Arizona 57th Legislature - First Regular Session Status: Enacted Bipartisan · 5 R · 2 D cosponsors

SB 1440 — epinephrine delivery systems

Last action — Signed by Governor

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

This bill has been enacted into law. Introduced February 04, 2025. Enacted.

Signed by Governor Katie Hobbs (Democratic) on May 02, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · high confidence

  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    1 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 2 D) — cross-party backing.

  • Mixed recorded votes

    4 passed, 2 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

512 added · 271 removed

Plain-language change summary

The updated version of SB 1440 includes new definitions related to emergency medications, such as clarifying what it means for a doctor to "dispense" medicine and adding clear roles for health care institutions. These changes aim to create a better understanding of the responsibilities and scope of medical professionals and institutions. This matters because it helps ensure that standards for dispensing medications are clear, promoting safety and accountability in healthcare practices.

→
Previous
Latest
Senate Engrossed epinephrine delivery systems State of Arizona Senate Fifty-seventh Legislature First Regular Session SENATE BILL 1440 AN ACT AMENDING SECTIONS 15-157, 15-189.04, 15-203, 15-341, 32-1401, 32-1706, 32-1854, 32-1901.01 AND 36-2226.01, ARIZONA REVISED STATUTES;
House Engrossed Senate Bill epinephrine delivery systems State of Arizona Senate Fifty-seventh Legislature First Regular Session CHAPTER 104 SENATE BILL 1440 AN ACT AMENDING SECTIONS 15-157, 15-189.04, 15-203, 15-341, 32-1401, 32-1706, 32-1854, 32-1901.01, 36-2201, 36-2226.01 AND 36-2226.02, ARIZONA REVISED STATUTES;
9.
- 22 - S.B.
"Dispense" means the delivery by a doctor of medicine of a prescription drug or device to a patient, except for samples packaged for - 22 - S.B.
1440 9.
1440 individual use by licensed manufacturers or repackagers of drugs, and includes the prescribing, administering, packaging, labeling and security necessary to prepare and safeguard the drug or device for delivery.
"Dispense" means the delivery by a doctor of medicine of a prescription drug or device to a patient, except for samples packaged for individual use by licensed manufacturers or repackagers of drugs, and includes the prescribing, administering, packaging, labeling and security necessary to prepare and safeguard the drug or device for delivery.
18.
"Medical peer review" means:
1440 (a) The participation by a doctor of medicine in the review and evaluation of the medical management of a patient and the use of resources for patient care.
1440 18.
"Medical peer review" means:
(a) The participation by a doctor of medicine in the review and evaluation of the medical management of a patient and the use of resources for patient care.
- 39 - S.B.
15.
1440 15.
Failing to report in writing to the board any evidence that a permittee or a permittee's employee is or may be guilty of unethical - 39 - S.B.
Failing to report in writing to the board any evidence that a permittee or a permittee's employee is or may be guilty of unethical conduct or is or may be violating this chapter or a rule adopted under this chapter.
1440 conduct or is or may be violating this chapter or a rule adopted under this chapter.
- 40 - S.B.
C.
1440 C.
In this chapter, unless the context otherwise requires, for the purposes of disciplining a pharmacy technician or pharmacy technician - 40 - S.B.
In this chapter, unless the context otherwise requires, for the purposes of disciplining a pharmacy technician or pharmacy technician trainee, "unprofessional conduct" means the following, whether occurring in this state or elsewhere:
1440 trainee, "unprofessional conduct" means the following, whether occurring in this state or elsewhere:
Section 36-2201, Arizona Revised Statutes, is amended to read:
36-2201.
Definitions In this chapter, unless the context otherwise requires:
1.
"Administrative medical direction" means supervision of emergency medical care technicians by a base hospital medical director, administrative medical director or basic life support medical director.
For the purposes of this paragraph, "administrative medical director" means a physician who is licensed pursuant to title 32, chapter 13 or 17 and who provides direction within the emergency medical services and trauma system.
2.
"Advanced emergency medical technician" means a person who has been trained in an advanced emergency medical technician program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205.
3.
"Advanced life support" means the level of assessment and care identified in the scope of practice approved by the director for the advanced emergency medical technician, emergency medical technician I-99 and paramedic.
4.
"Advanced life support base hospital" means a health care institution that offers general medical and surgical services, that is certified by the director as an advanced life support base hospital and that is affiliated by written agreement with a licensed ambulance service, municipal rescue service, fire department, fire district or health services district for medical direction, evaluation and control of emergency medical care technicians.
- 42 - S.B.
1440 5.
"Ambulance":
(a) Means any publicly or privately owned surface, water or air vehicle, including a helicopter, that contains a stretcher and necessary medical equipment and supplies pursuant to section 36-2202 and that is especially designed and constructed or modified and equipped to be used, maintained or operated primarily to transport individuals who are sick, injured or wounded or who require medical monitoring or aid.
(b) Does not include a surface vehicle that is owned and operated by a private sole proprietor, partnership, private corporation or municipal corporation for the emergency transportation and in-transit care of its employees or a vehicle that is operated to accommodate an incapacitated person or person with a disability who does not require medical monitoring, care or treatment during transport and that is not advertised as having medical equipment and supplies or ambulance attendants.
6.
"Ambulance attendant" means any of the following:
(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.
(b) An emergency medical responder who is employed by an ambulance service operating under section 36-2202 and whose primary responsibility is driving an ambulance.
(c) A physician who is licensed pursuant to title 32, chapter 13 or 17.
(d) A professional nurse who is licensed pursuant to title 32, chapter 15 and who meets the state board of nursing criteria to care for patients in the prehospital care system.
(e) A professional nurse who is licensed pursuant to title 32, chapter 15 and whose primary responsibility is the care of patients in an ambulance during an interfacility transport.
7.
Show all 192 changed rows (152 more)
Previous
Latest
"Ambulance service" means a person who owns and operates one or more ambulances.
8.
"Basic life support" means the level of assessment and care identified in the scope of practice approved by the director for the emergency medical responder and emergency medical technician.
9.
"Bureau" means the bureau of emergency medical services and trauma system in the department.
10.
"Centralized medical direction communications center" means a facility that is housed within a hospital, medical center or trauma center or a freestanding communication center that meets the following criteria:
(a) Has the ability to communicate with ambulance services and emergency medical services providers rendering patient care outside of the hospital setting via radio and telephone.
- 43 - S.B.
1440 (b) Is staffed twenty-four hours a day seven days a week by at least a physician licensed pursuant to title 32, chapter 13 or 17.
11.
"Certificate of necessity" means a certificate that is issued to an ambulance service by the department and that describes the following:
(a) The service area.
(b) The level of service.
(c) The type of service.
(d) The hours of operation.
(e) The effective date.
(f) The expiration date.
(g) The legal name and address of the ambulance service.
(h) The any limiting or special provisions the director prescribes.
12.
"Council" means the emergency medical services council.
13.
"Department" means the department of health services.
14.
"Director" means the director of the department of health services.
15.
"Emergency medical care technician" means an individual who has been certified by the department as an emergency medical technician, an advanced emergency medical technician, an emergency medical technician I-99 or a paramedic.
16.
"Emergency medical responder" as an ambulance attendant, whose primary responsibility is driving an ambulance, means a person who has successfully completed training in an emergency medical responder program that is certified by the director or is approved by the emergency medical services provider's administrative medical director on file with the department or in an equivalent training program.
17.
"Emergency medical responder program" means a program that has been submitted for review by the department and includes at least the following:
(a) Emergency vehicle driver training.
(b) Cardiopulmonary resuscitation certification.
(c) Automated external defibrillator training.
(d) Training in the use of noninvasive diagnostic devices, including blood glucose monitors and pulse oximeters.
(e) Training on obtaining a patient's vital signs, including blood pressure, pulse and respiratory rate.
18.
"Emergency medical services" means those services required following an accident or an emergency medical situation:
(a) For on-site emergency medical care.
(b) To transport the sick or injured by a licensed ground or air ambulance.
(c) In using emergency communications media.
(d) In using emergency receiving facilities.
- 44 - S.B.
1440 (e) In administering initial care and preliminary treatment procedures by emergency medical care technicians.
19.
"Emergency medical services provider" means any governmental entity, quasi-governmental entity or corporation whether public or private that renders emergency medical services in this state.
20.
"Emergency medical technician" means a person who has been trained in an emergency medical technician program certified by the director or in an equivalent training program and who is certified by the director as qualified to render services pursuant to section 36-2205.
21.
"Emergency receiving facility" means a licensed health care institution that offers emergency medical services, is staffed twenty-four hours a day and has a physician on call.
22.
"EPINEPHRINE DELIVERY SYSTEM" MEANS A SINGLE-USE DEVICE OR PRODUCT THAT CONTAINS A PREMEASURED DOSE OF EPINEPHRINE AND THAT IS APPROVED BY THE UNITED STATES FOOD AND DRUG ADMINISTRATION TO PREVENT OR TREAT A LIFE-THREATENING ALLERGIC REACTION.
22.
23.
"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.
23.
24.
"Medical record" means any patient record, including clinical records, prehospital care records, medical reports, laboratory reports and statements, any file, film, record or report or oral statements relating to diagnostic findings, treatment or outcome of patients, whether written, electronic or recorded, and any information from which a patient or the patient's family might be identified.
24.
25.
"National certification organization" means a national organization that tests and certifies the ability of an emergency medical care technician and whose tests are based on national education standards.
25.
26.
"National education standards" means the emergency medical services education standards of the United States department of transportation or other similar emergency medical services education standards developed by that department or its successor agency.
26.
27.
"Paramedic" means a person who has been trained in a paramedic program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205.
27.
28.
"Physician" means any person licensed pursuant to title 32, chapter 13 or 17.
28.
29.
"Police dog":
(a) Means a specially trained dog that is owned or used by a law enforcement department or agency of this state or any political subdivision of this state and that is used in the course of the department's or agency's official work.
- 45 - S.B.
1440 (b) Includes a search and rescue dog, service dog, accelerant detection canine or other dog that is in use by the law enforcement department or agency for official duties.
29.
30.
"Stretcher van" means a vehicle that contains a stretcher and that is operated to accommodate an incapacitated person or person with a disability who does not require medical monitoring, aid, care or treatment during transport.
30.
31.
"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.
31.
32.
"Trauma center" means any acute care hospital that provides in-house twenty-four-hour daily dedicated trauma surgical services that is designated pursuant to section 36-2225.
32.
33.
"Trauma registry" means data collected by the department on trauma patients and on the incidence, causes, severity, outcomes and operation of a trauma system and its components.
33.
34.
"Trauma system" means an integrated and organized arrangement of health care resources having the specific capability to perform triage, transport and provide care.
34.
35.
"Validated testing procedure" means a testing procedure that includes practical skills, or attests practical skills proficiency on a form developed by the department by the educational training program, identified pursuant to section 36-2204, paragraph 2, that is certified as valid by an organization capable of determining testing procedure and testing content validity and that is recommended by the medical direction commission and the emergency medical services council before the director's approval.
35.
36.
"Wheelchair van" means a vehicle that contains or that is designed and constructed or modified to contain a wheelchair and that is operated to accommodate an incapacitated person or person with a disability who does not require medical monitoring, aid, care or treatment during transport.
Sec.
10.
B.
- 46 - S.B.
1440 B.
Provide an epinephrine auto-injector DELIVERY SYSTEM to any individual who the employee, agent or other individual believes in good faith is experiencing anaphylaxis, or to the parent, guardian or caregiver - 42 - S.B.
Provide an epinephrine auto-injector DELIVERY SYSTEM to any individual who the employee, agent or other individual believes in good faith is experiencing anaphylaxis, or to the parent, guardian or caregiver of the individual, for immediate administration, regardless of whether the individual has a prescription for an epinephrine auto-injector DELIVERY SYSTEM or has previously been diagnosed with an allergy.
1440 of the individual, for immediate administration, regardless of whether the individual has a prescription for an epinephrine auto-injector DELIVERY SYSTEM or has previously been diagnosed with an allergy.
F.
- 47 - S.B.
1440 F.
An authorized entity that possesses and makes available epinephrine auto-injectors DELIVERY SYSTEMS shall submit to the department, on a form developed by the department, a report of each - 43 - S.B.
An authorized entity that possesses and makes available epinephrine auto-injectors DELIVERY SYSTEMS shall submit to the department, on a form developed by the department, a report of each incident that occurs on the authorized entity's premises and that involves the administration of an epinephrine auto-injector DELIVERY SYSTEM pursuant to subsection C of this section.
1440 incident that occurs on the authorized entity's premises and that involves the administration of an epinephrine auto-injector DELIVERY SYSTEM pursuant to subsection C of this section.
3.
"EPINEPHRINE DELIVERY SYSTEM" MEANS A DEVICE OR PRODUCT THAT IS APPROVED BY THE UNITED STATES FOOD AND DRUG ADMINISTRATION, THAT CONTAINS A PREMEASURED DOSE OF EPINEPHRINE AND THAT IS USED TO ADMINISTER EPINEPHRINE INTO THE HUMAN BODY TO PREVENT OR TREAT A LIFE-THREATENING ALLERGIC REACTION.
3.
10.
11.
Emergency This act is an emergency measure that is necessary to preserve the public peace, health or safety and is operative immediately as provided by law.
Section 36-2226.02, Arizona Revised Statutes, is amended to read:
- 44 -
36-2226.02.
Administration of epinephrine;
immunity;
definitions A.
A first responder who is trained in administering epinephrine injections may administer an epinephrine injection OR EPINEPHRINE DELIVERY SYSTEM to a person who the first responder believes in good faith is experiencing anaphylaxis pursuant to a standing order issued by any of the following:
1.
A physician licensed pursuant to title 32, chapter 13 or 17.
- 48 - S.B.
1440 2.
A naturopathic physician licensed pursuant to title 32, chapter 14.
3.
A physician assistant licensed pursuant to title 32, chapter 25.
4.
A nurse practitioner licensed pursuant to title 32, chapter 15 who is authorized by law to prescribe drugs.
B.
The following individuals are immune from professional liability and criminal prosecution for any decision made, act or omission or injury that results from that act if the person acts with reasonable care and in good faith, except in cases of wanton or wilful neglect:
1.
Physicians who are licensed pursuant to title 32, chapter 13 or 17 and who issue a standing order.
2.
Naturopathic physicians who are licensed pursuant to title 32, chapter 14 and who issue a standing order.
3.
Physician assistants who are licensed pursuant to title 32, chapter 25 and who issue a standing order.
4.
Nurse practitioners who are licensed pursuant to title 32, chapter 15 and authorized by law to prescribe drugs and who issue a standing order.
5.
First responders who administer epinephrine injections OR EPINEPHRINE DELIVERY SYSTEMS pursuant to this section.
C.
This section does not create a duty to act or standard of care for a first responder to administer an epinephrine injection OR EPINEPHRINE DELIVERY SYSTEM.
D.
For the purposes of this section:
1.
"Ambulance attendant" means either of the following:
(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.
(b) An emergency medical responder who is employed by an ambulance service operating under section 36-2202 and whose primary responsibility is the driving of an ambulance.
2.
"First responder" means a law enforcement officer, a firefighter or an ambulance attendant.
APPROVED BY THE GOVERNOR MAY 2, 2025.
FILED IN THE OFFICE OF THE SECRETARY OF STATE MAY 2, 2025.
- 49 -
⬇ Download PDF
View plain text versions (7)

Action History

  1. Signed by Governor

  2. Transmit to Governor

  3. PASSED

  4. PASSED

  5. Transmit to Senate

  6. PASSED

  7. DPA

  8. PASSED

  9. DPA

  10. DPA

  11. House Second Reading

  12. House First Reading.

  13. Transmit to House

  14. PASSED

  15. DP

  16. Senate Second Reading

  17. Senate First Reading

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 6 co-sponsors · 86 not signed on

Sponsors (1)

Co-sponsors (6)

Not signed on (86)

86 members have not signed on to this bill.

Show all 86 →

"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

Votes

Passed

Passed 29 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 12001
Republican 17000
Total 29001
% of votes cast 97%0%0%3%
How each member voted (30)
Member Party Vote
Analise Ortiz Democrat Yea
Brian Fernandez Democrat Yea
Catherine Miranda Democrat Yea
Denise “Mitzi” Epstein Democrat Yea
Eva Diaz Democrat Yea
Flavio Bravo Democrat Yea
Kiana Sears Democrat Yea
Lauren Kuby Democrat Yea
Lela Alston Democrat Yea
Priya Sundareshan Democrat Yea
Rosanna Gabaldón Democrat Not Voting
Sally Ann Gonzales Democrat Yea
Theresa Hatathlie Democrat Yea
Carine Werner Republican Yea
David C. Farnsworth Republican Yea
David Gowan Republican Yea
Frank Carroll Republican Yea
Hildy Angius Republican Yea
J.D. Mesnard Republican Yea
Jake Hoffman Republican Yea
Janae Shamp Republican Yea
John Kavanagh Republican Yea
Kevin Payne Republican Yea
Mark Finchem Republican Yea
Shawnna Bolick Republican Yea
Thomas "T.J." Shope Republican Yea
Timothy "Tim" Dunn Republican Yea
Venden "Vince" Leach Republican Yea
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Passed

Passed 55 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Democrat 23004
Republican 32001
Total 55005
% of votes cast 92%0%0%8%
How each member voted (60)
Member Party Vote
Aaron Márquez Democrat Yea
Alma Hernandez Democrat Yea
Anna Abeytia Democrat Yea
Betty J Villegas Democrat Yea
Brian Garcia Democrat Yea
Cesar Aguilar Democrat Not Voting
Christopher Mathis Democrat Yea
Consuelo Hernandez Democrat Yea
Elda Luna-Nájera Democrat Yea
Janeen Connolly Democrat Yea
Junelle Cavero Democrat Yea
Kevin Volk Democrat Yea
Lorena Austin Democrat Yea
Lupe Contreras Democrat Yea
Lydia Hernandez Democrat Not Voting
Mae Peshlakai Democrat Yea
Mariana Sandoval Democrat Yea
Myron Tsosie Democrat Yea
Nancy Gutierrez Democrat Yea
Oscar De Los Santos Democrat Yea
Patty Contreras Democrat Yea
Quantá Crews Democrat Not Voting
Sarah Liguori Democrat Yea
Seth Blattman Democrat Not Voting
Stacey Travers Democrat Yea
Stephanie Simacek Democrat Yea
Stephanie Stahl Hamilton Democrat Yea
Alexander Kolodin Republican Yea
Beverly Pingerelli Republican Yea
Chris Lopez Republican Yea
David Livingston Republican Yea
David Marshall, Sr. Republican Yea
Gail Griffin Republican Yea
James Taylor Republican Yea
Jeff Weninger Republican Yea
John Gillette Republican Yea
Joseph Chaplik Republican Not Voting
Julie Willoughby Republican Yea
Justin Olson Republican Yea
Justin Wilmeth Republican Yea
Khyl Powell Republican Yea
Laurin Hendrix Republican Yea
Leo Biasiucci Republican Yea
Lisa Fink Republican Yea
Lupe Diaz Republican Yea
Matt Gress Republican Yea
Michael Carbone Republican Yea
Michael Way Republican Yea
Michele Peña Republican Yea
Neal Carter Republican Yea
Nick Kupper Republican Yea
Pamela Carter Republican Yea
Quang H Nguyen Republican Yea
Rachel Keshel Republican Yea
Ralph Heap Republican Yea
Selina Bliss Republican Yea
Steve Montenegro Republican Yea
Teresa Martinez Republican Yea
Tony Rivero Republican Yea
Walt Blackman Republican Yea

Official roll call →

Passed

Passed 29 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 12001
Republican 17000
Total 29001
% of votes cast 97%0%0%3%
How each member voted (30)
Member Party Vote
Analise Ortiz Democrat Yea
Brian Fernandez Democrat Yea
Catherine Miranda Democrat Yea
Denise “Mitzi” Epstein Democrat Yea
Eva Burch Democrat Not Voting
Eva Diaz Democrat Yea
Flavio Bravo Democrat Yea
Lauren Kuby Democrat Yea
Lela Alston Democrat Yea
Priya Sundareshan Democrat Yea
Rosanna Gabaldón Democrat Yea
Sally Ann Gonzales Democrat Yea
Theresa Hatathlie Democrat Yea
Carine Werner Republican Yea
David C. Farnsworth Republican Yea
David Gowan Republican Yea
Frank Carroll Republican Yea
Hildy Angius Republican Yea
J.D. Mesnard Republican Yea
Jake Hoffman Republican Yea
Janae Shamp Republican Yea
John Kavanagh Republican Yea
Kevin Payne Republican Yea
Mark Finchem Republican Yea
Shawnna Bolick Republican Yea
Thomas "T.J." Shope Republican Yea
Timothy "Tim" Dunn Republican Yea
Venden "Vince" Leach Republican Yea
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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 SB 1440?
SB 1440 is sponsored by Thomas "T.J." Shope (Republican), Lauren Kuby (Democrat), David Gowan (Republican), Brian Fernandez (Democrat), Timothy "Tim" Dunn (Republican), Hildy Angius (Republican), and Carine Werner (Republican).
What is the current status of SB 1440?
This bill has been enacted into law. Introduced February 04, 2025. Enacted.
Where can I track SB 1440?
Track SB 1440 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 1440

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 1440

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →