Arizona 57th Legislature - First Regular Session Status: In Committee 4 R cosponsors

HB 2124 — hospitals; interfacility transport

Last action — DPA

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 57th Legislature - First Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

387 added · 341 removed

Plain-language change summary

The update to Bill HB 2124 adds specific language about "ambulance attendants" to clarify who can provide care during transport between hospitals. This includes registered nurses who may drive the ambulance or care for patients during these interfacility transports. These changes ensure that there are clear standards for the roles of medical professionals involved in patient transport, which is important for maintaining high-quality emergency care.

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Latest
Fifty-seventh Legislature Transportation & Infrastructure First Regular Session H.B.
House Engrossed hospitals;
2124 PROPOSED HOUSE OF REPRESENTATIVES AMENDMENTS TO H.B.
interfacility transport State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session HOUSE BILL 2124 AN ACT AMENDING SECTIONS 36-2201, 36-2233 AND 36-2236, ARIZONA REVISED STATUTES;
2124 (Reference to printed bill) Amendment instruction key:
AMENDING TITLE 36, CHAPTER 21.1, ARTICLE 2, ARIZONA REVISED STATUTES, BY ADDING SECTION 36-2248;
[GREEN UNDERLINING IN BRACKETS] indicates text added to statute or previously enacted session law.
RELATING TO EMERGENCY MEDICAL SERVICES.
[Green underlining in brackets] indicates text added to new session law or text restoring existing law.
(TEXT OF BILL BEGINS ON NEXT PAGE) - i - H.B.
[GREEN STRIKEOUT IN BRACKETS] indicates new text removed from statute or previously enacted session law.
2124 Be it enacted by the Legislature of the State of Arizona:
[Green strikeout in brackets] indicates text removed from existing statute, previously enacted session law or new session law.
<<Green carets>> indicate a section added to the bill.
<<Green strikeout in carets>> indicates a section removed from the bill.
The bill as proposed to be amended is reprinted as follows:
House Amendments to H.B.
5.
2124 5.
(a) An emergency medical technician, an advanced emergency medical technician, an emergency medical technician I-99 or a paramedic whose primary responsibility is the care of patients in an ambulance and who meets the standards and criteria adopted pursuant to section 36-2204.
(a) An emergency medical technician, an advanced emergency medical technician, an emergency medical technician I-99 or a paramedic whose - 1 - H.B.
2124 primary responsibility is the care of patients in an ambulance and who meets the standards and criteria adopted pursuant to section 36-2204.
-2- House Amendments to H.B.
11.
2124 11.
15.
- 2 - H.B.
2124 15.
-3- House Amendments to H.B.
19.
2124 19.
"Fit and proper" means that the director determines that an applicant for a certificate of necessity, A HOSPITAL PROVIDING INTERFACILITY TRANSPORT or a certificate holder has the expertise, integrity, fiscal competence and resources to provide ambulance service in the service area.
"Fit and proper" means that the director determines that an applicant for a certificate of necessity or a certificate holder has the expertise, integrity, fiscal competence and resources to provide ambulance service in the service area.
"HOSPITAL" MEANS A CLASS OF HEALTH CARE INSTITUTION AS DEFINED IN SECTION 36-401 THAT, THROUGH AN ORGANIZED MEDICAL STAFF, PROVIDES INPATIENT BEDS, MEDICAL SERVICES, CONTINUOUS NURSING SERVICES AND DIAGNOSES OR TREATMENT, OR BOTH, TO A PATIENT.
"HOSPITAL" MEANS A CLASS OF HEALTH CARE INSTITUTION AS DEFINED IN SECTION 36-401 THAT, THROUGH AN ORGANIZED MEDICAL STAFF, PROVIDES - 3 - H.B.
2124 INPATIENT BEDS, MEDICAL SERVICES, CONTINUOUS NURSING SERVICES AND DIAGNOSES OR TREATMENT, OR BOTH, TO A PATIENT.
"INTERFACILITY TRANSPORT" MEANS [AN] [A GROUND] AMBULANCE TRANSPORT OF A PATIENT FROM ONE HEALTH CARE INSTITUTION TO ANOTHER HEALTH CARE INSTITUTION AS DEFINED IN SECTION 36-401.
"INTERFACILITY TRANSPORT" MEANS AN AMBULANCE TRANSPORT OF A PATIENT FROM ONE HEALTH CARE INSTITUTION TO ANOTHER HEALTH CARE INSTITUTION AS DEFINED IN SECTION 36-401.
-4- House Amendments to H.B.
27.
2124 27.
"Suboperation station" means a physical facility or location at which an ambulance service conducts operations for the dispatch of ambulances and personnel and that may be staffed twenty-four hours a day or less as determined by system use.
"Suboperation station" means a physical facility or location at which an ambulance service conducts operations for the - 4 - H.B.
2124 dispatch of ambulances and personnel and that may be staffed twenty-four hours a day or less as determined by system use.
service areas -5- House Amendments to H.B.
service areas A.
2124 A.
Within one hundred eighty days after receiving an application for a certificate of necessity as prescribed in this section, the director shall make a determination based on whether necessity for the ambulance service is found to exist and the applicant meets the requirements of subsection F of this section.
THE CURRENT CERTIFICATE OF NECESSITY HOLDERS WHOSE SERVICE AREAS OVERLAP A PROPOSED SERVICE AREA OF AN APPLICANT THAT IS A DIRECT OWNER OR INDIRECT OWNER OF A HOSPITAL AND THAT IS APPLYING FOR A CERTIFICATE OF NECESSITY TO PERFORM ONLY INTERFACILITY TRANSPORT OF PATIENTS TO AND FROM THE APPLICANT'S HEALTH CARE INSTITUTIONS IN ACCORDANCE WITH SECTION 36-2248 MAY NOT APPEAL THE DIRECTOR'S DECISION.
C.
A CERTIFICATE OF NECESSITY HOLDER WHOSE CERTIFICATE OF NECESSITY ALLOWS ONLY INTERFACILITY TRANSPORT OF PATIENTS TO AND FROM THE CERTIFICATE OF NECESSITY HOLDER'S HEALTH CARE INSTITUTIONS IN ACCORDANCE WITH SECTION 36-2248 MAY NOT TAKE ANY ACTION TO PREVENT ANOTHER CERTIFICATE OF NECESSITY HOLDER FROM AMENDING A CERTIFICATE OF NECESSITY TO REMOVE SOME OR ALL OF THE CERTIFICATE OF NECESSITY HOLDERS' OVERLAPPING SERVICE AREA.
- 5 - H.B.
2124 B.
D.
Within one hundred eighty days after receiving an application for a certificate of necessity as prescribed in this section, the director shall make a determination based on whether necessity for the ambulance service is found to exist and the applicant meets the requirements of subsection F H of this section.
E.
F.
G.
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The director's decision pursuant to subsection F of this section is final unless appealed pursuant to section 36-2234, subsection A.
The director's decision pursuant to subsection F H of this section is final unless appealed pursuant to section 36-2234, subsection A.
H.
-6- House Amendments to H.B.
- 6 - H.B.
A certificate of necessity issued pursuant to subsection F of this section shall be for all or part of the service proposed by the applicant as determined necessary by the director for public convenience and necessity.
I.
A certificate of necessity issued pursuant to subsection F H of this section shall be for all or part of the service proposed by the applicant as determined necessary by the director for public convenience and necessity.
J.
3.
AMBULANCE SERVICES OWNED OR OPERATED BY A DIRECT OWNER OR INDIRECT OWNER OF A HOSPITAL FOR INTERFACILITY TRANSPORTS.
ALL RULES ADOPTED BY THE DEPARTMENT PURSUANT TO THIS CHAPTER RELATING TO INTERFACILITY TRANSPORTATION APPLY TO A DIRECT OWNER OR INDIRECT OWNER OF A HOSPITAL THAT OPERATES AN AMBULANCE SERVICE FOR INTERFACILITY TRANSPORT.
K.
<<Sec.
Sec.
Section 36-2236, Arizona Revised Statutes, is amended to read:
36-2236.
Nature of certificates of necessity;
transfer;
suspension;
service area A.
A certificate of necessity issued pursuant to this article is not a franchise, may be revoked by the director and does not confer a property right on its holder.
B.
A certificate of necessity shall not be assigned or otherwise transferred without the written approval of the director.
When any certificate is assigned or transferred, the director shall issue to the assignee or transferee a new certificate that is valid only for the unexpired term of the transferred or assigned certificate.
C.
In case of emergency, the director may suspend a certificate of necessity as provided in section 36-2234.
D.
If a certificate of necessity issued pursuant to this article is issued to a city, town, fire district, fire authority or other political subdivision of this state, the service area shall be all the geographic area lying within the jurisdictional boundaries of the city, town, fire district, fire authority or political subdivision, unless the certificate issued by the director specifically excludes a portion of the city, town, fire district, fire authority or political subdivision or includes an additional service area outside the jurisdictional boundaries of the city, - 7 - H.B.
2124 town, fire district, fire authority or other political subdivision.
If the jurisdictional boundaries of a city, town, fire district, fire authority or other political subdivision expand, the service area in the certificate of necessity expands to reflect those jurisdictional boundaries, except as prescribed in section 36-2233, subsection I K, paragraph 2.
This subsection does not affect the validity of any previously granted certificate for an unincorporated area lying within the boundaries of a city.
E.
If the population of a service area changes by ten percent or more based on the most recent decennial census or five-year census estimate, the department must conduct a review to determine whether adjustments must be made to the response times in the service area, taking into consideration the impact on rates and charges.
Sec.
4.
documentation [A.
documentation;
AN AMBULANCE SERVICE THAT HOLDS A CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT SHALL HAVE THE RIGHT OF FIRST REFUSAL TO PROVIDE INTERFACILITY TRANSPORTATION WITHIN ITS SERVICE AREA IF THE TRANSFER CAN BE MADE BOTH:
definition A.
ANY AMBULANCE SERVICE THAT HOLDS A CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT AND WHOSE SERVICE AREA OVERLAPS WITH THE SERVICE AREA OF A CERTIFICATE OF NECESSITY HOLDER WHOSE CERTIFICATE OF NECESSITY ALLOWS ONLY INTERFACILITY TRANSPORT OF PATIENTS TO AND FROM THE CERTIFICATE OF NECESSITY HOLDER'S HEALTH CARE INSTITUTIONS IN ACCORDANCE WITH THIS SECTION SHALL HAVE THE RIGHT OF FIRST REFUSAL TO PROVIDE INTERFACILITY TRANSPORTATION WITHIN THE AMBULANCE SERVICE'S SERVICE AREA IF THE TRANSFER CAN BE MADE BOTH:
WITHIN THE TIME FRAME SPECIFIED BY THE CURRENT CERTIFICATE OF NECESSITY OR AS NEGOTIATED BETWEEN THE HEALTH CARE INSTITUTION AND THE AMBULANCE SERVICE PURSUANT TO SUBSECTION D OF THIS SECTION.
WITHIN THE ARRIVAL TIME FRAME SPECIFIED BY THE CURRENT CERTIFICATE OF NECESSITY.
IF THE CERTIFICATE OF NECESSITY DOES NOT HAVE A SPECIFIED ARRIVAL TIME, THE ARRIVAL TIME MUST BE WITHIN THE TIME FRAME SPECIFIED BY THE PATIENT'S TREATING MEDICAL PROVIDER BASED ON THE PATIENT'S MEDICAL CONDITION.
WITH THE MEDICAL EQUIPMENT AND TRAINED PERSONNEL NECESSARY TO TRANSFER THE PATIENT SAFELY AS DETERMINED BY THE PATIENT'S TREATING MEDICAL PROVIDER.
WITH THE MEDICAL EQUIPMENT AND TRAINED PERSONNEL NECESSARY TO TRANSFER THE PATIENT SAFELY AS SPECIFIED IN THIS CHAPTER AND THE RULES ADOPTED PURSUANT TO THIS CHAPTER AND WITHIN THE ASSIGNED PERSONNEL'S SCOPE OF PRACTICE.
FOR PEDIATRIC PATIENTS, THE PATIENT'S TREATING MEDICAL PROVIDER MAY REQUEST SPECIALIZED PERSONNEL AND EQUIPMENT NECESSARY FOR THE SCOPE OF THE PATIENT'S TRANSPORT.
THE TRANSFERRING HEALTH CARE INSTITUTION SHALL DOCUMENT THE COMMUNICATION MADE TO THE AMBULANCE SERVICE THAT HOLDS THE CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT AND THE INTERFACILITY TRANSPORT DETAILS, INCLUDING ALL OF THE FOLLOWING:
THE TRANSFERRING HEALTH CARE INSTITUTION SHALL DOCUMENT ANY COMMUNICATION MADE WITH EACH AMBULANCE SERVICE THAT HOLDS THE CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT AS DESCRIBED IN SUBSECTION A OF THIS SECTION AND THE INTERFACILITY TRANSPORT DETAILS, INCLUDING ALL OF THE FOLLOWING:
THE DETAILS OF THE TRANSFER REQUEST.
THE TRANSFER REQUEST, INCLUDING THE PATIENT'S CONDITION, EQUIPMENT AND MEDICATIONS, THE TIME DETERMINED BY THE PATIENT'S TREATING MEDICAL PROVIDER TO TRANSPORT AND THE TIME THE CALL WAS MADE TO EACH AMBULANCE SERVICE.
-7- House Amendments to H.B.
- 8 - H.B.
THE REQUIRED TIME FRAME FOR THE TRANSFER AS SPECIFIED BY THE CURRENT CERTIFICATE OF NECESSITY OR AS NEGOTIATED BETWEEN THE HEALTH CARE INSTITUTION AND THE AMBULANCE SERVICE PURSUANT TO SUBSECTION D OF THIS SECTION.
THE REQUIRED TIME FRAME FOR THE TRANSFER AS SPECIFIED IN THE CURRENT CERTIFICATE OF NECESSITY OR, IF THE CERTIFICATE OF NECESSITY DOES NOT HAVE A SPECIFIED ARRIVAL TIME, THE ARRIVAL TIME SPECIFIED BY THE PATIENT'S TREATING MEDICAL PROVIDER BASED ON THE PATIENT'S MEDICAL CONDITION.
THE REQUIRED MEDICAL EQUIPMENT AND TRAINED PERSONNEL AS SPECIFIED BY THE PATIENT'S TREATING MEDICAL PROVIDER.
THE REQUIRED MEDICAL EQUIPMENT AND TRAINED PERSONNEL AS PRESCRIBED IN THIS CHAPTER AND THE RULES ADOPTED PURSUANT TO THIS CHAPTER OR, IN THE CASE OF A PEDIATRIC PATIENT, THE SPECIALIZED PERSONNEL AND EQUIPMENT NECESSARY FOR THE SCOPE OF THE PATIENT'S TRANSPORT AS REQUESTED BY THE PATIENT'S TREATING MEDICAL PROVIDER.
WHETHER THE AMBULANCE SERVICE THAT HOLDS THE CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT EXERCISED THE RIGHT OF FIRST REFUSAL.
WHETHER EACH AMBULANCE SERVICE CONTACTED PURSUANT TO THIS SECTION ACCEPTED OR DECLINED TO TRANSPORT THE PATIENT.
IF AN AMBULANCE SERVICE THAT HOLDS A CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT EXERCISES THE RIGHT OF FIRST REFUSAL TO PROVIDE INTERFACILITY TRANSPORTATION WITHIN ITS SERVICE AREA BUT DOES NOT MEET THE TIME FRAME AS SPECIFIED BY THE CURRENT CERTIFICATE OF NECESSITY OR AS NEGOTIATED BETWEEN THE HEALTH CARE INSTITUTION AND THE AMBULANCE SERVICE PURSUANT TO SUBSECTION D OF THIS SECTION OR DOES NOT MEET THE REQUIRED MEDICAL EQUIPMENT OR TRAINED PERSONNEL AS SPECIFIED BY THE PATIENT'S TREATING MEDICAL PROVIDER, THE TRANSFERRING HEALTH CARE INSTITUTION MAY MAKE OTHER INTERFACILITY TRANSPORT ARRANGEMENTS FOR THE PATIENT.
IF ALL AMBULANCE SERVICES THAT HOLD A CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORT AND WHOSE SERVICE AREA OVERLAPS WITH THE SERVICE AREA OF THE CERTIFICATE OF NECESSITY HOLDER WHOSE CERTIFICATE OF NECESSITY ALLOWS ONLY INTERFACILITY TRANSPORT OF PATIENTS TO AND FROM THE CERTIFICATE OF NECESSITY HOLDER'S HEALTH CARE INSTITUTIONS IN ACCORDANCE WITH THIS SECTION DECLINE TO TRANSPORT A PATIENT PURSUANT TO THIS SECTION, THE TRANSFERRING HEALTH CARE INSTITUTION MAY MAKE OTHER INTERFACILITY TRANSPORT ARRANGEMENTS FOR THE PATIENT.
IF A CERTIFICATE OF NECESSITY DOES NOT OUTLINE RESPONSE TIMES FOR INTERFACILITY TRANSPORT, A SEPARATE CONTRACT SHALL BE NEGOTIATED BETWEEN THE AMBULANCE SERVICE AND THE HEALTH CARE INSTITUTION SPECIFYING REASONABLE PERFORMANCE GUIDELINES FOR INTERFACILITY TRANSPORT SERVICES.
FOR THE PURPOSES OF THIS SECTION, "TREATING MEDICAL PROVIDER" MEANS A PHYSICIAN WHO IS LICENSED PURSUANT TO TITLE 32, CHAPTER 13 OR 17, A NURSE PRACTITIONER WHO IS LICENSED PURSUANT TO TITLE 32, CHAPTER 15 OR A PHYSICIAN ASSISTANT WHO IS LICENSED PURSUANT TO TITLE 32, CHAPTER 25.
THE CURRENT AMBULANCE SERVICE THAT HOLDS THE CERTIFICATE OF NECESSITY FOR INTERFACILITY TRANSPORTS SHALL MAINTAIN PRIMARY RESPONSIBILITY FOR INTERFACILITY TRANSPORTS UNTIL THE AGREEMENT IS REACHED.
- 9 -
AN AMBULANCE SERVICE AND A HEALTH CARE INSTITUTION MAY USE BINDING ARBITRATION TO FINALIZE A REASONABLE CONTRACT AT THE EXPENSE OF THE HEALTH CARE INSTITUTION.]>> Enroll and engross to conform Amend title to conform LEO BIASIUCCI 2124BIASIUCCI.docx 02/17/2025 4:31 PM C:
MH -8-
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Action History

  1. DPA

  2. DPA

  3. W/D

  4. House Second Reading

  5. House First Reading.

  6. Prefiled.

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 89 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (89)

89 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

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healthcare transportation
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 2124?
HB 2124 is sponsored by Nick Kupper (Republican), Michael Carbone (Republican), Leo Biasiucci (Republican), and Julie Willoughby (Republican).
What is the current status of HB 2124?
This bill died with 57th Legislature - First Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 2124?
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