# Arizona SB 1235: EMS reciprocity; compact.

Arizona SB 1235, EMS reciprocity; compact., is a Fifty-seventh Legislature - Second Regular Session Senate bill sponsored by John Kavanagh (Republican); status signed, last action 2026-06-19 (Signed by Governor); PRIA reads it as touching household money (as of 2026-11-04).

- Canonical: https://policyrisk.com/state-bill/AZ-SB1235-57th-2nd-regular
- As of: 2026-11-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Arizona SB 1235
- State: Arizona
- Session: Fifty-seventh Legislature - Second Regular Session
- Title: EMS reciprocity; compact.
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-21
- Last action: 2026-06-19, Signed by Governor
- Sponsor: John Kavanagh (Republican)
- Cosponsors: 0
- Subjects: compact, definitions, emergency medical services, emergency medical services licensure interstate compact, ems (h), ems reciprocity, public health and safety - title 36, rulemaking, state government - title 41 (h)
- Touches household money: yes
- Roll calls: 7 (123 yes, 16 no in all)
- Economic provisions PRIA read: 8

## Summary

No summary available.

## Bill overview: provisions PRIA read

- EMS workers can practice across state lines: benefit, low. Arizona recognizes qualifying EMS licenses from other compact states. Workers must be at least 18, hold a current unrestricted license, and practice under a medical director. Their work follows the remote state’s rules and the home state’s scope of practice. During an emergency response covered by…
- Faster EMS licensing for military families: benefit, low. Member states must speed up EMS license applications for veterans, active service members, National Guard or reserve members leaving active duty, and their spouses. Applicants need a current, unrestricted National Registry certification at or above the license level they seek. That certification me…
- Shared rules for EMS compact states: benefit, low. The law creates a commission to run the EMS compact and issue rules that have the force of law in member states. States must enforce the compact, and courts must recognize it in relevant cases. The compact takes effect when enacted in the tenth member state; states joining later follow the rules in…
- Legal protection for EMS commission staff: cost, low. Commission members, officers, employees, and representatives are protected from civil suits for covered acts within their duties. The protection does not cover intentional, wilful, or wanton misconduct. The commission must defend and cover qualifying claims, settlements, or judgments, subject to th…
- New operating costs for EMS compact: cost, low. The commission can collect yearly assessments from member states or fees from other parties to cover operating costs. State assessments must be enough to cover the commission’s approved annual budget. The law does not set the amount of any assessment or fee.
- EMS license records shared across states: mixed, low. The commission must keep a shared system of EMS license, investigation, and disciplinary records. States must submit information required by commission rules, and the database administrator must promptly alert states about adverse actions or significant investigations. A state can keep information…
- New screening rules for Arizona EMS licenses: mixed, low. Arizona must meet licensing and reporting standards for its EMS licenses to qualify for interstate practice. Initial EMT and paramedic applicants must take the National Registry exam. No later than five years after compact activation, Arizona must require fingerprint or other biometric criminal bac…
- States face rules for EMS compact disputes: mixed, low. The commission must offer training and technical help when a state defaults, and it must set rules for mediation and binding dispute resolution. It can sue a defaulting state, and member states can end that state’s membership after other compliance steps fail. A state can withdraw by repealing the…

## Sponsors and cosponsors

- Sponsor: John Kavanagh (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-06-09 | Senate | Final Reading: Passed | pass | 26 | 3 |   |
| 2026-06-09 | Senate | Concurrence: Passed | fail |   |   |   |
| 2026-04-14 | House | Third Reading: Passed | pass | 45 | 10 |   |
| 2026-03-30 | House | Rules: C&P | pass | 8 | 0 |   |
| 2026-03-23 | House | Health & Human Services: DPA | pass | 10 | 0 |   |
| 2026-03-03 | Senate | Third Reading: Passed | pass | 27 | 3 |   |
| 2026-02-18 | Senate | Regulatory Affairs and Government Efficiency: DP | pass | 7 | 0 |   |

## Actions (14)

- 2026-06-19: Signed by Governor (Governor)
- 2026-06-09: Final Reading: Passed (Senate)
- 2026-06-09: Concurrence: Passed (Senate)
- 2026-04-14: Third Reading: Passed (House)
- 2026-04-09: Committee of the Whole: do pass amended (House)
- 2026-03-30: Rules: C&P (House)
- 2026-03-23: House Second Reading (House)
- 2026-03-23: Health & Human Services: DPA (House)
- 2026-03-19: House First Reading (House)
- 2026-03-03: Third Reading: Passed (Senate)
- 2026-02-23: Rules: PFC (Senate)
- 2026-02-18: Regulatory Affairs and Government Efficiency: DP (Senate)
- 2026-01-22: Senate Second Reading (Senate)
- 2026-01-21: Senate First Reading (Senate)

## Bill text

- Chaptered Version: [HTML](https://www.azleg.gov/legtext/57leg/2R/laws/0159.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/544251)
- House Engrossed Version (04/14/2026): [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235H.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542223)
- Introduced Version: [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235P.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/534260)
- Senate Engrossed Version (03/03/2026): [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235S.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/539266)

## Related bills

- SB 1215: firefighters; occupational disease; cancers (signed)
- SB 1189: campaign spending; personal security (signed)
- SB 1198: Arizona beef council; continuation (signed)
- HB 2780: judicial foreclosure; excess proceeds sale (signed)
- HB 2786: TPT; exemption; textbook rental (signed)
- HB 2477: Arizona's education savings plan; revisions (signed)

## Sources
- [Chaptered Version (HTML)](https://www.azleg.gov/legtext/57leg/2R/laws/0159.htm)
- [Chaptered Version (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/544251)
- [House Engrossed Version (04/14/2026) (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235H.htm)
- [House Engrossed Version (04/14/2026) (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542223)
- [Introduced Version (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235P.htm)
- [Introduced Version (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/534260)
- [Senate Engrossed Version (03/03/2026) (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/SB1235S.htm)
- [Senate Engrossed Version (03/03/2026) (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/539266)

## Related
- [SB 1215: firefighters; occupational disease; cancers](https://policyrisk.com/state-bill/AZ-SB1215-57th-2nd-regular)
- [SB 1189: campaign spending; personal security](https://policyrisk.com/state-bill/AZ-SB1189-57th-2nd-regular)
- [SB 1198: Arizona beef council; continuation](https://policyrisk.com/state-bill/AZ-SB1198-57th-2nd-regular)
- [HB 2780: judicial foreclosure; excess proceeds sale](https://policyrisk.com/state-bill/AZ-HB2780-57th-2nd-regular)
- [HB 2786: TPT; exemption; textbook rental](https://policyrisk.com/state-bill/AZ-HB2786-57th-2nd-regular)
- [HB 2477: Arizona's education savings plan; revisions](https://policyrisk.com/state-bill/AZ-HB2477-57th-2nd-regular)
- [Arizona bills](https://policyrisk.com/states/arizona/bills)
- [Arizona state hub](https://policyrisk.com/states/arizona)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/AZ-SB1235-57th-2nd-regular (as of 2026-11-04).
