reglab/statecodes huggingface dataset:
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 106 - Data collection.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-106.
Data collection.
(1) The committee shall specify the information that shall be collected for the emergency medical services data system established pursuant to Subsection (2).
(2)
(a) The department shall establish an emergency medical services data system, which shall provide for the collection of information, as defined by the committee, relating to the treatment and care of patients who use or have used the emergency medical services system.
(b) The committee shall coordinate with the Health Data Authority created in Chapter 8, Part 5, Utah Health Data Authority, to create a report of data collected by the Health Data Committee under Section 26B-8-504 regarding:
(i) appropriate analytical methods;
(ii) the total amount of air ambulance flight charges in the state for a one-year period; and
(iii) of the total number of flights in a one-year period under Subsection (2)(b)(ii):
(A) the number of flights for which a patient had no personal responsibility for paying part of the flight charges;
(B) the number of flights for which a patient had personal responsibility to pay all or part of the flight charges;
(C) the range of flight charges for which patients had personal responsibility under Subsection (2)(b)(iii)(B), including the median amount for paid patient personal responsibility; and
(D) the name of any air ambulance provider that received a median paid amount for patient responsibility in excess of the median amount for all paid patient personal responsibility during the reporting year.
(c) The department may share, with the Department of Public Safety, information from the emergency medical services data system that:
(i) relates to traffic incidents;
(ii) is for the improvement of traffic safety;
(iii) may not be used for the prosecution of criminal matters; and
(iv) may not include any personally identifiable information.
(3)
(a) On or before October 1, the department shall make the information in Subsection (2)(b) public and send the information in Subsection (2)(b) to public safety dispatchers and first responders in the state.
(b) Before making the information in Subsection (2)(b) public, the committee shall provide the air ambulance providers named in the report with the opportunity to respond to the accuracy of the information in the report under Section 26B-8-506.
(4) Persons providing emergency medical services:
(a) shall provide information to the department for the emergency medical services data system established pursuant to Subsection (2)(a);
(b) are not required to provide information to the department under Subsection (2)(b); and
(c) may provide information to the department under Subsection (2)(b) or (3)(b).
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 107 - Emergency Medical Services Grant Program.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-107.
Emergency Medical Services Grant Program.
(1) Funds appropriated to the department for the Emergency Medical Services Grant Program shall be used for improvement of delivery of emergency medical services and administrative costs as described in Subsection (2)(a).
(2) From the total amount of funds appropriated to the department under Subsection (1), the department shall use:
(a) an amount equal to 50% of the funds:
(i) to provide staff support; and
(ii) for other expenses incurred in:
(A) administration of grant funds; and
(B) other department administrative costs under this part; and
(b) an amount equal to 50% of the funds to provide emergency medical services grants in accordance with Subsection (3).
(3)
(a) A recipient of a grant under this section shall actively provide emergency medical services within the state.
(b)
(i) From the total amount of funds used to provide grants under Subsection (3), the department shall distribute an amount equal to 21% as per capita block grants for use specifically related to the provision of emergency medical services to nonprofit prehospital emergency medical services providers that are either licensed or designated and to emergency medical services that are the primary emergency medical services for a service area.
(ii) The department shall determine the grant amounts by prorating available funds on a per capita basis by county as described in department rule.
(c) Subject to Subsections (3)(d) through (f), the committee shall use the remaining grant funds to award competitive grants to licensed emergency medical services providers that provide emergency medical services within counties of the third through sixth class, in accordance with rules made by the committee.
(d) A grant awarded under Subsection (3)(c) shall be used:
(i) for the purchase of equipment, subject to Subsection (3)(e); or
(ii) for the recruitment, training, or retention of licensed emergency medical services providers.
(e) A recipient of a grant under Subsection (3)(c) may not use more than $100,000 in grant proceeds for the purchase of vehicles.
(f) A grant awarded for the purpose described in Subsection (3)(d)(ii) is ongoing for a period of up to three years.
(g)
(i) If, after providing grants under Subsections (3)(c) through (f), any grant funds are unallocated at the end of the fiscal year, the committee shall distribute the unallocated grant funds as per capita block grants as described in Subsection (3)(b).
(ii) Any grant funds distributed as per capita grants under Subsection (3)(g)(i) are in addition to the amount described in Subsection (3)(b).
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 108 - Fees for training equipment rental, testing, and quality assurance reviews.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-108 .
Fees for training equipment rental, testing, and quality assurance reviews.
(1) The department may charge fees, established in accordance with Section 26B-1-209:
(a) for the use of department-owned training equipment;
(b) to administer tests and conduct quality assurance reviews; and
(c) to process an application for a designation, permit, or license.
(2)
(a) Fees collected under Subsections (1)(a) and (b) shall be separate dedicated credits.
(b) Fees under Subsection (1)(a) may be used to purchase training equipment.
(c) Fees under Subsection (1)(b) may be used to administer tests and conduct quality assurance reviews.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 109 - Regional Emergency Medical Services Liaisons -- Qualifications -- Duties.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-109.
Regional Emergency Medical Services Liaisons -- Qualifications -- Duties.
(1) As used in this section:
(a) "Liaison" means a regional emergency medical services liaison hired under this section.
(b) "Rural county" means a county of the third, fourth, fifth, or sixth class.
(2) The department shall hire five individuals to serve as regional emergency medical services liaisons to:
(a) serve the needs of rural counties in providing emergency medical services in accordance with this part;
(b) act as a liaison between the department and individuals or entities responsible for emergency medical services in rural counties, including:
(i) emergency medical services providers;
(ii) local officials; and
(iii) local health departments or agencies;
(c) provide support and training to emergency medical services providers in rural counties;
(d) assist rural counties in utilizing state and federal grant programs for financing emergency medical services; and
(e) serve as emergency medical service personnel to assist licensed providers with ambulance staffing needs within rural counties.
(3) Each liaison hired under Subsection (2):
(a) shall reside in a rural county; and
(b) shall be licensed as:
(i) an advanced emergency medical technician as defined in Section 26B-4-137; or
(ii) a paramedic as defined in Section 26B-4-137.
(4) The department shall provide each liaison with a vehicle and other equipment in accordance with rules established by the department.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 110 - Community paramedicine program.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-110.
Community paramedicine program.
(1) A ground ambulance provider or a designated quick response provider, as designated in accordance with Section 26B-4-117, may develop and implement a community paramedicine program.
(2)
(a) Before providing services, a community paramedicine program shall:
(i) implement training requirements as determined by the committee; and
(ii) submit a written community paramedicine operational plan to the department that meets requirements established by the committee.
(b) A community paramedicine program shall report data, as determined by the committee, related to community paramedicine to the department.
(3) A service provided as part of a community paramedicine program may not be billed to an individual or a health benefit plan as defined in Section 31A-1-301 unless:
(a) the service is provided in partnership with a health care facility as defined in Section 26B-2-201; and
(b) the partnering health care facility is the person that bills the individual or health benefit plan.
(4) Nothing in this section affects any billing authorized under Section 26B-4-152.
(5) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the committee shall make rules to implement this section.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 111 - Establishment of statewide trauma system.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-111.
Establishment of statewide trauma system.
The department shall establish and actively supervise a statewide trauma system to:
(1) promote optimal care for trauma patients;
(2) alleviate unnecessary death and disability from trauma and emergency illness;
(3) inform health care providers about trauma system capabilities;
(4) encourage the efficient and effective continuum of patient care, including prevention, prehospital care, hospital care, and rehabilitative care; and
(5) minimize the overall cost of trauma care.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 112 - Statewide trauma system -- Department duties.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-112.
Statewide trauma system -- Department duties.
In connection with the statewide trauma system established in Section 26B-4-111, the department shall:
(1) establish a statewide trauma system plan that:
(a) identifies statewide trauma care needs, objectives, and priorities;
(b) identifies the equipment, facilities, personnel training, and other things necessary to create and maintain a statewide trauma system; and
(c) organizes and coordinates trauma care within defined geographic areas;
(2) support the statewide trauma system by:
(a) facilitating the coordination of prehospital, acute care, and rehabilitation services and providers through state regulation and oversight;
(b) facilitating the ongoing evaluation and refinement of the statewide trauma system;
(c) providing educational programs;
(d) encouraging cooperation between community organizations, health care facilities, public health officials, emergency medical service providers, and rehabilitation facilities for the development of a statewide trauma system;
(e) implementing a quality assurance program using information from the statewide trauma registry established pursuant to Section 26B-4-113;
(f) establishing trauma center designation requirements in accordance with Section 26B-4-114; and
(g) developing standards so that:
(i) trauma centers are categorized according to their capability to provide care;
(ii) trauma victims are triaged at the initial point of patient contact; and
(iii) trauma patients are sent to appropriate health care facilities.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 113 - Statewide trauma system -- Registry and quality assurance program.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-113.
Statewide trauma system -- Registry and quality assurance program.
(1) The department shall:
(a) establish and fund a statewide trauma registry to collect and analyze information on the incidence, severity, causes, and outcomes of trauma;
(b) establish, by rule, the data elements, the medical care providers that shall report, and the time frame and format for reporting;
(c) use the data collected to:
(i) improve the availability and delivery of prehospital and hospital trauma care;
(ii) assess trauma care delivery, patient care outcomes, and compliance with the requirements of this part and applicable department rules; and
(iii) regularly produce and disseminate reports to data providers, state government, and the public; and
(d) support data collection and abstraction by providing:
(i) a data collection system and technical assistance to each hospital that submits data; and
(ii) funding or, at the discretion of the department, personnel for collection and abstraction for each hospital not designated as a trauma center under the standards established pursuant to Section 26B-4-114.
(2)
(a) Each hospital shall submit trauma data in accordance with rules established under Subsection (1).
(b) A hospital designated as a trauma center shall submit data as part of the ongoing quality assurance program established in Section 26B-4-112.
(3) The department shall assess:
(a) the effectiveness of the data collected pursuant to Subsection (1); and
(b) the impact of the statewide trauma system on the provision of trauma care.
(4) Data collected under this section shall be subject to Chapter 8, Part 4, Health Statistics.
(5) No person may be held civilly liable for having provided data to the department in accordance with this section.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 114 - Statewide trauma system -- Trauma center designations and guidelines.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-114.
Statewide trauma system -- Trauma center designations and guidelines.
(1) The department, after seeking the advice of the trauma system advisory committee, shall establish by rule:
(a) trauma center designation requirements; and
(b) model state guidelines for triage, treatment, transportation, and transfer of trauma patients to the most appropriate health care facility.
(2) The department shall designate as a trauma center each hospital that:
(a) voluntarily requests a trauma center designation; and
(b) meets the applicable requirements established pursuant to Subsection (1).
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 115 - Certificates, Designations, Permits, and Licenses -- General requirement.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-115.
Certificates, Designations, Permits, and Licenses -- General requirement.
(1) Except as provided in Section 26B-4-104 or 26B-4-122:
(a) an individual may not provide emergency medical services without a license or certification issued under Section 26B-4-116;
(b) a facility or provider may not hold itself out as a designated emergency medical service provider or nonemergency secured behavioral health transport provider without a designation issued under Section 26B-4-117;
(c) a vehicle may not operate as an ambulance, emergency response vehicle, or nonemergency secured behavioral health transport vehicle without a permit issued under Section 26B-4-118; and
(d) an entity may not respond as an ambulance or paramedic provider without the appropriate license issued under Sections 26B-4-150 through 26B-4-170 for ambulance and paramedic providers.
(2) Section 26B-4-127 applies to violations of this section.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 116 - Licensure of emergency medical service personnel.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-116.
Licensure of emergency medical service personnel.
(1) To promote the availability of comprehensive emergency medical services throughout the state, the committee shall establish:
(a) initial and ongoing licensure and training requirements for emergency medical service personnel in the following categories:
(i) paramedic;
(ii) advanced emergency medical services technician;
(iii) emergency medical services technician;
(iv) behavioral emergency services technician; and
(v) advanced behavioral emergency services technician;
(b) a method to monitor the certification status and continuing medical education hours for emergency medical dispatchers; and
(c) guidelines for giving credit for out-of-state training and experience.
(2) The department shall, based on the requirements established in Subsection (1):
(a) develop, conduct, and authorize training and testing for emergency medical service personnel;
(b) issue a license and license renewals to emergency medical service personnel other than emergency medical dispatchers; and
(c) verify the certification of emergency medical dispatchers.
(3) The department shall coordinate with local mental health authorities described in Section 17-43-301 to develop and authorize initial and ongoing licensure and training requirements for licensure as a:
(a) behavioral emergency services technician; and
(b) advanced behavioral emergency services technician.
(4) As provided in Section 26B-4-127, an individual issued a license or certified under this section may only provide emergency medical services to the extent allowed by the license or certification.
(5) An individual may not be issued or retain a license under this section unless the individual obtains and retains background clearance under Section 26B-4-124.
(6) An individual may not be issued or retain a certification under this section unless the individual obtains and retains background clearance in accordance with Section 26B-4-125.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 117 - Designation of emergency medical service providers and nonemergency secured behavioral health transport providers.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-117.
Designation of emergency medical service providers and nonemergency secured behavioral health transport providers.
(1) To ensure quality emergency medical services, the committee shall establish designation requirements for:
(a) emergency medical service providers in the following categories:
(i) quick response provider;
(ii) resource hospital for emergency medical providers;
(iii) emergency medical service dispatch center;
(iv) emergency patient receiving facilities; and
(v) other types of emergency medical service providers as the committee considers necessary; and
(b) nonemergency secured behavioral health transport providers.
(2) The department shall, based on the requirements in Subsection (1), issue designations to emergency medical service providers and nonemergency secured behavioral health transport providers listed in Subsection (1).
(3) As provided in Section 26B-4-127, an entity issued a designation under Subsection (2) may only function and hold itself out in accordance with its designation.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 118 - Permits for emergency medical service vehicles and nonemergency secured behavioral health transport vehicles.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-118.
Permits for emergency medical service vehicles and nonemergency secured behavioral health transport vehicles.
(1)
(a) To ensure that emergency medical service vehicles and nonemergency secured behavioral health transport vehicles are adequately staffed, safe, maintained, properly equipped, and safely operated, the committee shall establish permit requirements at levels it considers appropriate in the following categories:
(i) ambulance;
(ii) emergency medical response vehicle; and
(iii) nonemergency secured behavioral health transport vehicle.
(b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a requirement that beginning on or after January 31, 2014, every operator of an ambulance or emergency medical response vehicle annually provide proof of the successful completion of an emergency vehicle operator's course approved by the department for all ambulances and emergency medical response vehicle operators.
(2) The department shall, based on the requirements established in Subsection (1), issue permits to emergency medical service vehicles and nonemergency secured behavioral health transport vehicles.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 119 - Ambulance license required for emergency medical transport.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-119.
Ambulance license required for emergency medical transport.
Except as provided in Section 26B-4-122, only an ambulance operating under a permit issued under Section 26B-4-118 may transport an individual who:
(1) is in an emergency medical condition;
(2) is medically or mentally unstable, requiring direct medical observation during transport;
(3) is physically incapacitated because of illness or injury and in need of immediate transport by emergency medical service personnel;
(4) is likely to require medical attention during transport;
(5) is being maintained on any type of emergency medical electronic monitoring;
(6) is receiving or has recently received medications that could cause a sudden change in medical condition that might require emergency medical services;
(7) requires IV administration or maintenance, oxygen that is not patient-operated, or other emergency medical services during transport;
(8) needs to be immobilized during transport to a hospital, an emergency patient receiving facility, or mental health facility due to a mental or physical condition, unless the individual is in the custody of a peace officer and the primary purpose of the restraint is to prevent escape;
(9) needs to be immobilized due to a fracture, possible fracture, or other medical condition; or
(10) otherwise requires or has the potential to require a level of medical care that the committee establishes as requiring direct medical observation.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 120 - Medical control.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-120.
Medical control.
(1) The committee shall establish requirements for the coordination of emergency medical services rendered by emergency medical service providers, including the coordination between prehospital providers, hospitals, emergency patient receiving facilities, and other appropriate destinations.
(2) The committee shall establish requirements for the medical supervision of emergency medical service providers to assure adequate physician oversight of emergency medical services and quality improvement.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 121 - Patient destination.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-121.
Patient destination.
(1) If an individual being transported by a ground or air ambulance is in a critical or unstable medical condition, the ground or air ambulance shall transport the patient to the trauma center or closest emergency patient receiving facility appropriate to adequately treat the patient.
(2) If the patient's condition is not critical or unstable as determined by medical control, the ground or air ambulance may transport the patient to the:
(a) hospital, emergency patient receiving facility, licensed mental health facility, or other medical provider chosen by the patient and approved by medical control as appropriate for the patient's condition and needs; or
(b) nearest hospital, emergency patient receiving facility, licensed mental health facility, or other medical provider approved by medical control as appropriate for the patient's condition and needs if the patient expresses no preference.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 122 - Exemptions.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-122.
Exemptions.
(1) The following persons may provide emergency medical services to a patient without being licensed under this part:
(a) out-of-state emergency medical service personnel and providers in time of disaster;
(b) an individual who gratuitously acts as a Good Samaritan;
(c) a family member;
(d) a private business if emergency medical services are provided only to employees at the place of business and during transport;
(e) an agency of the United States government if compliance with this part would be inconsistent with federal law; and
(f) police, fire, and other public service personnel if:
(i) emergency medical services are rendered in the normal course of the person's duties; and
(ii) medical control, after being apprised of the circumstances, directs immediate transport.
(2) An ambulance or emergency response vehicle may operate without a permit issued under Section 26B-4-118 in time of disaster.
(3) Nothing in this part or Title 58, Occupations and Professions, may be construed as requiring a license for an individual to administer cardiopulmonary resuscitation or to use a fully automated external defibrillator under Section 26B-4-302.
(4) Nothing in this part may be construed as requiring a license, permit, or designation for an acute care hospital, medical clinic, physician's office, or other fixed medical facility that:
(a) is staffed by a physician, physician's assistant, nurse practitioner, or registered nurse; and
(b) treats an individual who has presented himself or was transported to the hospital, clinic, office, or facility.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 123 - Out-of-state vehicles.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-123.
Out-of-state vehicles.
(1) An ambulance or emergency response vehicle from another state may not pick up a patient in Utah to transport that patient to another location in Utah or to another state without a permit issued under Section 26B-2-318 and, in the case of an ambulance, a license issued under this part for ambulance and paramedic providers.
(2) Notwithstanding Subsection (1), an ambulance or emergency response vehicle from another state may, without a permit or license:
(a) transport a patient into Utah; and
(b) provide assistance in time of disaster.
(3) The department may enter into agreements with ambulance and paramedic providers and their respective licensing agencies from other states to assure the expeditious delivery of emergency medical services beyond what may be reasonably provided by licensed ambulance and paramedic providers, including the transportation of patients between states.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 125 - Background check requirements for emergency medical dispatchers.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-125.
Background check requirements for emergency medical dispatchers.
An emergency medical dispatcher seeking certification under Section 26B-4-116 shall undergo the background clearance process described in Section 26B-4-124 unless the emergency medical dispatcher can demonstrate that the emergency medical dispatcher has received and currently holds an approved Department of Public Safety background clearance.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 126 - Discrimination prohibited.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-126.
Discrimination prohibited.
(1) No person licensed or designated pursuant to this part may discriminate in the provision of emergency medical services on the basis of race, sex, color, creed, or prior inquiry as to ability to pay.
(2) This part does not authorize or require medical assistance or transportation over the objection of an individual on religious grounds.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 127 - Illegal activity.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-127.
Illegal activity.
(1) Except as provided in Section 26B-4-104 or 26B-4-122, a person may not:
(a) practice or engage in the practice, represent that the person is practicing or engaging in the practice, or attempt to practice or engage in the practice of any activity that requires a license, certification, or designation under this part unless that person is licensed, certified, or designated under this part; or
(b) offer an emergency medical service that requires a license, certification, or designation under this part unless the person is licensed, certified, or designated under this part.
(2) A person may not advertise or represent that the person holds a license, certification, or designation required under this part, unless that person holds the license, certification, or designation under this part.
(3) A person may not employ or permit any employee to perform any service for which a license or certification is required by this part, unless the person performing the service possesses the required license or certification under this part.
(4) A person may not wear, display, sell, reproduce, or otherwise use any Utah Emergency Medical Services insignia without authorization from the department.
(5) A person may not reproduce or otherwise use materials developed by the department for licensure or certification testing or examination without authorization from the department.
(6) A person may not willfully summon an ambulance or emergency response vehicle or report that one is needed when the person knows that the ambulance or emergency response vehicle is not needed.
(7) A person who violates this section is subject to Section 26B-1-224.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 128 - Prohibition on the use of "911".

Effective 5/3/2023
Superseded 7/1/2024
26B-4-128.
Prohibition on the use of "911".
(1) As used in this section:
(a) "Emergency services" means services provided by a person in response to an emergency.
(b) "Emergency services" includes:
(i) fire protection services;
(ii) paramedic services;
(iii) law enforcement services;
(iv) 911 ambulance or paramedic services; and
(v) any other emergency services.
(2) A person may not use "911" or other similar sequence of numbers in the person's name with the purpose to deceive the public that the person operates or represents emergency services, unless the person is authorized to provide emergency services.
(3) A violation of Subsection (2) is:
(a) a class C misdemeanor; and
(b) subject to a fine of up to $500 per violation.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 129 - Discipline of emergency medical services personnel.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-129.
Discipline of emergency medical services personnel.
(1) The department may refuse to issue a license or renewal, or revoke, suspend, restrict, or place on probation an individual's license if:
(a) the individual does not meet the qualifications for licensure under Section 26B-4-116;
(b) the individual has engaged in conduct, as defined by committee rule, that:
(i) is unprofessional;
(ii) is adverse to the public health, safety, morals, or welfare; or
(iii) would adversely affect public trust in the emergency medical service system;
(c) the individual has violated Section 26B-4-127 or other provision of this part;
(d) the individual has violated Section 58-1-509;
(e) a court of competent jurisdiction has determined the individual to be mentally incompetent for any reason; or
(f) the individual is unable to provide emergency medical services with reasonable skill and safety because of illness, drunkenness, use of drugs, narcotics, chemicals, or any other type of material, or as a result of any other mental or physical condition, when the individual's condition demonstrates a clear and unjustifiable threat or potential threat to oneself, coworkers, or the public health, safety, or welfare that cannot be reasonably mitigated.
(2)
(a) An action to revoke, suspend, restrict, or place a license on probation shall be done in:
(i) consultation with the peer review board created in Section 26B-4-102; and
(ii) accordance with Title 63G, Chapter 4, Administrative Procedures Act.
(b) Notwithstanding Subsection (2)(a), the department may issue a cease and desist order under Section 26B-4-133 to immediately suspend an individual's license pending an administrative proceeding to be held within 30 days if there is evidence to show that the individual poses a clear, immediate, and unjustifiable threat or potential threat to the public health, safety, or welfare.
(3) An individual whose license has been suspended, revoked, or restricted may apply for reinstatement of the license at reasonable intervals and upon compliance with any conditions imposed upon the license by statute, committee rule, or the terms of the suspension, revocation, or restriction.
(4) In addition to taking disciplinary action under Subsection (1), the department may impose sanctions in accordance with Section 26B-1-224.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 130 - Discipline of designated and licensed providers.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-130.
Discipline of designated and licensed providers.
(1) The department may refuse to issue a license or designation or a renewal, or revoke, suspend, restrict, or place on probation, an emergency medical service provider's license or designation if the provider has:
(a) failed to abide by terms of the license or designation;
(b) violated statute or rule;
(c) failed to provide services at the level or in the exclusive geographic service area required by the license or designation;
(d) failed to submit a renewal application in a timely fashion as required by department rule;
(e) failed to follow operational standards established by the committee; or
(f) committed an act in the performance of a professional duty that endangered the public or constituted gross negligence.
(2)
(a) An action to revoke, suspend, restrict, or place a license or designation on probation shall be done in accordance with Title 63G, Chapter 4, Administrative Procedures Act.
(b) Notwithstanding Subsection (2)(a), the department may issue a cease and desist order under Section 26B-4-133 to immediately suspend a license or designation pending an administrative proceeding to be held within 30 days if there is evidence to show that the provider or facility poses a clear, immediate, and unjustifiable threat or potential threat to the public health, safety, or welfare.
(3) In addition to taking disciplinary action under Subsection (1), the department may impose sanctions in accordance with Section 26B-1-224.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 131 - Service interruption or cessation -- Receivership -- Default coverage -- Notice.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-131.
Service interruption or cessation -- Receivership -- Default coverage -- Notice.
(1) Acting in the public interest, the department may petition the district court where an ambulance or paramedic provider operates or the district court with jurisdiction in Salt Lake County to appoint the department or an independent receiver to continue the operations of a provider upon any one of the following conditions:
(a) the provider ceases or intends to cease operations;
(b) the provider becomes insolvent;
(c) the department has initiated proceedings to revoke the provider's license and has determined that the lives, health, safety, or welfare of the population served within the provider's exclusive geographic service area are endangered because of the provider's action or inaction pending a full hearing on the license revocation; or
(d) the department has revoked the provider's license and has been unable to adequately arrange for another provider to take over the provider's exclusive geographic service area.
(2) If a licensed or designated provider ceases operations or is otherwise unable to provide services, the department may arrange for another licensed provider to provide services on a temporary basis until a license is issued.
(3) A licensed provider shall give the department 30 days' notice of its intent to cease operations.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 132 - Investigations for enforcement of part.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-132.
Investigations for enforcement of part.
(1) The department may, for the purpose of ascertaining compliance with the provisions of this part, enter and inspect on a routine basis the business premises and equipment of a person:
(a) with a designation, permit, or license; or
(b) who holds himself out to the general public as providing a service for which a designation, permit, or license is required under Section 26B-4-115.
(2) Before conducting an inspection under Subsection (1), the department shall, after identifying the person in charge:
(a) give proper identification;
(b) describe the nature and purpose of the inspection; and
(c) if necessary, explain the authority of the department to conduct the inspection.
(3) In conducting an inspection under Subsection (1), the department may, after meeting the requirements of Subsection (2):
(a) inspect records, equipment, and vehicles; and
(b) interview personnel.
(4) An inspection conducted under Subsection (1) shall be during regular operational hours.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 133 - Cease and desist orders.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-133.
Cease and desist orders.
The department may issue a cease and desist order to any person who:
(1) may be disciplined under Section 26B-4-129 or 26B-4-130; or
(2) otherwise violates this part or any rules adopted under this part.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 135 - Notification of air ambulance policies and charges.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-135.
Notification of air ambulance policies and charges.
(1) For any patient who is in need of air medical transport provider services, an emergency medical service provider shall:
(a) provide the patient or the patient's representative with the information described in Subsection 26B-1-405(7)(a) before contacting an air medical transport provider; and
(b) if multiple air medical transport providers are capable of providing the patient with services, provide the patient or the patient's representative an opportunity to choose the air medical transport provider.
(2) Subsection (1) does not apply if the patient:
(a) is unconscious and the patient's representative is not physically present with the patient; or
(b) is unable, due to a medical condition, to make an informed decision about the choice of an air medical transport provider, and the patient's representative is not physically present with the patient.
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 150 - State regulation of emergency medical services market -- License term.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-150.
State regulation of emergency medical services market -- License term.
(1) To ensure emergency medical service quality and minimize unnecessary duplication, the department shall regulate the emergency medical services market by creating and operating a statewide system that:
(a) consists of exclusive geographic service areas as provided in Section 26B-4-151; and
(b) establishes maximum rates as provided in Section 26B-4-152.
(2) A license issued or renewed under Sections 26B-4-150 through 26B-4-170 is valid for four years.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 151 - Exclusive geographic service areas.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-151.
Exclusive geographic service areas.
(1) Each ground ambulance provider license issued under Sections 26B-4-150 through 26B-4-170 shall be for an exclusive geographic service area as described in the license. Only the licensed ground ambulance provider may respond to an ambulance request that originates within the provider's exclusive geographic service area, except as provided in Subsection (5) and Section 26B-4-170.
(2) Each paramedic provider license issued under Sections 26B-4-150 through 26B-4-170 shall be for an exclusive geographic service area as described in the license. Only the licensed paramedic provider may respond to a paramedic request that originates within the exclusive geographic service area, except as provided in Subsection (6) and Section 26B-4-170.
(3) Nothing in this section may be construed as either requiring or prohibiting that the formation of boundaries in a given location be the same for a licensed paramedic provider and a licensed ambulance provider.
(4)
(a) A licensed ground ambulance or paramedic provider may, as necessary, enter into a mutual aid agreement to allow another licensed provider to give assistance in times of unusual demand, as that term is defined by the committee in rule.
(b) A mutual aid agreement shall include a formal written plan detailing the type of assistance and the circumstances under which it would be given.
(c) The parties to a mutual aid agreement shall submit a copy of the agreement to the department.
(d) Notwithstanding this Subsection (4), a licensed provider may not subcontract with another entity to provide services in the licensed provider's exclusive geographic service area.
(5) Notwithstanding Subsection (1), a licensed ground ambulance provider may respond to an ambulance request that originates from the exclusive geographic area of another provider:
(a) pursuant to a mutual aid agreement;
(b) to render assistance on a case-by-case basis to that provider; and
(c) as necessary to meet needs in time of disaster or other major emergency.
(6) Notwithstanding Subsection (2), a licensed paramedic provider may respond to a paramedic request that originates from the exclusive geographic area of another provider:
(a) pursuant to a mutual aid agreement;
(b) to render assistance on a case-by-case basis to that provider; and
(c) as necessary to meet needs in time of disaster or other major emergency.
(7) The department may, upon the renewal of a license, align the boundaries of an exclusive geographic area with the boundaries of a political subdivision:
(a) if the alignment is practical and in the public interest;
(b) if each licensed provider that would be affected by the alignment agrees to the alignment; and
(c) taking into consideration the requirements of:
(i) Section 11-48-103; and
(ii) Section 26B-4-162.
Renumbered and Amended by Chapter 307, 2023 General Session
2023 Utah Code › Title 26B - Utah Health and Human Services Code › Chapter 4 - Health Care - Delivery and Access › Part 1 - Utah Emergency Medical Services System › Section 152 - Establishment of maximum rates.

Effective 5/3/2023
Superseded 7/1/2024
26B-4-152.
Establishment of maximum rates.
(1) The department shall, after receiving recommendations under Subsection (2), establish maximum rates for ground ambulance providers and paramedic providers that are just and reasonable.
(2) The committee may make recommendations to the department on the maximum rates that should be set under Subsection (1).
(3)
(a) The department shall prohibit ground ambulance providers and paramedic providers from charging fees for transporting a patient when the provider does not transport the patient.
(b) The provisions of Subsection (3)(a) do not apply to ambulance providers or paramedic providers in a geographic service area which contains a town as defined in Subsection 10-2-301(2)(f).
Renumbered and Amended by Chapter 307, 2023 General Session