Download Zipped Introduced WordPerfect SB0214.ZIP
[Status][Bill Documents][Fiscal Note][Bills Directory]

S.B. 214

             1     

CERTIFICATE OF NEED FOR CERTAIN

             2     
AMBULANCE SERVICES

             3     
2007 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Darin G. Peterson

             6     
House Sponsor: Stephen H. Urquhart

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill amends the Utah Emergency Medical Services System Act.
             11      Highlighted Provisions:
             12          This bill:
             13          .    creates definitions for:
             14              .    911 ambulance services and non-911 ambulance services;
             15              .    a nonemergency medical condition; and
             16              .    nonemergency medical services;
             17          .    establishes a process by which an ambulance provider may apply for a nonexclusive
             18      license for non-911 ambulance services within a geographic service area in which
             19      the political subdivision is not providing non-911 ambulance services;
             20          .    requires an applicant for a nonexclusive license for non-911 ambulance services to
             21      comply with certain provisions of the chapter, including the certificate of need
             22      requirements;
             23          .    provides for supervision of the licensee and renewal of the license; and
             24          .    prohibits certain conduct related to solicitation of business.
             25      Monies Appropriated in this Bill:
             26          None
             27      Other Special Clauses:


             28          None
             29      Utah Code Sections Affected:
             30      AMENDS:
             31          26-8a-102, as last amended by Chapter 305, Laws of Utah 2000
             32          26-8a-401, as enacted by Chapter 141, Laws of Utah 1999
             33          26-8a-402, as last amended by Chapter 1, Laws of Utah 2000
             34          26-8a-404, as last amended by Chapter 213, Laws of Utah 2003
             35          26-8a-405.1, as last amended by Chapter 60, Laws of Utah 2006
             36          26-8a-405.2, as last amended by Chapters 25 and 205, Laws of Utah 2005
             37          26-8a-413, as last amended by Chapter 213, Laws of Utah 2003
             38          26-8a-502, as last amended by Chapter 1, Laws of Utah 2000
             39      ENACTS:
             40          26-8a-405.4, Utah Code Annotated 1953
             41     
             42      Be it enacted by the Legislature of the state of Utah:
             43          Section 1. Section 26-8a-102 is amended to read:
             44           26-8a-102. Definitions.
             45          As used in this chapter:
             46          (1) "911 ambulance services" means ground, air, or water transportation services
             47      provided by an ambulance provider in response to:
             48          (a) a request made through a designated dispatch center that receives 911 or E-911
             49      calls; or
             50          (b) an emergency medical condition.
             51          [(1)] (2) "Ambulance" means a ground, air, or water vehicle that:
             52          (a) transports patients and is used to provide:
             53          (i) emergency medical services; [and] or
             54          (ii) nonemergency medical services; and
             55          (b) is required to obtain a permit under Section 26-8a-304 to operate in the state.
             56          [(2)] (3) "Ambulance provider" means [an emergency medical] a service provider that:
             57          (a) transports and provides emergency medical [care] services or nonemergency
             58      medical services to patients; and


             59          (b) is required to obtain a license under Part 4, Ambulance and Paramedic Providers.
             60          [(3)] (4) "Committee" means the State Emergency Medical Services Committee
             61      created by Section 26-1-7 .
             62          [(4)] (5) "Direct medical observation" means in-person observation of a patient by a
             63      physician, registered nurse, physician's assistant, or individual certified under Section
             64      26-8a-302 .
             65          [(5)] (6) "Emergency medical condition" means:
             66          (a) a medical condition that manifests itself by symptoms of sufficient severity,
             67      including severe pain, that a prudent layperson, who possesses an average knowledge of health
             68      and medicine, could reasonably expect the absence of immediate medical attention to result in:
             69          (i) placing the individual's health in serious jeopardy;
             70          (ii) serious impairment to bodily functions; [or]
             71          (iii) serious dysfunction of any bodily organ or part; or
             72          (iv) a sudden onset or negative change in a person's medical condition; or
             73          (b) a medical condition that in the opinion of a physician or his designee requires direct
             74      medical observation during transport or may require the intervention of an individual certified
             75      under Section 26-8a-302 during transport.
             76          [(6)] (7) "Emergency medical service personnel":
             77          (a) means an individual who provides emergency medical services to a patient and is
             78      required to be certified under Section 26-8a-302 ; and
             79          (b) includes a paramedic, medical director of a licensed emergency medical service
             80      provider, emergency medical service instructor, and other categories established by the
             81      committee.
             82          [(7) "Emergency medical service providers" means:]
             83          [(a) licensed ambulance providers and paramedic providers;]
             84          [(b) a facility or provider that is required to be designated under Section 26-8a-303 ;
             85      and]
             86          [(c) emergency medical service personnel.]
             87          (8) "Emergency medical services" means medical services, transportation services, or
             88      both rendered to a patient suffering from an emergency medical condition.
             89          [(10)] (9) "Interested party" means:


             90          (a) a licensed or designated emergency medical services provider that provides
             91      emergency medical services within or in an area that abuts an exclusive geographic service area
             92      that is the subject of an application submitted pursuant to Part 4, Ambulance and Paramedic
             93      Providers;
             94          (b) any municipality, county, or fire district that lies within or abuts a geographic
             95      service area that is the subject of an application submitted pursuant to Part 4, Ambulance and
             96      Paramedic Providers; or
             97          (c) the department when acting in the interest of the public.
             98          [(11)] (10) "Medical control" means a person who provides medical supervision to an
             99      emergency medical service provider.
             100          (11) "Medical service provider" means:
             101          (a) a licensed ambulance provider and paramedic provider;
             102          (b) a facility or provider that is required to be designated under Section 26-8a-303 ; and
             103          (c) emergency medical service personnel.
             104          [(9) "Emergency medical] (12) "Medical service vehicle" means a land, air, or water
             105      vehicle that is:
             106          (a) maintained and used for the transportation of emergency medical personnel,
             107      medical service providers, equipment, and supplies to the scene of a medical emergency; and
             108          (b) required to be permitted under Section 26-8a-304 .
             109          (13) "Non-911 ambulance services":
             110          (a) means ground, air, or water transportation services or standby services provided by
             111      an ambulance provider in response to a request made to any person other than through a
             112      designated dispatch center that receives 911 or E-911 calls; and
             113          (b) includes:
             114          (i) convalescent transports; and
             115          (ii) interfacility transportation, when arranged by the patient, the patient's
             116      representative, or a transferring physician or facility for a patient, from a:
             117          (A) hospital;
             118          (B) nursing facility;
             119          (C) emergency patient receiving facility;
             120          (D) mental health facility; or


             121          (E) other medical facility.
             122          (14) "Nonemergency medical condition" means:
             123          (a) a medical condition that does not constitute an emergency medical condition but
             124      that requires or may require assistance from a medical service provider; or
             125          (b) a medical condition that in the opinion of a physician or the physician's designee
             126      requires or may require transport by a licensed ambulance provider or intervention of an
             127      individual certified under Section 26-8a-302 during transport.
             128          (15) "Nonemergency medical services" means medical services, transportation
             129      services, or both rendered to a patient with a nonemergency medical condition.
             130          [(12)] (16) "Paramedic provider" means an entity that:
             131          (a) employs emergency medical service personnel; and
             132          (b) is required to obtain a license under Part 4, Ambulance and Paramedic Providers.
             133          [(13)] (17) "Patient" means an individual who, as the result of illness or injury, meets
             134      any of the criteria in Section 26-8a-305 .
             135          [(14)] (18) "Trauma" means an injury requiring immediate medical or surgical
             136      intervention.
             137          [(15)] (19) "Trauma system" means a single, statewide system that:
             138          (a) organizes and coordinates the delivery of trauma care within defined geographic
             139      areas from the time of injury through transport and rehabilitative care; and
             140          (b) is inclusive of all prehospital providers, hospitals, and rehabilitative facilities in
             141      delivering care for trauma patients, regardless of severity.
             142          [(16)] (20) "Triage" means the sorting of patients in terms of disposition, destination,
             143      or priority. For prehospital trauma victims, triage requires a determination of injury severity to
             144      assess the appropriate level of care according to established patient care protocols.
             145          [(17)] (21) "Triage, treatment, transportation, and transfer guidelines" means written
             146      procedures that:
             147          (a) direct the care of patients; and
             148          (b) are adopted by the medical staff of an emergency patient receiving facility, trauma
             149      center, or an emergency medical service provider.
             150          Section 2. Section 26-8a-401 is amended to read:
             151           26-8a-401. State regulation of emergency medical services market.


             152          (1) To ensure emergency medical service quality and minimize unnecessary
             153      duplication, the department shall regulate the emergency medical service market after October
             154      1, 1999, by creating and operating a statewide system that:
             155          (a) except as allowed by Section 26-8a-405.4 , consists of exclusive geographic service
             156      areas as provided in Section 26-8a-402 ; and
             157          (b) establishes maximum rates as provided in Section 26-8a-403 .
             158          (2) (a) All licenses issued prior to July 1, 1996, shall expire as stated in the license.
             159          (b) If no expiration date is stated on a license issued before July 1, 1996, the license
             160      shall expire on October 1, 1999, unless:
             161          (i) the license holder requests agency action before August 1, 1999; and
             162          (ii) before October 1, 1999, the department:
             163          (A) finds the license has been used as the basis for responding to requests for
             164      ambulance or paramedic services during the past five years;
             165          (B) identifies one or more specific geographic areas covered by the license in which the
             166      license holder has actively and adequately responded as the primary provider to requests for
             167      ambulance or paramedic services during the past five years; and
             168          (C) determines that the continuation of a license in a specific geographic area identified
             169      in Subsection (2)(b)(ii)(B) satisfies:
             170          (I) the standards established pursuant to Subsection 26-8a-404 (2); and
             171          (II) the requirement of public convenience and necessity.
             172          (c) If the department finds that a license meets the requirements of Subsection (2)(b),
             173      the department shall amend the license to reflect:
             174          (i) the specific geographic area of the license; and
             175          (ii) a four-year term extension.
             176          (d) Before July 1, 1999, the department shall publish notice once a week for four
             177      consecutive weeks of the expiration of licenses pursuant to Subsection (2)(b) in a newspaper of
             178      general circulation in the state.
             179          (e) Nothing in this Subsection (2) may be construed as restricting the authority of the
             180      department to amend overlapping licenses pursuant to Section 26-8a-416 .
             181          (3) After October 1, 1999, new licenses and license renewals shall be for a four-year
             182      term.


             183          Section 3. Section 26-8a-402 is amended to read:
             184           26-8a-402. Exclusive geographic service areas.
             185          (1) [Each] Except as provided in Section 26-8a-405.4 , each ground ambulance provider
             186      license issued under this part shall be for an exclusive geographic service area as described in
             187      the license. Only [the] a licensed ground ambulance provider may respond to an ambulance
             188      request that originates within the provider's exclusive geographic service area, except as
             189      provided in Subsection (5) and Section 26-8a-416 .
             190          (2) Each paramedic provider license issued under this part shall be for an exclusive
             191      geographic service area as described in the license. Only the licensed paramedic provider may
             192      respond to a paramedic request that originates within the exclusive geographic service area,
             193      except as provided in Subsection (6) and Section 26-8a-416 .
             194          (3) Nothing in this section may be construed as either requiring or prohibiting that the
             195      formation of boundaries in a given location be the same for a licensed paramedic provider as it
             196      is for a licensed ambulance provider.
             197          (4) (a) A licensed ground ambulance or paramedic provider may, as necessary, enter
             198      into a mutual aid agreement to allow another licensed provider to give assistance in times of
             199      unusual demand, as that term is defined by the committee in rule.
             200          (b) A mutual aid agreement shall include a formal written plan detailing the type of
             201      assistance and the circumstances under which it would be given.
             202          (c) The parties to a mutual aid agreement shall submit a copy of the agreement to the
             203      department.
             204          (d) Notwithstanding this Subsection (4), a licensed provider may not subcontract with
             205      another entity to provide services in the licensed provider's exclusive geographic service area.
             206          (5) Notwithstanding Subsection (1), a licensed ground ambulance provider may
             207      respond to an ambulance request that originates from the exclusive geographic area of another
             208      provider:
             209          (a) pursuant to a mutual aid agreement;
             210          (b) to render assistance on a case-by-case basis to that provider; and
             211          (c) as necessary to meet needs in time of disaster or other major emergency.
             212          (6) Notwithstanding Subsection (2), a licensed paramedic provider may respond to a
             213      paramedic request that originates from the exclusive geographic area of another provider:


             214          (a) pursuant to a mutual aid agreement;
             215          (b) to render assistance on a case-by-case basis to that provider; and
             216          (c) as necessary to meet needs in time of disaster or other major emergency.
             217          Section 4. Section 26-8a-404 is amended to read:
             218           26-8a-404. Ground ambulance and paramedic licenses -- Application and
             219      department review.
             220          (1) Except as provided in Section 26-8a-413 , an applicant for a ground ambulance or
             221      paramedic license shall apply to the department for a license only by:
             222          (a) submitting a completed application;
             223          (b) providing information in the format required by the department; and
             224          (c) paying the required fees, including the cost of the hearing officer.
             225          (2) The department shall make rules establishing minimum qualifications and
             226      requirements for:
             227          (a) personnel;
             228          (b) capital reserves;
             229          (c) equipment;
             230          (d) a business plan;
             231          (e) operational procedures;
             232          (f) medical direction agreements;
             233          (g) management and control; and
             234          (h) other matters that may be relevant to an applicant's ability to provide ground
             235      ambulance or paramedic service.
             236          (3) An application for a license to provide ground ambulance service or paramedic
             237      service shall be for all ground ambulance services or paramedic services arising within the
             238      geographic service area, except that an applicant may apply for a license:
             239          (a) for less than all ground ambulance services or all paramedic services arising within
             240      an exclusive geographic area if it can demonstrate how the remainder of that area will be
             241      served[.]; or
             242          (b) for less than all ground ambulance services pursuant to Section 26-8a-405.4 if it
             243      can demonstrate how the remainder of the area for which it seeks a license will be served.
             244          (4) (a) A ground ambulance service licensee may apply to the department for a license


             245      to provide a higher level of service as defined by department rule if:
             246          (i) the application for the license is limited to non-911 ambulance or paramedic
             247      services; and
             248          (ii) the application includes:
             249          (A) a copy of the new treatment protocols for the higher level of service approved by
             250      the off-line medical director;
             251          (B) an assessment of field performance by the applicant's off-line director; and
             252          (C) an updated plan of operation demonstrating the ability of the applicant to provide
             253      the higher level of service.
             254          (b) If the department determines that the applicant has demonstrated the ability to
             255      provide the higher level of service in accordance with Subsection (4)(a), the department shall
             256      issue a revised license reflecting the higher level of service and the requirements of Section
             257      26-8a-408 do not apply.
             258          (5) Upon receiving a completed application and the required fees, the department shall
             259      review the application and determine whether the application meets the minimum
             260      qualifications and requirements for licensure.
             261          (6) The department may deny an application if it finds that it contains any materially
             262      false or misleading information, is incomplete, or if the application demonstrates that the
             263      applicant fails to meet the minimum qualifications and requirements for licensure under
             264      Subsection (2).
             265          (7) If the department denies an application, it shall notify the applicant in writing
             266      setting forth the grounds for the denial. A denial may be appealed under Title 63, Chapter 46b,
             267      Administrative Procedures Act.
             268          Section 5. Section 26-8a-405.1 is amended to read:
             269           26-8a-405.1. Selection of 911 ambulance service provider by political subdivision.
             270          (1) For purposes of this section and Sections 26-8a-405.2 and 26-8a-405.3 :
             271          [(a) "911 ambulance or paramedic services" means either 911 ambulance service, or
             272      911 paramedic service, or both and:]
             273          [(i) means a 911 call received by a designated dispatch center that receives 911 or E911
             274      calls; and]
             275          [(ii) does not mean a seven digit telephone call received directly by an ambulance


             276      provider licensed under this chapter.]
             277          [(b)] (a) "Governing body" means:
             278          (i) in the case of a municipality or county, the elected council, commission, or other
             279      legislative body that is vested with the legislative power of the municipality;
             280          (ii) in the case of a special service district, local service district, or county service area,
             281      each elected council, commission, or other legislative body that is vested with the legislative
             282      power of the municipalities or counties that are members of the district or service area; and
             283          (iii) in the case of a special district for fire protection or interlocal entity, the board or
             284      other body vested with the power to adopt, amend, and repeal rules, bylaws, policies, and
             285      procedures for the regulation of its affairs and the conduct of its business.
             286          [(c)] (b) "Political subdivision" means:
             287          (i) a city or town located in a county of the first or second class as defined in Section
             288      17-50-501 ;
             289          (ii) a county of the first or second class;
             290          (iii) the following districts or service areas located in a county of the first or second
             291      class:
             292          (A) a special service district created under Title 17A, Chapter 2, Part 13, Utah Special
             293      Service District Act;
             294          (B) a local district created under Title 17B, Chapter 2, Local Districts, for the purpose
             295      of providing fire protection, paramedic, and emergency services; and
             296          (C) a county service area created under Title 17A, Chapter 2, Part 4, County Service
             297      Area Act, for the purpose of providing fire protection, paramedic, and emergency services; or
             298          (iv) areas coming together as described in Subsection 26-8a-405.2 (2)(b)(ii);
             299          (v) municipalities and counties joining together pursuant to Title 11, Chapter 13,
             300      Interlocal Cooperation Act; or
             301          (vi) a special district for fire protection as defined in Section 17A-2-1304 .
             302          (2) (a) Only an applicant approved under Section 26-8a-405 may respond to a request
             303      for a proposal for 911 ambulance or paramedic services issued in accordance with Section
             304      26-8a-405.2 by a political subdivision.
             305          (b) A response to a request for proposal is subject to the maximum rates established by
             306      the department under Section 26-8a-403 .


             307          (c) A political subdivision may award a contract to an applicant for the provision of
             308      911 ambulance or paramedic services:
             309          (i) in accordance with Section 26-8a-405.2 ; and
             310          (ii) subject to Subsection (3).
             311          (3) (a) The department shall issue a license to an applicant selected by a political
             312      subdivision under Subsection (2) unless the department finds that issuing a license to that
             313      applicant would jeopardize the health, safety, and welfare of the citizens of the geographic
             314      service area.
             315          (b) A license issued under this Subsection (3):
             316          (i) is for the exclusive geographic service area approved by the department in
             317      accordance with Subsection 26-8a-405.2 (2);
             318          (ii) is valid for four years;
             319          (iii) is not subject to a request for license from another applicant under the provisions
             320      of Sections 26-8a-406 through 26-8a-409 during the four-year term, unless the applicant's
             321      license is revoked under Section 26-8a-504 ; and
             322          (iv) is subject to supervision by the department under Sections 26-8a-503 and
             323      26-8a-504 .
             324          (4) Except as provided in Subsection 26-8a-405.3 (4)(a), the provisions of Sections
             325      26-8a-406 through 26-8a-409 do not apply to a license issued under this section.
             326          Section 6. Section 26-8a-405.2 is amended to read:
             327           26-8a-405.2. Selection of provider -- Request for competitive sealed proposal --
             328      Public convenience and necessity.
             329          (1) (a) A political subdivision may contract with an applicant approved under Section
             330      26-8a-404 to provide 911 ambulance or paramedic services for the geographic service area that
             331      is approved by the department in accordance with Subsection (2), if the political subdivision
             332      complies with the provisions of this section and Section 26-8a-405.3 .
             333          (b) The provisions of this section and Sections 26-8a-405.1 and 26-8a-405.3 do not
             334      require a political subdivision to issue a request for proposal for ambulance or paramedic
             335      services. If a political subdivision does not contract with an applicant in accordance with this
             336      section and Section 26-8a-405.3 , the provisions of Sections 26-8a-406 through 26-8a-409 apply
             337      to the issuance of a license for ambulance or paramedic services in the geographic service area


             338      that is within the boundaries of the political subdivision.
             339          (c) (i) For purposes of this Subsection (1)(c):
             340          (A) "local district" and "county service area" are defined in Subsection
             341      26-8a-405.1 (1)[(b)](a)(iii);
             342          (B) "participating municipality" means a city or town whose area is partly or entirely
             343      included within a county service area or local district; and
             344          (C) "participating county" means a county whose unincorporated area is partly or
             345      entirely included within a county service area or local district.
             346          (ii) A participating municipality or participating county may contract with a provider
             347      for 911 ambulance or paramedic service as provided in this section and Section 26-8a-405.3 .
             348          (iii) If the participating municipality or participating county contracts with a provider
             349      for 911 ambulance or paramedic services under this section and Section 26-8a-405.3 :
             350          (A) the county service area or local district is not obligated to provide the ambulance or
             351      paramedic services that are included in the contract between the participating municipality or
             352      the participating county and the 911 ambulance or paramedic provider;
             353          (B) the county service area and local district may impose taxes and obligations within
             354      the county service area or local district in the same manner as if the participating municipality
             355      or participating county were receiving all services offered by the local district or county service
             356      area; and
             357          (C) the participating municipality's and participating county's obligations to the local
             358      district or county service area are not diminished.
             359          (2) (a) The political subdivision shall submit the request for proposal and the exclusive
             360      geographic service area to be included in the request for proposal to the department for
             361      approval prior to issuing the request for proposal. The department shall approve the request for
             362      proposal and the exclusive geographic service area:
             363          (i) unless the geographic service area creates an orphaned area; and
             364          (ii) in accordance with Subsections (2)(b) and (c).
             365          (b) The exclusive geographic service area may:
             366          (i) include the entire geographic service area that is within the political subdivision's
             367      boundaries;
             368          (ii) include islands within or adjacent to other peripheral areas not included in the


             369      political subdivision that governs the geographic service area; or
             370          (iii) exclude portions of the geographic service area within the political subdivision's
             371      boundaries if another political subdivision or licensed provider agrees to include the excluded
             372      area within their license.
             373          (c) The proposed geographic service area for 911 ambulance or paramedic service must
             374      demonstrate that non-911 ambulance or paramedic service will be provided in the geographic
             375      service area, either by the current provider or providers as allowed in Section 26-8a-405.4 , the
             376      applicant, or some other method acceptable to the department. The department may consider
             377      the effect of the proposed geographic service area on the costs to the non-911 provider and that
             378      provider's ability to provide only non-911 services in the proposed area.
             379          Section 7. Section 26-8a-405.4 is enacted to read:
             380          26-8a-405.4. Competition for non-911 ambulance services.
             381          (1) In any geographic area where a political subdivision is not providing non-911
             382      ambulance services through a governmental or quasi-governmental agency, the department
             383      may issue more than one nonexclusive license to ambulance providers to provide non-911
             384      ambulance services within that geographic area.
             385          (2) Applicants for a license to provide non-911 ambulance services under Subsection
             386      (1) shall comply with:
             387          (a) the requirements of Section 26-8a-404 ; and
             388          (b) all requirements to be a licensed ambulance provider.
             389          (3) When issuing a license to provide non-911 ambulance services under Subsection
             390      (1), the department shall follow the requirements and procedures for issuing a license as set
             391      forth in Section 26-8a-404 and Sections 26-8a-406 through 26-8a-409 .
             392          (4) A license issued to a non-911 ambulance service provider pursuant to this section:
             393          (a) is a nonexclusive license;
             394          (b) shall be for a period of four years;
             395          (c) is subject to department supervision pursuant to Sections 26-8a-503 and 26-8a-504 ;
             396      and
             397          (d) may be renewed pursuant to Section 26-8a-413 .
             398          (5) A non-911 ambulance service provider licensed to provide non-911 ambulance
             399      services within a geographic area must provide non-911 ambulance services in response to a


             400      request for such services originating from within that geographic area unless:
             401          (a) another licensed non-911 ambulance service provider is responding to the request
             402      for non-911 ambulance services; or
             403          (b) the licensed non-911 ambulance service provider is not the only provider of
             404      non-911 ambulance services within that geographic area and lacks sufficient resources to
             405      respond to the request for non-911 ambulance services, provided that the non-911 ambulance
             406      service provider arranges for another ambulance provider to respond to the request.
             407          Section 8. Section 26-8a-413 is amended to read:
             408           26-8a-413. License renewals.
             409          (1) A licensed provider desiring to renew its license must meet the renewal
             410      requirements established by department rule.
             411          (2) The department shall issue a renewal license for a ground ambulance provider or a
             412      paramedic provider upon the licensee's application for a renewal and without a public hearing
             413      if there has been:
             414          (a) no change in controlling interest in the ownership of the licensee as defined in
             415      Section 26-8a-415 ;
             416          (b) no serious, substantiated public complaints filed with the department against the
             417      licensee during the term of the previous license;
             418          (c) no material or substantial change in the basis upon which the license was originally
             419      granted;
             420          (d) no reasoned objection from the committee or the department; and
             421          (e) if the applicant was licensed under the provisions of Sections 26-8a-406 through
             422      26-8a-409 , no conflicting license application.
             423          (3) (a) (i) The provisions of this Subsection (3) apply to a provider licensed under the
             424      provisions of Sections 26-8a-405.1 [and 26-8a-405.2 ] through 26-8a-405.4 .
             425          (ii) A provider may renew its license if the provisions of Subsections (1), (2)(a)
             426      through (d), and this Subsection (3) are met.
             427          (b) (i) The department shall issue a renewal license to a provider upon the provider's
             428      application for renewal for one additional four-year term if the political subdivision certifies to
             429      the department that the provider has met all of the specifications of the original bid.
             430          (ii) If the political subdivision does not certify to the department that the provider has


             431      met all of the specifications of the original bid, the department may not issue a renewal license
             432      and the political subdivision must enter into a public bid process under Sections 26-8a-405.1
             433      and 26-8a-405.2 .
             434          (c) (i) The department shall issue an additional renewal license to a provider who has
             435      already been issued a one-time renewal license under the provisions of Subsection (3)(b)(i) if
             436      the department and the political subdivision do not receive, prior to the expiration of the
             437      provider's license, written notice from an approved applicant informing the political
             438      subdivision of the approved applicant's desire to submit a bid for ambulance or paramedic
             439      service.
             440          (ii) If the department and the political subdivision receive the notice in accordance with
             441      Subsection (3)(c)(i), the department may not issue a renewal license and the political
             442      subdivision must enter into a public bid process under Sections 26-8a-405.1 and 26-8a-405.2 .
             443          (4) The department shall issue a renewal license for an air ambulance provider upon
             444      the licensee's application for renewal and completion of the renewal requirements established
             445      by department rule.
             446          Section 9. Section 26-8a-502 is amended to read:
             447           26-8a-502. Illegal activity.
             448          (1) Except as provided in Section 26-8a-308 , a person may not:
             449          (a) practice or engage in the practice, represent himself to be practicing or engaging in
             450      the practice, or attempt to practice or engage in the practice of any activity that requires a
             451      license, certification, or designation under this chapter unless that person is so licensed,
             452      certified, or designated; or
             453          (b) offer an emergency medical service that requires a license, certificate, or
             454      designation unless the person is so licensed, certified, or designated.
             455          (2) A person may not advertise or hold himself out as one holding a license,
             456      certification, or designation required under this chapter, unless that person holds the license,
             457      certification, or designation.
             458          (3) A person may not employ or permit any employee to perform any service for which
             459      a license or certificate is required by this chapter, unless the person performing the service
             460      possesses the required license or certificate.
             461          (4) A person may not wear, display, sell, reproduce, or otherwise use any Utah


             462      Emergency Medical Services insignia without authorization from the department.
             463          (5) A person may not reproduce or otherwise use materials developed by the
             464      department for certification or recertification testing or examination without authorization from
             465      the department.
             466          (6) A person may not willfully summon an ambulance or emergency response vehicle
             467      or report that one is needed when such person knows that the ambulance or emergency
             468      response vehicle is not needed.
             469          (7) (a) An ambulance provider may not:
             470          (i) solicit any person to use a seven-digit phone number to obtain transportation
             471      services from an ambulance provider for an emergency medical condition; or
             472          (ii) discourage any person from contacting a designated dispatch center that receives
             473      911 or E-911 calls in order to obtain transportation services from an ambulance provider for an
             474      emergency medical condition.
             475          (b) The provisions of this section do not apply to transports of patients from one
             476      hospital to another hospital for the treatment of an emergency medical condition.
             477          [(7)] (8) A person who violates this section is subject to Section 26-23-6 .




Legislative Review Note
    as of 1-25-07 6:37 AM


Office of Legislative Research and General Counsel


[Bill Documents][Bills Directory]