Title 36 — Public Health and Safety
55 chapters · 1,413 sections in this title.
A.R.S. § 36-2201 Definitions
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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 t…
A.R.S. § 36-2202 Duties of the director; qualifications of medical director
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A. The director shall: 1. Appoint a medical director of the emergency medical services and trauma system. 2. Adopt standards and criteria for the denial or granting of certification and recertification of emergency medical care technicians. These standards shall allow the departm…
A.R.S. § 36-2202.01 Test administration
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The test for certification or recertification, pursuant to section 36-2202, may be administered by the department or one of the following approved by the director: 1. Representatives appointed by the director in consultation with the medical director of the emergency medical serv…
A.R.S. § 36-2203 Emergency medical services council; membership; delayed repeal
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(Rpld. 1/2/28) A. The emergency medical services council is established. The medical director of the emergency medical services and trauma system shall chair the council. The council is composed of the director of the department of public safety and the governor's highway safety …
A.R.S. § 36-2203.01 Medical direction commission; membership; duties
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A. The medical direction commission is established consisting of the following twelve members: 1. The medical director of the emergency medical services and trauma system in the department of health services who shall serve as chairman. 2. The four emergency physicians who serve …
A.R.S. § 36-2204 Medical control
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The medical director of the statewide emergency medical services and trauma system, the emergency medical services council and the medical direction commission shall recommend to the director the following standards and criteria that pertain to the quality of emergency patient ca…
A.R.S. § 36-2204.01 Emergency medical services providers; centralized medical direction communications center
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An ambulance service or emergency medical services provider may provide centralized medical direction through a centralized medical direction communications center.
A.R.S. § 36-2204.02 Emergency medical services providers; investigations
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A. In lieu of the requirements of section 36-2211, the director may authorize an ambulance service or emergency medical services provider to investigate, discipline or determine the fitness of an employee to continue to provide patient care. This authority does not apply to the c…
A.R.S. § 36-2205 Permitted treatment and medication; certification requirement; protocols
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A. The director, in consultation with the medical director of the emergency medical services and trauma system, the emergency medical services council and the medical direction commission, shall establish protocols, which may include training criteria, governing the medical treat…
A.R.S. § 36-2206 Immunity; emergency instructions
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A. Any health care provider licensed or certified to practice in this state who in good faith gives emergency instructions to emergency medical care technicians at the scene of an emergency is not liable for any civil damages as a result of issuing those instructions. B. Any emer…
A.R.S. § 36-2207 Authorization for political subdivisions to participate
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Any city, town, county, fire district or health service district of this state may budget for and expend monies for participation in emergency paramedic programs and may enter into intergovernmental agreements for the delivery of such services pursuant to title 11, chapter 7, art…
A.R.S. § 36-2208 Bureau of emergency medical services and trauma system
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A. There is established within the department a bureau of emergency medical services and trauma system that is responsible for coordinating, establishing and administering a statewide system of emergency medical services, trauma care and a trauma registry. B. This chapter does no…
A.R.S. § 36-2209 Powers and duties of the director
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A. The director shall: 1. Appoint and define the duties and prescribe the terms of employment of all employees of the bureau. 2. Adopt rules necessary for the operation of the bureau and for carrying out the purposes of this chapter. 3. Cooperate with and assist the personnel of …
A.R.S. § 36-2210 Local emergency medical services coordinating systems
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The department shall contract with a local emergency medical services coordinating system that: 1. Conducts needs assessments and plans and coordinates a regional emergency medical and trauma services system within a designated planning area. 2. Has a governing board. 3. Demonstr…
A.R.S. § 36-2211 Grounds for censure, probation, suspension or revocation of emergency medical care technician certificate; proceedings; civil penalty; judicial review
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A. The medical director of the emergency medical services and trauma system, on behalf of the director, may censure or place on probation an emergency medical care technician or suspend or revoke the certification issued to any emergency medical care technician pursuant to this a…
A.R.S. § 36-2212 Certificate of registration to operate an ambulance; termination on change in ownership; fees
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A. A person shall not operate an ambulance in this state unless the ambulance has a certificate of registration and complies with this article and the rules, standards and criteria adopted pursuant to this article. B. A person may obtain a certificate of registration to operate a…
A.R.S. § 36-2213 Regulation of air ambulance services
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The director shall adopt rules to establish minimum standards for the operation of air ambulance services that are necessary to assure the public health and safety. The director may use the current standards adopted by the commission on accreditation of air medical services. Each…
A.R.S. § 36-2214 Air ambulance service license
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A. A person shall not operate an air ambulance service in this state unless the air ambulance service is licensed and complies with this article and the rules adopted pursuant to this article. B. On receipt of a properly completed application for initial licensure or relicensure …
A.R.S. § 36-2215 Required insurance or financial responsibility; denial or revocation for failure to comply
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A. The director shall not issue an air ambulance service license to an ambulance service unless the applicant for the license or the licensee files with the department a certificate of insurance completed by an insurance company that is authorized to transact business in this sta…
A.R.S. § 36-2216 Prohibited acts; classification
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A. It is unlawful for any person to operate an ambulance in this state which does not comply with the provisions of this article or the rules adopted by the director under this article. B. A person who violates subsection A is guilty of a class 1 misdemeanor.
A.R.S. § 36-2217 Exemption from regulation
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A. This chapter does not apply to: 1. Vehicles used for the emergency transportation of persons injured at an industrial site. 2. Persons engaged in and vehicles used for air transportation of sick or injured people in a noncritical or nonemergency situation as determined by a ph…
A.R.S. § 36-2218 Emergency medical services operating fund
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A. An emergency medical services operating fund is established. The director shall administer the fund. The emergency medical services operating fund shall consist of monies collected pursuant to sections 12-116.02 and 36-3251 and distributed pursuant to section 36-2219.01, subse…
A.R.S. § 36-2219 Emergency medical care technicians; requirements; transportation
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B. An emergency medical care technician may not do either of the following: 1. Provide a patient with a presumptive medical diagnosis and use that medical diagnosis as the basis for counseling the patient to decline emergency medical services transportation. 2. Counsel a patient …
A.R.S. § 36-2219.01 Medical services enhancement fund
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A. A medical services enhancement fund is established consisting of monies collected pursuant to section 12-116.02. The state treasurer shall administer the fund. B. On the first day of each month, the state treasurer shall distribute or deposit: 1. Fourteen and two-tenths per ce…
A.R.S. § 36-2220 Records; confidentiality; definition
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A. Information developed, records kept and data collected by the department or a political subdivision of this state for the purpose of administering or evaluating the Arizona emergency medical services system or for the trauma system are available to the public except: 1. Any pa…
A.R.S. § 36-2221 Trauma center data; requirements; confidentiality; violation; classification
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A. Trauma centers shall submit to the department a uniform data set for the trauma patient as prescribed by the department. Advanced life support base hospitals that are not trauma centers may also submit this data to the department. The director shall identify the categories of …
A.R.S. § 36-2222 Trauma advisory board; membership; compensation; duties
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A. The trauma advisory board is established and consists of the following members: 1. The medical director of the bureau of the emergency medical services and trauma system who shall chair the board. 2. The director of the department of public safety or the director's designee. 3…
A.R.S. § 36-2223 Stretcher vans; wheelchair vans; use; restrictions
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A. A stretcher van may transport a person who: 1. Needs routine transportation to or from a medical appointment or service if that person is convalescent or otherwise nonambulatory and does not require medical monitoring en route to the destination facility, or aid, care or treat…
A.R.S. § 36-2224 Interfacility transportation of patients; requirements
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An ambulance service that transports a patient from a hospital within its certificated area to a hospital outside the certificated area is only required to transport that patient under medical direction to the nearest most appropriate facility as defined by federal medicare guide…
A.R.S. § 36-2225 Statewide emergency medical services and trauma system; definitions
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A. The department shall develop and administer a statewide emergency medical services and trauma system to implement the Arizona emergency medical services and trauma system plan. The department shall adopt rules to establish standards for the following: 1. Injury prevention acti…
A.R.S. § 36-2226 Emergency administration of epinephrine by Good Samaritans; exemption from civil liability
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A. Notwithstanding any other law, a person may administer epinephrine to another person who is suffering from a severe allergic reaction if the person acts in good faith and without compensation for the act of administering the epinephrine and a health professional who is qualifi…
A.R.S. § 36-2226.01 Emergency administration of epinephrine; authorized entities; prescriptions; training; immunity; definitions
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A. A practitioner may prescribe epinephrine delivery systems in the name of an authorized entity for use in accordance with this section, and pharmacists and practitioners may dispense epinephrine delivery systems pursuant to a prescription issued in the name of an authorized ent…
A.R.S. § 36-2226.02 Administration of epinephrine; immunity; definitions
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1. A physician licensed pursuant to title 32, chapter 13 or 17. 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 auth…
A.R.S. § 36-2227 Informal interviews; request for information; nondissemination; violation; classification
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A. At least thirty days before the date of an informal interview held pursuant to this article or article 2 of this chapter, the department shall notify a person who is under investigation, or that person's designee, that the person or designee may submit a written request with t…
A.R.S. § 36-2228 Administration of opioid antagonists; training; immunity; designation by director; definition
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A. Pursuant to a standing order issued by a physician licensed pursuant to title 32, chapter 13 or 17 or a nurse practitioner licensed pursuant to title 32, chapter 15 and authorized by law to prescribe drugs, an emergency medical care technician, peace officer or ancillary law e…
A.R.S. § 36-2229 Emergency administration of inhalers; authorized entities; training; immunity; definitions
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A. A physician who is licensed pursuant to title 32, chapter 13 or 17 or a nurse practitioner who is licensed pursuant to title 32, chapter 15 may prescribe inhalers and spacers or holding chambers in the name of an authorized entity for use in accordance with this section, and p…
A.R.S. § 36-2230 Ambulance services; police dogs; authorization; policies and procedures; immunity; billing
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1. A person is not requiring emergency medical treatment or transport by the ground ambulance or other emergency medical services vehicle at that time. 2. The transport is not expected to take more than thirty minutes from the point of pickup to the veterinary clinic or veterinar…
A.R.S. § 36-2232 Director; powers and duties; regulation of ambulance services; inspections; response time compliance; mileage rate calculation factors
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A. The director shall adopt rules to regulate the operation of ambulances and ambulance services in this state. Each rule shall identify all sections and subsections of this chapter under which the rule was formulated. The rules shall provide for the department to do the followin…
A.R.S. § 36-2233 Certificate of necessity to operate an ambulance service; notification of interested parties; exceptions; service areas
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A. Any person wishing to operate an ambulance service in this state shall apply to the department on a form prescribed by the director for a certificate of necessity. B. Within one hundred eighty days after receiving an application for a certificate of necessity as prescribed in …
A.R.S. § 36-2234 Hearings; waiver of hearing; appeals; emergency action; suspension; judicial review; definition
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A. The applicant or any certificate of necessity holder whose ambulance service area in whole or in part is within the affected service area of the initial or amended certificate of necessity may appeal pursuant to title 41, chapter 6, article 10 the director's determination with…
A.R.S. § 36-2234.01 Certificate of necessity; amendment; interfacility transport; definitions
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B. In addition to any other information required by the department, a city or town must include the following information with the application to amend its certificate of necessity pursuant to subsection A of this section for the purposes of providing interfacility transports: 1.…
A.R.S. § 36-2235 Terms of certificates of necessity; initial term; renewal
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A. The initial certificate of necessity issued pursuant to section 36-2233 to each ambulance service shall be for a term of one year. B. On the expiration of a certificate of necessity, if the holder of the certificate meets all requirements, applies for a renewal and pays the fe…
A.R.S. § 36-2236 Nature of certificates of necessity; transfer; suspension; service area
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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 di…
A.R.S. § 36-2237 Required insurance, financial responsibility or bond; revocation for failure to comply
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A. The director shall not issue a certificate of necessity to an ambulance service unless the service has filed with the department a certificate of insurance or other evidence of financial responsibility in an amount the director deems necessary to adequately protect the interes…
A.R.S. § 36-2238 Termination of service under certificate of necessity
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An ambulance service which is authorized to operate under any certificate of necessity issued pursuant to this article shall not abandon or discontinue any service to any portion of the service area established under the certificate without an order from the department, unless th…
A.R.S. § 36-2239 Ambulance services; rates; charges; adjustment; civil penalty
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A. An ambulance service that applies to adjust its rates or charges shall automatically be granted a rate increase equal to the amount determined under section 36-2234, subsection G, if the ambulance service is so entitled. An automatic rate adjustment that is granted pursuant to…
A.R.S. § 36-2240 Fees
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Fees not to exceed the following amounts shall be paid by the owner of an ambulance service to the department for deposit in the state general fund to be available for legislative appropriation in order to carry out the provisions of this chapter: 1. One hundred dollars upon fili…
A.R.S. § 36-2241 Required records; inspection by the department
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A. Pursuant to rules adopted by the director, an owner of an ambulance service shall maintain and keep within this state reasonable records, books and other data the director requires to enforce the provisions of this article. These records, books and other data shall not be dest…
A.R.S. § 36-2242 Temporary authority to operate in urgent circumstances; application; application to provide permanent service
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A. If the director determines that there is an immediate and urgent need for service to one or more points or within an area lacking adequate ambulance service, the director may, at the director's discretion and without a hearing or other proceeding, grant an ambulance service, f…
A.R.S. § 36-2243 Interagency service agreement
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The department may enter into an interagency service agreement with the department of transportation pursuant to section 35-148 to implement the provisions of this chapter.