UtahS.B. 2152025 General SessionSenateWALLET

Emergency Medical Services Modifications

Sponsored By: Derrin R. Owens (Republican)

Signed by Governor

CountiesHealth and Human ServicesHealth Care ProfessionalsLaw Enforcement and Criminal JusticeMunicipalitiesPolitical Subdivisions (Local Issues)Department of Public SafetyEmergency Medical Services

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

Utah communities must ensure ambulance coverage

Beginning May 7, 2025, Utah cities and counties have exclusive local authority and must ensure minimum ambulance service levels. This covers 911 calls and ground ambulance trips between health care facilities. Providers must hold state licenses and follow state committee rules. Local governments can run or support services themselves, or arrange services with public or private entities. They must arrange backup transport between facilities when the main provider is unavailable, and share agreements with local dispatchers and health care facilities.

Ambulance oversight gains powers and penalties

Beginning May 7, 2025, Utah’s emergency medical services bureau administers and enforces state emergency medical programs and rules. It can deny or renew with restrictions, revoke, suspend, or place licenses and designations on probation, including for non-911 providers. Grounds include missed service or renewal requirements, rule violations, operational failures, gross negligence, and conduct endangering the public. In formal investigations and peer review cases, it can administer oaths and require witnesses, testimony, and relevant records. The bureau can issue cease-and-desist orders for violations; the department can immediately suspend a license for a clear, imminent public threat. Administrative proceedings and state health-data protections remain, alongside bureau duties for data sharing, a voluntary provider advisory group, and peer review. Willfully disobeying a valid subpoena or cease-and-desist order is a class B misdemeanor.

Local ambulance selection adds provider preferences

Beginning May 7, 2025, local ambulance selection replaces former state-set selection procedures, public-need decisions, and related hearings. Within three months before license expiration, local governments must hold an open public review of cost, quality, and access. They must seek competing proposals from qualified private for-profit, government, and quasi-government providers. At license expiration, the current 911 provider gets first choice to provide transport between facilities; local service duties continue if it declines. When providers differ, the existing transfer provider’s license lasts until the later of two years after enactment or the next formal review. State licensing still checks minimum qualifications, but approval steps no longer explicitly require financial statements, letters of credit, or government guarantees. The law sets no ambulance prices and provides no new funding.

Sponsors & Cosponsors

Sponsor

  • Derrin R. Owens

    Republican • Senate

Cosponsors

  • Moss, Jefferson

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 172 • No: 0

Senate vote • 3/7/2025

Senate/ concurs with House amendment

Yes: 26 • No: 0

House vote • 3/7/2025

House/ floor amendment

Yes: 0 • No: 0

House vote • 3/7/2025

House/ passed 3rd reading

Yes: 72 • No: 0

House vote • 3/3/2025

House Comm - Substitute Recommendation

Yes: 7 • No: 0

House vote • 3/3/2025

House Comm - Amendment Recommendation

Yes: 7 • No: 0

House vote • 3/3/2025

House Comm - Favorable Recommendation

Yes: 7 • No: 0

Senate vote • 2/19/2025

Senate/ substituted

Yes: 0 • No: 0

Senate vote • 2/19/2025

Senate/ passed 3rd reading

Yes: 25 • No: 0

Senate vote • 2/18/2025

Senate/ passed 2nd reading

Yes: 23 • No: 0

Senate vote • 2/6/2025

Senate Comm - Favorable Recommendation

Yes: 5 • No: 0

Senate vote • Unknown

Senate/ substituted

Yes: 0 • No: 0

House vote • Unknown

House/ floor amendment

Yes: 0 • No: 0

Actions Timeline

  1. Governor Signed

    3/25/2025
  2. Senate/ to Governor

    3/17/2025Senate
  3. Senate/ received enrolled bill from Printing

    3/17/2025Senate
  4. Senate/ enrolled bill to Printing

    3/13/2025Senate
  5. Enrolled Bill Returned to House or Senate

    3/13/2025
  6. Draft of Enrolled Bill Prepared

    3/7/2025
  7. Bill Received from Senate for Enrolling

    3/7/2025
  8. Senate/ signed by President/ sent for enrolling

    3/7/2025Senate
  9. Senate/ received from House

    3/7/2025Senate
  10. House/ to Senate

    3/7/2025House
  11. House/ signed by Speaker/ returned to Senate

    3/7/2025House
  12. House/ received from Senate

    3/7/2025House
  13. Senate/ to House

    3/7/2025Senate
  14. Senate/ concurs with House amendment

    3/7/2025Senate
  15. Senate/ placed on Concurrence Calendar

    3/7/2025Senate
  16. Senate/ received from House

    3/7/2025Senate
  17. House/ to Senate

    3/7/2025House
  18. House/ passed 3rd reading

    3/7/2025House
  19. House/ floor amendment

    3/7/2025House
  20. House/ 3rd reading

    3/7/2025House
  21. House/ 2nd reading

    3/5/2025House
  22. House/ Rules to 3rd Reading Calendar

    3/5/2025House
  23. House/ return to Rules due to fiscal impact

    3/4/2025House
  24. House/ comm rpt/ substituted/ amended

    3/4/2025House
  25. House Comm - Favorable Recommendation

    3/3/2025House

Bill Text

  • Enrolled

    3/13/2025

  • Amended 3/7/2025 12:03:485

    3/7/2025

  • Amended 3/4/2025 09:03:658

    3/4/2025

  • Substitute #2

    2/28/2025

  • Substitute #1

    2/19/2025

  • Introduced

    2/3/2025

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