reglab/statecodes huggingface dataset:
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 2 - Programs, Plans, and Duties › Section 206 - Personnel stress management program.

Effective 7/1/2024
53-2d-206.
Personnel stress management program.
(1) The bureau shall develop and implement a statewide program to provide support and counseling for personnel who have been exposed to one or more stressful incidents in the course of providing emergency services.
(2) This program shall include:
(a) ongoing training for agencies providing emergency services and counseling program volunteers;
(b) critical incident stress debriefing for personnel at no cost to the emergency provider; and
(c) advising the department on training requirements for licensure as a behavioral emergency services technician.
(3) The department shall reimburse reasonable actual expenses, including mileage, incurred by a volunteer during the course of the volunteer's provision of critical incident stress services under this section.
Amended by Chapter 19, 2023 General Session
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 310, 2023 General Session
Amended by Chapter 327, 2023 General Session, (Coordination Clause)
Amended by Chapter 327, 2023 General Session
Technical renumber instructions from Coordination Clause.
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 2 - Programs, Plans, and Duties › Section 207 - Emergency Medical Services Grant Program.

Effective 7/1/2024
53-2d-207.
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 bureau under Subsection (1), the bureau 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 bureau administrative costs under this chapter; 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 bureau 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 bureau shall determine the grant amounts by prorating available funds on a per capita basis by county as described in bureau 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
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 2 - Programs, Plans, and Duties › Section 208 - Fees for training equipment rental, testing, and quality assurance reviews.

Effective 7/1/2024
53-2d-208.
Fees for training equipment rental, testing, and quality assurance reviews.
(1) The bureau may charge fees, established in accordance with Section 63J-1-504:
(a) for the use of bureau-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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 2 - Programs, Plans, and Duties › Section 209 - Regional Emergency Medical Services Liaisons -- Qualifications -- Duties.

Effective 7/1/2024
53-2d-209.
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 bureau 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 chapter;
(b) act as a liaison between the bureau 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 53-2e-101; or
(ii) a paramedic as defined in Section 53-2e-101.
(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
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 2 - Programs, Plans, and Duties › Section 211 - Community paramedicine program.

Effective 7/1/2024
53-2d-211.
Community paramedicine program.
(1) A ground ambulance provider or a designated quick response provider, as designated in accordance with Section 53-2d-403, 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 bureau 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 bureau.
(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 53-2d-503.
(5) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and Section 53-2d-105, the committee shall make rules to implement this section.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 3 - Statewide Trauma System › Section 301 - Establishment of statewide trauma system.

Effective 7/1/2024
53-2d-301.
Establishment of statewide trauma system.
The bureau 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 3 - Statewide Trauma System › Section 302 - Trauma system advisory committee.

Effective 7/1/2024
53-2d-302.
Trauma system advisory committee.
(1) There is created within the bureau the Trauma System Advisory Committee.
(2)
(a) The committee shall be comprised of individuals knowledgeable in adult or pediatric trauma care, including physicians, physician assistants, nurses, hospital administrators, emergency medical services personnel, government officials, consumers, and persons affiliated with professional health care associations.
(b) Representation on the committee shall be broad and balanced among the health care delivery systems in the state with no more than three representatives coming from any single delivery system.
(3) The committee shall:
(a) advise the bureau regarding trauma system needs throughout the state;
(b) assist the bureau in evaluating the quality and outcomes of the overall trauma system;
(c) review and comment on proposals and rules governing the statewide trauma system; and
(d) make recommendations for the development of statewide triage, treatment, transportation, and transfer guidelines.
(4) The bureau shall:
(a) determine, by rule, the term and causes for removal of committee members;
(b) establish committee procedures and administration policies consistent with this chapter and department rule; and
(c) provide administrative support to the committee.
Renumbered and Amended by Chapter 305, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 3 - Statewide Trauma System › Section 303 - Department duties.

Effective 7/1/2024
53-2d-303.
Department duties.
In connection with the statewide trauma system established in Section 53-2d-301, the bureau 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 53-2d-304;
(f) establishing trauma center designation requirements in accordance with Section 53-2d-305; 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 3 - Statewide Trauma System › Section 304 - Statewide trauma registry and quality assurance program.

Effective 7/1/2024
53-2d-304.
Statewide trauma registry and quality assurance program.
(1) The bureau 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 bureau, personnel for collection and abstraction for each hospital not designated as a trauma center under the standards established pursuant to Section 53-2d-305.
(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 53-2d-303.
(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 Title 26B, 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 3 - Statewide Trauma System › Section 305 - Trauma center designations and guidelines.

Effective 7/1/2024
53-2d-305.
Trauma center designations and guidelines.
(1) The bureau, 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 bureau 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 401 - General requirement.

Effective 7/1/2024
53-2d-401.
General requirement.
(1) Except as provided in Section 53-2d-408 or 53-2d-801:
(a) an individual may not provide emergency medical services without a license or certification issued under Section 53-2d-402;
(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 53-2d-403;
(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 53-2d-404; and
(d) an entity may not respond as an ambulance or paramedic provider without the appropriate license issued under Part 5, Ambulance and Paramedic Providers.
(2) Section 53-2d-602 applies to violations of this section.
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 402 - Licensure of emergency medical service personnel.

Effective 7/1/2024
53-2d-402.
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 bureau 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 bureau 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 53-2d-602, 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 53-2d-410.
(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 53-2d-410.5.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 403 - Designation of emergency medical service providers and nonemergency secured behavioral health transport providers.

Effective 7/1/2024
53-2d-403.
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 bureau 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 53-2d-602, 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 404 - Permits for emergency medical service vehicles and nonemergency secured behavioral health transport vehicles.

Effective 7/1/2024
53-2d-404.
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 bureau for all ambulances and emergency medical response vehicle operators.
(2) The bureau 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 405 - Ambulance license required for emergency medical transport.

Effective 7/1/2024
53-2d-405.
Ambulance license required for emergency medical transport.
Except as provided in Section 53-2d-408, only an ambulance operating under a permit issued under Section 53-2d-404 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 406 - Medical control.

Effective 7/1/2024
53-2d-406.
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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 407 - Patient destination.

Effective 7/1/2024
53-2d-407.
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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 408 - Exemptions.

Effective 7/1/2024
53-2d-408.
Exemptions.
(1) The following persons may provide emergency medical services to a patient without being licensed under this chapter:
(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 chapter 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 53-2d-404 in time of disaster.
(3) Nothing in this chapter 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 53-2d-801.
(4) Nothing in this chapter 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.
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 409 - Out-of-state vehicles.

Effective 7/1/2024
53-2d-409.
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 53-2d-404 and, in the case of an ambulance, a license issued under Part 5, 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 bureau 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.
Amended by Chapter 307, 2023 General Session, (Coordination Clause)
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 4 - Certificates, Designations, Permits, and Licenses › Section 410.5 - Background check requirements for emergency medical dispatchers.

Effective 7/1/2024
53-2d-410.5.
Background check requirements for emergency medical dispatchers.
An emergency medical dispatcher seeking certification under Section 53-2d-402 shall undergo the background clearance process described in Section 53-2d-410 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 501 - State regulation of emergency medical services market -- License term.

Effective 7/1/2024
53-2d-501.
State regulation of emergency medical services market -- License term.
(1) To ensure emergency medical service quality and minimize unnecessary duplication, the bureau 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 53-2d-502; and
(b) establishes maximum rates as provided in Section 53-2d-503.
(2) A license issued or renewed under this part is valid for four years.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 502 - Exclusive geographic service areas.

Effective 7/1/2024
53-2d-502.
Exclusive geographic service areas.
(1)
(a) Each ground ambulance provider license issued under this part shall be for an exclusive geographic service area as described in the license.
(b) 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 53-2d-516.
(2)
(a) Each paramedic provider license issued under this part shall be for an exclusive geographic service area as described in the license.
(b) 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 53-2d-516.
(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 bureau 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 53-2d-508.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 503 - Establishment of maximum rates.

Effective 7/1/2024
53-2d-503.
Establishment of maximum rates.
(1) The bureau 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 bureau on the maximum rates that should be set under Subsection (1).
(3)
(a) The bureau 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
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 505 - Ground ambulance and paramedic licenses -- Agency notice of approval.

Effective 7/1/2024
53-2d-505.
Ground ambulance and paramedic licenses -- Agency notice of approval.
(1) If the bureau determines that the application meets the minimum requirements for licensure under Section 53-2d-504, the bureau shall issue a notice of the approved application to the applicant.
(2) A current license holder responding to a request for proposal under Section 53-2d-505.2 is considered an approved applicant for purposes of Section 53-2d-505.2 if the current license holder, prior to responding to the request for proposal, submits the following to the department:
(a) the information described in Subsections 53-2d-504(4)(a)(i) through (iii); and
(b)
(i) if the license holder is a private entity, a financial statement, a pro forma budget and necessary letters of credit demonstrating a financial ability to expand service to a new service area; or
(ii) if the license holder is a governmental entity, a letter from the governmental entity's governing body demonstrating the governing body's willingness to financially support the application.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 506 - Ground ambulance and paramedic licenses -- Parties.

Effective 7/1/2024
53-2d-506.
Ground ambulance and paramedic licenses -- Parties.
(1) When an applicant approved under Section 53-2d-504 seeks licensure under the provisions of Sections 53-2d-506 through 53-2d-509, the bureau shall:
(a) issue a notice of agency action to the applicant to commence an informal administrative proceeding;
(b) provide notice of the application to all interested parties; and
(c) publish notice of the application, at the applicant's expense:
(i) once a week for four consecutive weeks, in a newspaper of general circulation in the geographic service area that is the subject of the application; and
(ii) in accordance with Section 45-1-101 for four weeks.
(2) An interested party has 30 days to object to an application.
(3) If an interested party objects, the presiding officer shall join the interested party as an indispensable party to the proceeding.
(4) The bureau may join the proceeding as a party to represent the public interest.
(5) Others who may be affected by the grant of a license to the applicant may join the proceeding, if the presiding officer determines that they meet the requirement of legal standing.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 507 - Ground ambulance and paramedic licenses -- Proceedings.

Effective 7/1/2024
53-2d-507.
Ground ambulance and paramedic licenses -- Proceedings.
(1) The presiding officer shall:
(a) commence an informal adjudicative proceeding within 120 days of receiving a completed application;
(b) meet with the applicant and objecting interested parties and provide no less than 120 days for a negotiated resolution, consistent with the criteria in Section 53-2d-508;
(c) set aside a separate time during the proceedings to accept public comment on the application; and
(d) present a written decision to the executive director if a resolution has been reached that satisfies the criteria in Section 53-2d-508.
(2) At any time during an informal adjudicative proceeding under Subsection (1), any party may request conversion of the informal adjudicative proceeding to a formal adjudicative proceeding in accordance with Section 63G-4-202.
(3)
(a) Upon conversion to a formal adjudicative proceeding, a hearing officer shall be assigned to the application as provided in Section 53-2d-509.
(b) The hearing office shall:
(i) set aside a separate time during the proceedings to accept public comment on the application;
(ii) apply the criteria established in Section 53-2d-508; and
(iii) present a recommended decision to the executive director in writing.
(4) The executive director may, as set forth in a final written order, accept, modify, reject, or remand the decision of a presiding or hearing officer after:
(a) reviewing the record;
(b) giving due deference to the officer's decision; and
(c) determining whether the criteria in Section 53-2d-508 have been satisfied.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 509 - Ground ambulance and paramedic licenses -- Hearing and presiding officers.

Effective 7/1/2024
53-2d-509.
Ground ambulance and paramedic licenses -- Hearing and presiding officers.
(1) The bureau shall set training standards for hearing officers and presiding officers.
(2) At a minimum, a presiding officer shall:
(a) be familiar with the theory and application of public convenience and necessity; and
(b) have a working knowledge of the emergency medical service system in the state.
(3) In addition to the requirements in Subsection (2), a hearing officer shall also be licensed to practice law in the state.
(4) The bureau shall provide training for hearing officer and presiding officer candidates in the theory and application of public convenience and necessity and on the emergency medical system in the state.
(5) The bureau shall maintain a roster of no less than five individuals who meet the minimum qualifications for both presiding and hearing officers and the standards set by the bureau.
(6) The parties may mutually select an officer from the roster if the officer is available.
(7) If the parties cannot agree upon an officer under Subsection (4), the bureau shall randomly select an officer from the roster or from a smaller group of the roster agreed upon by the applicant and the objecting interested parties.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 510 - Local approvals.

Effective 7/1/2024
53-2d-510.
Local approvals.
(1) Licensed ambulance providers and paramedic providers shall meet all local zoning and business licensing standards generally applicable to businesses operating within the jurisdiction.
(2) Publicly subsidized providers shall demonstrate approval of the taxing authority that will provide the subsidy.
(3) A publicly operated service shall demonstrate that the governing body has approved the provision of services to the entire exclusive geographic service area that is the subject of the license, including those areas that may lie outside the territorial or jurisdictional boundaries of the governing body.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 511 - Limitation on repetitive applications.

Effective 7/1/2024
53-2d-511.
Limitation on repetitive applications.
A person who has previously applied for a license under Sections 53-2d-506 through 53-2d-509 may not apply for a license for the same service that covers any exclusive geographic service area that was the subject of the prior application unless:
(1) one year has passed from the date of the issuance of a final decision under Section 53-2d-507; or
(2) all interested parties and the department agree that a new application is in the public interest.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 512 - License for air ambulance providers.

Effective 7/1/2024
53-2d-512.
License for air ambulance providers.
(1) An applicant for an air ambulance provider shall apply to the bureau for a license only by:
(a) submitting a complete application;
(b) providing information in the format required by the bureau; and
(c) paying the required fees.
(2) The bureau may make rules establishing minimum qualifications and requirements for:
(a) personnel;
(b) capital reserves;
(c) equipment;
(d) business plan;
(e) operational procedures;
(f) resource hospital and medical direction agreements;
(g) management and control qualifications and requirements; and
(h) other matters that may be relevant to an applicant's ability to provide air ambulance services.
(3) Upon receiving a completed application and the required fees, the bureau shall review the application and determine whether the application meets the minimum requirements for licensure.
(4) The bureau may deny an application for an air ambulance if:
(a) the bureau finds that the application contains any materially false or misleading information or is incomplete;
(b) the application demonstrates that the applicant fails to meet the minimum requirements for licensure; or
(c) the bureau finds after inspection that the applicant does not meet the minimum requirements for licensure.
(5) If the bureau denies an application under this section, it shall notify the applicant in writing setting forth the grounds for the denial.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session
2023 Utah Code › Title 53 - Public Safety Code › Chapter 2d - Emergency Medical Services Act › Part 5 - Ambulance and Paramedic Providers › Section 513 - License renewals.

Effective 7/1/2024
53-2d-513.
License renewals.
(1) A licensed provider desiring to renew its license shall meet the renewal requirements established by bureau rule.
(2) The bureau shall issue a renewal license for a ground ambulance provider or a paramedic provider upon the licensee's application for a renewal and without a public hearing if:
(a) the applicant was licensed under the provisions of Sections 53-2d-506 through 53-2d-509; and
(b) there has been:
(i) no change in controlling interest in the ownership of the licensee as defined in Section 53-2d-515;
(ii) no serious, substantiated public complaints filed with the department against the licensee during the term of the previous license;
(iii) no material or substantial change in the basis upon which the license was originally granted;
(iv) no reasoned objection from the committee or the department; and
(v) no change to the license type.
(3)
(a)
(i) The provisions of this Subsection (3) apply to a provider licensed under the provisions of Sections 53-2d-505.1 and 53-2d-505.2.
(ii) A provider may renew its license if the provisions of Subsections (1) and (2) and this Subsection (3) are met.
(b)
(i) The bureau shall issue a renewal license to a provider upon the provider's application for renewal for one additional four-year term if the political subdivision certifies to the bureau that the provider has met all of the specifications of the original bid.
(ii) If the political subdivision does not certify to the bureau that the provider has met all of the specifications of the original bid, the bureau may not issue a renewal license and the political subdivision shall enter into a public bid process under Sections 53-2d-505.1 and 53-2d-505.2.
(c)
(i) The bureau shall issue an additional renewal license to a provider who has already been issued a one-time renewal license under the provisions of Subsection (3)(b)(i) if the bureau and the political subdivision do not receive, prior to the expiration of the provider's license, written notice from an approved applicant informing the political subdivision of the approved applicant's desire to submit a bid for ambulance or paramedic service.
(ii) If the bureau and the political subdivision receive the notice in accordance with Subsection (3)(c)(i), the bureau may not issue a renewal license and the political subdivision shall enter into a public bid process under Sections 53-2d-505.1 and 53-2d-505.2.
(4) The bureau shall issue a renewal license for an air ambulance provider upon the licensee's application for renewal and completion of the renewal requirements established by bureau rule.
Renumbered and Amended by Chapter 307, 2023 General Session
Renumbered and Amended by Chapter 310, 2023 General Session