics.
8. One representative from a nongovernmental employer of emergency medical technicians I-99.
9. One representative from the state fire districts.
10. One physician who is licensed pursuant to title 32,  chapter 13 or 17 and who specializes in trauma surgery.
11. One representative of a prehospital emergency medical training program.
12. Six public members.
13. One representative of a volunteer medical rescue program.
B. Public members of the council are eligible to receive compensation pursuant to section 38-611.
C. This section is repealed from and after January 1,  2028.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2203.01 - Medical direction commission; membership; duties

36-2203.01.
Medical direction commission;  membership;  duties
A. The medical direction commission is established consisting of the following twelve members:
1. The medical director of the emergency medical services and trauma system in the department of health services who shall serve as chairman.
2. The four emergency physicians who serve on the emergency medical services council pursuant to section 36-2203,  subsection A,  paragraph 2.
3. One physician who specializes in toxicology and who has a demonstrated interest or expertise in emergency medical services systems.
4. One full-time faculty representative of an emergency medicine residency program approved by a residency review commission.
5. One physician who specializes in trauma surgery and who has a demonstrated interest or expertise in emergency medical services systems.
6. One emergency physician who has a full-time practice based in a rural area.
7. One physician who specializes in severe acute head injury treatment or spinal cord care and who has a demonstrated interest or expertise in emergency medical services systems.
8. One physician who specializes in pediatric medicine and who has a demonstrated interest or expertise in emergency medical services systems.
9. One physician who specializes in cardiac care and who has a demonstrated interest or expertise in emergency medical services systems.
B. The governor shall make all appointments of members designated pursuant to subsection A,  paragraphs 3 through 9 of this section. The governor may accept recommendations for the appointment of commission members from the following organizations:
1. The Arizona chapter of the American college of emergency physicians.
2. The Arizona chapter of the American college of surgeons.
3. The Arizona chapter of the American college of pediatrics.
4. The Arizona chapter of the American college of physicians.
C. The commission shall assist the director in developing medical protocols governing the medical treatments,  procedures,  medications,  training and techniques that may be administered or performed by each classification of emergency medical care technicians pursuant to section 36-2205.
D. Members of the commission serve three year terms.
E. Members of the commission are not entitled to compensation but are entitled to reimbursement of expenses pursuant to title 38,  chapter 4,  article 2.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2204 - Medical control

36-2204.
Medical control
The medical director of the statewide emergency medical services and trauma system,  the emergency medical services council and the medical direction commission shall recommend to the director the following standards and criteria that pertain to the quality of emergency patient care:
1. Statewide standardized training,  certification and recertification standards for all classifications of emergency medical care technicians.
2. A standardized and validated testing procedure for all classifications of emergency medical care technicians.
3. Medical standards for certification and recertification of training programs for all classifications of emergency medical care technicians.
4. Standardized continuing education criteria for all classifications of emergency medical care technicians.
5. Medical standards for certification and recertification of certified emergency receiving facilities and advanced life support base hospitals and approval of physicians providing medical control or medical direction for any classification of emergency medical care technicians who are required to be under medical control or medical direction.
6. Standards and mechanisms for monitoring and ongoing evaluation of performance levels of all classifications of emergency medical care technicians,  emergency receiving facilities and advanced life support base hospitals and approval of physicians providing medical control or medical direction for any classification of emergency medical care technicians who are required to be under medical control or medical direction.
7. Objective criteria and mechanisms for decertification of all classifications of emergency medical care technicians,  emergency receiving facilities and advanced life support base hospitals and for disapproval of physicians providing medical control or medical direction for any classification of emergency care technicians who are required to be under medical control or medical direction.
8. Medical standards for nonphysician prehospital treatment and prehospital triage of patients requiring emergency medical services.
9. Standards for emergency medical dispatcher training,  including prearrival instructions. For the purposes of this paragraph,  " emergency medical dispatch"  means the receipt of calls requesting emergency medical services and the response of appropriate resources to the appropriate location.
10. Standards for a quality assurance process for components of the statewide emergency medical services and trauma system,  including standards for maintaining the confidentiality of the information considered in the course of quality assurance and the records of the quality assurance activities pursuant to section 36-2403.
11. Standards for ambulance service and medical transportation that give consideration to the differences between urban,  rural and wilderness areas.
12. Standards to allow an ambulance to transport a patient to a health care institution that is licensed as a special hospital and that is physically connected to an emergency receiving facility.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2204.02 - Emergency medical services providers; investigations

36-2204.02.
Emergency medical services providers;  investigations
A. In lieu of the requirements of section 36-2211,  the director may authorize an ambulance service or emergency medical services provider to investigate,  discipline or determine the fitness of an employee to continue to provide patient care. This authority does not apply to the conviction of,  a plea of guilty or no contest to or admission in a court proceeding to the elements of a felony. The employer listed on the emergency medical care technician's or ambulance attendant's certification or recertification application may limit the practice of the emergency medical care technician or ambulance attendant during the investigation if the employer meets all of the following requirements:
1. Has separate investigative or supervisory staff to conduct an investigation.
2. Has an employee assistance program for counseling.
3. Has policies and procedures for drug testing through urinalysis or other generally accepted methods.
4. Has policies and procedures for monitoring of personnel who are suspected of or who have been convicted of substance abuse.
B. An ambulance service or emergency medical services provider that conducts its own disciplinary investigations pursuant to subsection A of this section shall report the following to the medical director of the emergency medical services and trauma system:
1. The nature of the allegation.
2. The level of patient care being delivered by the employee and the supervision of the employee during the investigation or rehabilitative period,  or both.
3. The final outcome of the investigation and the final recommendation on the employee's certification status.
C. The decisions of the employer are appealable under the employer's personnel policies and procedures. Except as provided in section 41-1092.08,  subsection H,  the final administrative decisions of the director are subject to judicial review pursuant to title 12,  chapter 7,  article 6.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2205 - Permitted treatment and medication; certification requirement; protocols

36-2205.
Permitted treatment and medication;  certification requirement;  protocols
A. The director,  in consultation with the medical director of the emergency medical services and trauma system,  the emergency medical services council and the medical direction commission,  shall establish protocols,  which may include training criteria,  governing the medical treatments,  procedures,  medications and techniques that may be administered or performed by each classification of emergency medical care technician. These protocols shall consider the differences in treatments and procedures for regional,  urban,  rural and wilderness areas and shall require that emergency medical care technicians authorized to perform advanced life support procedures render these treatments,  procedures,  medications or techniques only under the direction of a physician.
B. The protocols adopted by the director pursuant to this section are exempt from title 41,  chapter 6.
C. Notwithstanding subsection B of this section,  a person may petition the director,  pursuant to section 41-1033,  to amend a protocol adopted by the director.
D. In consultation with the medical director of the emergency medical services and trauma system,  the emergency medical services council and the medical direction commission,  the director shall establish protocols for emergency medical providers to refer and advise a patient or transport a patient by the most appropriate means to the most appropriate provider of medical services based on the patient's condition. The protocols shall consider the differences in treatments and procedures for regional,  urban,  rural and wilderness areas and shall require that emergency medical care technicians authorized to perform advanced life support procedures render these treatments,  procedures,  medications or techniques only under the direction of a physician.
E. The protocols established pursuant to subsection D of this section shall include triage and treatment protocols that allow all classifications of emergency medical care technicians responding to a person who has accessed 911,  or a similar public dispatch number,  for a condition that does not pose an immediate threat to life or limb to refer and advise a patient or transport a patient to the most appropriate health care institution,  as defined in section 36-401,  based on the patient's condition,  taking into consideration factors including patient choice,  the patient's health care provider,  specialized health care facilities and local protocols.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2206 - Immunity; emergency instructions

36-2206.
Immunity;  emergency instructions
A. Any health care provider licensed or certified to practice in this state who in good faith gives emergency instructions to emergency medical care technicians at the scene of an emergency is not liable for any civil damages as a result of issuing those instructions.
B. Any emergency medical services or health care provider who in good faith provides prearrival instructions following the minimum standards established by the state pursuant to section 36-2204,  paragraph 9 is not liable for any civil damages as a result of issuing these instructions.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2207 - Authorization for political subdivisions to participate

36-2207.
Authorization for political subdivisions to participate
Any city,  town,  county,  fire district or health service district of this state may budget for and expend monies for participation in emergency paramedic programs and may enter into intergovernmental agreements for the delivery of such services pursuant to title 11,  chapter 7,  article 3.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2208 - Bureau of emergency medical services and trauma system

36-2208.
Bureau of emergency medical services and trauma system
A. There is established within the department a bureau of emergency medical services and trauma system that is responsible for coordinating,  establishing and administering a statewide system of emergency medical services,  trauma care and a trauma registry.
B. This chapter does not prevent any individual,  law enforcement officer,  public agency or member of a city,  town,  fire district or volunteer fire department from rendering on-site emergency medical care or,  if,  in terms of the existing medical situation,  it is deemed not advisable to await the arrival of an ambulance,  from transporting emergency medical patients to a hospital or an emergency receiving facility,  except that if any patient objects on religious grounds,  that patient shall not be administered any medical treatment or be transported to a hospital or an emergency receiving facility.
C. The director shall develop an annual statewide emergency medical and trauma services plan and submit that plan to the council for review and approval. The statewide plan shall then be submitted to the governor for final adoption. Before submitting the plan to the governor,  the director shall accept comments from the authorized local agencies and governmental entities.
D. A local emergency medical services coordinating system shall develop a regional emergency medical services plan that includes a needs assessment and submit the plan to the director and to the authorized local agencies within the area. The regional plans shall be integrated into the statewide plan by the department.
E. The state plan shall contain a budget component for funding local and state emergency medical services systems from the emergency medical services operating fund established pursuant to section 36-2218 based on the needs assessment of the local emergency medical services coordinating system plans. The components shall be included in the department's budget through the normal appropriation process.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2209 - Powers and duties of the director

36-2209.
Powers and duties of the director
A. The director shall:
1. Appoint and define the duties and prescribe the terms of employment of all employees of the bureau.
2. Adopt rules necessary for the operation of the bureau and for carrying out the purposes of this chapter.
3. Cooperate with and assist the personnel of emergency receiving facilities and other health care institutions in preparing a plan to be followed by these facilities and institutions in the event of a major disaster.
4. Cooperate with the state director of emergency management when a state of emergency or a state of war emergency has been declared by the governor.
B. The director may:
1. Request the cooperation of utilities,  communications media and public and private agencies to aid and assist in the implementation and maintenance of a statewide emergency medical services system.
2. Enter into contracts and agreements with any local governmental entity,  agency,  facility or group that provides a similar program of emergency medical services in a contiguous state.
3. Enter into contracts and agreements for the acquisition and purchase of any equipment,  tools,  supplies,  materials and services necessary in the administration of this chapter.
4. Enter into contracts with emergency receiving facilities,  governmental entities,  emergency rescue services and ambulance services,  and the director may establish emergency medical services,  including emergency receiving facilities,  if necessary to assure the availability and quality of these services.
5. Accept and expend federal funds and private grants,  gifts,  contributions and devises to assist in carrying out the purposes of this chapter. These funds do not revert to the state general fund at the close of a fiscal year.
6. Establish an emergency medical services notification system that uses existing telephone communications networks.
7. Contract with private telephone companies for the establishment of a statewide emergency reporting telephone number.
8. Authorize the testing entity to collect fees determined by the director. In determining fees for testing entities the director shall consider the fees required by national certification organizations.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2210 - Local emergency medical services coordinating systems

36-2210.
Local emergency medical services coordinating systems
The department shall contract with a local emergency medical services coordinating system that:
1. Conducts needs assessments and plans and coordinates a regional emergency medical and trauma services system within a designated planning area.
2. Has a governing board.
3. Demonstrates continued support annually by action of the governing bodies of the counties,  cities,  towns and fire districts within the planning area representing a majority of the total population of the area. For the purposes of this paragraph,  the county represents the unincorporated areas of the county,  except fire districts.
4. Offers emergency medical programs for the effective and coordinated delivery of emergency medical services if authorized by its governing board.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2212 - Certificate of registration to operate an ambulance; termination on change in ownership; fees; exemption

36-2212.
Certificate of registration to operate an ambulance;  termination on change in ownership;  fees;  exemption
A. A person shall not operate an ambulance in this state unless the ambulance has a certificate of registration and complies with this article and the rules,  standards and criteria adopted pursuant to this article.
B. A person may obtain a certificate of registration to operate an ambulance by submitting an application on a form prescribed by the director and by demonstrating to the director's satisfaction that the applicant is in compliance with this article and all rules,  standards and criteria adopted by the director for the operation of an ambulance.
C. A certificate of registration issued under this section terminates upon any change of ownership or control of the ambulance. Following any change of ownership,  the new owner of an ambulance shall apply for and receive a new certificate of registration from the director before the ambulance may again be operated in this state. This subsection does not apply if an ambulance service borrows,  leases,  rents or otherwise obtains a registered ambulance from another ambulance service to temporarily replace an inoperable ambulance.
D. The department shall issue a certificate of registration to a person who complies with the requirements of this article and who pays an initial registration fee. A certificate of registration is valid for one year. However,  an ambulance service may request that the department issue an initial certificate of registration that expires before the end of one year in order for the department to conduct an annual inspection of all of the ambulance service's ambulances at one time. A person may renew a certificate of registration by complying with the requirements of this article and by paying a renewal fee prescribed by the director. The fee for initial registration and registration renewal shall not exceed fifty dollars for each ambulance. The department shall base these fees on an amount that approximates the per vehicle costs incurred by the department to administer this chapter. The director shall deposit,  pursuant to sections 35-146 and 35-147,  fees collected under this subsection in the state general fund. The department shall not charge a registration fee for an ambulance to an ambulance service that operates an ambulance or ambulances only as a volunteer not-for-profit service.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2213 - Regulation of air ambulance services

36-2213.
Regulation of air ambulance services
The director shall adopt rules to establish minimum standards for the operation of air ambulance services that are necessary to assure the public health and safety. The director may use the current standards adopted by the commission on accreditation of air medical services. Each rule shall reference the specific authority from this chapter under which the rule was formulated. The rules shall provide for the department to do the following:
1. Establish standards and requirements relating to at least the following:
(a) Medical control plans. These plans shall conform to the standards adopted pursuant to section 36-2204,  paragraph 9.
(b) Qualifications of the medical director of the air ambulance services.
(c) Operation of only those air ambulances registered pursuant to section 36-2212 and licensed pursuant to title 28,  chapter 25.
2. Establish response times and operation times to assure that the health and safety needs of the public are met.
3. Establish standards for emergency medical dispatch training,  including prearrival instruction. For the purposes of this paragraph,  " emergency medical dispatch"  means the receipt of calls requesting emergency medical services and the response of appropriate resources to the appropriate location.
4. Require the filing of run log information.
5. Issue,  transfer,  suspend or revoke air ambulance service licenses under terms and conditions consistent with this chapter. These rules shall be consistent for all ambulance services.
6. Investigate the operation of an air ambulance service including a person operating an ambulance that has not been issued a certificate of registration and conduct on-site investigations of facilities communications equipment,  vehicles,  procedures,  materials and equipment.
7. Prescribe the terms of the air ambulance service license.
8. Prescribe the criteria for the air ambulance service license inspection process and for determining an air ambulance service's compliance with licensure requirements. The director shall accept proof that an air ambulance service is accredited by the commission on accreditation of air medical services in lieu of all licensing inspections required if the director receives a copy of the air ambulance service's accreditation report.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2214 - Air ambulance service license

36-2214.
Air ambulance service license
A. A person shall not operate an air ambulance service in this state unless the air ambulance service is licensed and complies with this article and the rules adopted pursuant to this article.
B. On receipt of a properly completed application for initial licensure or relicensure on a form prescribed by the director,  the director shall conduct an inspection of the air ambulance service as prescribed by this article. If an application for a license is submitted due to a planned change of ownership,  the director shall determine the need for an inspection of the air ambulance service.
C. The director shall issue a license if the director determines that an applicant and the air ambulance service for which the license is sought comply with the requirements of this article and rules adopted pursuant to this article and the applicant agrees to carry out a plan acceptable to the director to eliminate any deficiencies.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2215 - Required insurance or financial responsibility; denial or revocation for failure to comply

36-2215.
Required insurance or financial responsibility;  denial or revocation for failure to comply
A. The director shall not issue an air ambulance service license to an ambulance service unless the applicant for the license or the licensee files with the department a certificate of insurance completed by an insurance company that is authorized to transact business in this state or other evidence of financial responsibility in an amount that the director by rule determines is necessary to adequately protect the interest of the public. The applicant for a license or the licensee shall have malpractice and liability insurance that requires the insurer to compensate for injuries to persons and for loss or damage to property resulting from the negligent operation of the air ambulance service.
B. The director shall deny the application for a license or revoke the license of any air ambulance service that fails to comply with this section.
2023 Arizona Revised Statutes › Title 36 - Public Health and Safety › § 36-2216 - Prohibited acts; classification

36-2216.
Prohibited acts;  classification
A. It is unlawful for any person to operate an ambulance in this state which does not comply with the provisions of this article or the rules adopted by the director under this article.
B. A person who violates subsection A is guilty of a class 1 misdemeanor.