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SB1235 • 2026

EMS reciprocity; compact.

SB1235 - EMS reciprocity; compact.

Healthcare Labor Taxes
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
John Kavanagh
Last action
2026-04-21
Official status
Senate minority caucus
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on how states can require additional licensing for EMS personnel outside of the compact's provisions.

EMS Reciprocity Compact

This bill adopts an interstate compact that allows emergency medical service (EMS) personnel licensed in one state to practice in other states participating in the compact.

What This Bill Does

  • Adopts the Emergency Medical Services Personnel Licensure Interstate Compact, which allows EMS personnel like EMTs and paramedics to obtain licensure in any other member state if they are already licensed in good standing in their home state.
  • Requires each state participating in the compact to recognize the licenses of EMS personnel from other member states as equivalent to a license issued by that state.
  • Establishes standards for states to follow when issuing and maintaining EMS personnel licenses, including background checks and reporting adverse actions or significant investigatory information about licensed individuals.

Who It Names or Affects

  • Emergency medical service (EMS) personnel such as EMTs, AEMTs, and paramedics who work across state lines.
  • States that join the Emergency Medical Services Personnel Licensure Interstate Compact.

Terms To Know

Compact
An agreement between states to regulate EMS personnel licensure among member states.
Privilege to Practice
The right granted under the compact for licensed EMS personnel from one state to practice in another participating state without obtaining a new license.

Limits and Unknowns

  • The bill does not specify an effective date, so it is unclear when the provisions will take effect.
  • It is not clear how many states are expected to join or have already joined the compact at this time.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Plain English: Fifty-seventh Legislature Second Regular Session COMMITTEE ON HEALTH & HUMAN SERVICES HOUSE OF REPRESENTATIVES AMENDMENTS TO S.B.

  • Fifty-seventh Legislature Second Regular Session COMMITTEE ON HEALTH & HUMAN SERVICES HOUSE OF REPRESENTATIVES AMENDMENTS TO S.B.
  • 1235 (Reference to Senate engrossed) The bill as proposed to be amended is reprinted as follows: 1 <<Section 1.
  • Section 36-2202, Arizona Revised Statutes, is amended 2 to read: 3 36-2202.
  • Duties of the director; qualifications of medical 4 director 5 A.
  • This amendment summary is using official source text because generated interpretation was skipped for this run.

Plain English: Fifty-seventh Legislature Health & Human Services Second Regular Session S.B.

  • Fifty-seventh Legislature Health & Human Services Second Regular Session S.B.
  • 1235 PROPOSED HOUSE OF REPRESENTATIVES AMENDMENTS TO S.B.
  • 1235 (Reference to Senate engrossed bill) The bill as proposed to be amended is reprinted as follows: 1 <<Section 1.
  • Section 36-2202, Arizona Revised Statutes, is amended 2 to read: 3 36-2202.
  • This amendment summary is using official source text because generated interpretation was skipped for this run.

Bill History

  1. 2026-04-21 Senate

    Senate minority caucus

  2. 2026-04-14 Senate

    Transmitted to Senate

  3. 2026-04-14 House

    House third read passed

  4. 2026-04-09 House

    House committee of the whole

  5. 2026-03-31 House

    House minority caucus

  6. 2026-03-31 House

    House majority caucus

  7. 2026-03-23 House

    House second read

  8. 2026-03-19 House

    House Rules: C&P

  9. 2026-03-19 House

    House Health & Human Services: DPA

  10. 2026-03-19 House

    House first read

  11. 2026-03-03 House

    Transmitted to House

  12. 2026-03-03 Senate

    Senate third read passed

  13. 2026-02-23 Senate

    Senate minority caucus

  14. 2026-02-23 Senate

    Senate majority caucus

  15. 2026-02-23 Senate

    Senate consent calendar

  16. 2026-01-22 Senate

    Senate second read

  17. 2026-01-21 Senate

    Senate Rules: PFC

  18. 2026-01-21 Senate

    Senate Regulatory Affairs and Government Efficiency: DP

  19. 2026-01-21 Senate

    Senate first read

Official Summary Text

SB1235 - 572R - Senate Fact Sheet

Assigned to
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PASSED BY HOUSE

ARIZONA STATE SENATE

Fifty-Seventh
Legislature, Second Regular Session

AMENDED

FACT SHEET FOR
S.B. 1235

EMS
reciprocity; compact.

Purpose

Adopts the Emergency Medical Services Personnel Licensure Interstate
Compact (Compact), allowing emergency medical service (EMS) personnel, such as
emergency medical technicians (EMTs), advanced emergency medical technicians
(AEMTs) and paramedics, in participating states to obtain licensure in any
other Compact state.

Background

The Department of Health Services (DHS) must adopt standards and criteria
for the denial or granting of certification and recertification of emergency
medical care technicians (EMCTs). Standards must allow DHS to certify qualified
EMCTs who have completed statewide standardized training and testing or who
hold certification with a national certification organization. Standardized
training and testing must be consistent with national education standards as
determined by the Medical Direction Commission and the Emergency Medical
Services Council.
EMCTs
include individuals who are certified by DHS as
an EMT, an AEMT, an EMT I-99 or a paramedic (A.R.S. ��
36-2201

and
36-2202
).

The Compact is an interstate licensure compact designed to facilitate the
interstate practice of EMS personnel. Under the Compact, EMS personnel who are
licensed in good standing in a Compact member state will be eligible to
practice in other participating Compact states via a privilege to practice,
which is equivalent to a license. The Compact is formally enacted after 10
states have officially enacted the model Compact into law through a state's
legislative process. By 2017, the Compact had grown to 10 member states. The
Compact was activated on March 10, 2020. Currently, 25 states have adopted the
Compact (
Compact
).

There is no anticipated fiscal impact to the state General Fund
associated with this legislation.

Provisions

Purpose

1.

States
that the purpose of the Compact is to protect the public through verification
of competency and to ensure accountability for patient care-related activities
of all states' licensed EMS personnel, such as EMTs, AEMTs and paramedics.

2.

States that the Compact is intended to facilitate the day-to-day
movement of EMS personnel across state boundaries in the performance of their EMS
duties as assigned by an appropriate authority and to authorize state EMS offices
to afford immediate legal recognition to EMS personnel who are licensed in a
member state.

3.

States that the Compact recognizes that states have a vested interest in
protecting the public's health and safety through their licensing and
regulation of EMS personnel and that such state regulation shared among the
member states will best protect the public health and safety.

4.

Asserts that the Compact is designed to achieve the following:

a)

increase
public access to EMS personnel;

b)

enhance
the states' ability to protect the public's health and safety, especially
patient safety;

c)

encourage
the cooperation of member states in the areas of EMS personnel licensure and
regulation;

d)

support
the licensing of military members who are separating from an active-duty tour
and the spouses of those military members;

e)

facilitate
the exchange of information between member states regarding EMS personnel
licensure, adverse actions and significant investigatory information;

f)

promote
compliance with the laws governing EMS personnel practice in each member state;
and

g)

invest
all member states with the authority to hold EMS personnel accountable through
the mutual recognition of member state licenses.

Home State
Licensure

5.

Deems any member state in which an individual holds a current license a
home state for the purposes of the Compact.

6.

Allows any member state to require an individual to obtain and retain a
license to be authorized to practice in the member state under circumstances
not authorized by the privilege to practice under the terms of the Compact.

7.

Authorizes an individual issued a home state's license to practice in a
remote state under the privilege only the if the home state:

a)

currently
requires the use of the National Registry of Emergency Medical Technicians (NREMT)
examination as a condition of issuing initial licenses at the EMT and paramedic
levels;

b)

has
a mechanism in place for receiving and investigating complaints about
individuals;

c)

notifies
the Compact Commission (Commission), in compliance with the terms of the
Compact, of any adverse action or significant investigatory information
regarding an individual;

d)

requires,
no later than five years after activation of the Compact, a criminal background
check of all applicants for initial licensure, including the use of the results
of fingerprint or other biometric data checks compliant with the requirements
of the Federal Bureau of Investigation, with the exception of federal employees
who have suitability determination in accordance with federal law and who
submit documentation of the suitability as promulgated in Commission rules; and

e)

complies
with Commission rules.

Compact Privilege
to Practice

8.

Requires member states to recognize the privilege to practice of an
individual who is licensed in another member state that is in conformance with
the Compact.

9.

Requires an individual, to exercise the privilege to practice under the
terms and provisions of the Compact, to:

a)

be
at least 18 years of age;

b)

possess
a current unrestricted license in a member state as an EMT, AEMT, paramedic or
state recognized and licensed level with a scope of practice and authority
between EMT and paramedic; and

c)

practice under the supervision of a medical director.

10.

Requires an individual providing
patient care in a remote state under the privilege to practice to function
within the scope of practice authorized by the home state unless, and until
modified by, an appropriate authority in the remote state as may be defined in
Commission rules.

11.

Subjects an individual
practicing in a remote state to the remote state's authority and laws.

12.

Allows a remote state, in
accordance with due process and that state's laws, to restrict, suspend or
revoke an individual's privilege to practice in the remote state and take any
other necessary actions to protect the health and safety of its citizens.

13.

Requires the remote state, if
it takes action to restrict, suspend or revoke an individual's privilege to
practice in the state, to notify the individual licensee's home state and the
Commission.

14.

States that, if an
individual's license in any home state is restricted or suspended, the
individual is not eligible to practice in a remote state under the privilege to
practice until the individual's home state license is restored.

15.

States that, if an
individual's privilege to practice in any remote state is restricted, suspended
or revoked, the individual is not eligible to practice in any remote state
until the individual's privilege to practice is restored.

Conditions
of Practice in a Remote State

16.

Allows
an individual to practice in a remote state under a privilege to practice only
in the performance of the individual's EMS duties as assigned by an appropriate
authority, as defined in Commission rules, and under the following
circumstances:

a)

the
individual originates a patient transport in a home state and transports the
patient to a remote state;

b)

the
individual originates in the home state and enters a remote state to pick up a
patient and provide care and transport of the patient to the home state;

c)

the
individual enters a remote state to provide patient care or transport, or both,
within that remote state;

d)

the
individual enters a remote state to pick up a patient and provide care and
transport to a third member state; and

e)

other conditions as determined by rules promulgated by the Commission.

Relationship to
Emergency Management Assistance Compact

17.

Specifies
that, on the declaration by a member state's Governor of a state of emergency
or disaster that activates the Emergency Management Assistance Compact (EMAC),
all relevant terms and provisions of EMAC apply and, to the extent any terms or
provisions of the Compact conflict with EMAC, the terms of EMAC will prevail
with respect to any individual practicing in the remote state in response to
the declaration.

Veterans and Military
Service Members

18.

Requires
member states to consider a veteran, active military service member and member
of the National Guard, reserves separating from an active-duty tour and their
spouse, who holds a current valid and unrestricted NREMT certification at or
above the level of the state license being sought, as satisfying the minimum
training and examination requirements for licensure.

19.

Requires
member states to expedite the processing of licensure applications submitted by
veterans, active military service members, members of the National Guard, reserves
separating from an active-duty tour and their spouses.

20.

Subjects
all individuals functioning with a privilege to practice to the adverse actions
provisions of the Compact.

Adverse Actions

21.

Designates
a home state as having exclusive power to impose adverse action against an
individual's license issued by the home state.

22.

States
that, if an individual's license in their home state is restricted or
suspended, the individual is not eligible to practice in a remote state under
the privilege to practice until the individual's home state license is
restored, and the following apply:

a)

all
home state adverse action orders must include a statement that the individual's
privilege to practice is inactive;

b)

a
home state adverse action order may allow the individual to practice in remote
states with prior written authorization from both the home state EMS authority
and the remote state EMS authority; and

c)

an
individual who is currently subject to adverse action in the home state must
not practice in any remote state without prior written authorization from both
the home state EMS authority and the remote state EMS authority.

23.

Requires
a member state to report adverse actions and any occurrences that the
individual's privilege to practice is restricted, suspended or revoked to the
Commission in accordance with Commission rules.

24.

Allows
a remote state to take adverse action on an individual's privilege to practice
within the remote state.

25.

Allows
any member state to take adverse action against an individual's privilege to
practice in that member state based on the factual findings of another member
state so long as each state follows its own procedures for imposing an adverse
action.

26.

Requires
a home state's EMS authority to investigate and take appropriate action with
respect to reported conduct in a remote state as it would if such conduct had
occurred within the home state.

27.

Requires
the home state's laws, in taking appropriate action with respect to reported
conduct in a remote state, to control in determining the appropriate adverse
action.

28.

States
that the Compact does not override a member state's decision that participation
in an alternative program may be used in lieu of adverse action.

29.

Requires
a member's states participation in an alternative program to remain nonpublic
if required by the member state's laws.

30.

Requires
member states to require individuals who enter any alternative program to agree
not to practice in any other member state during the term of the alternative
program without prior authorization from the other member state.

Additional
Powers Invested in a Member State's EMS Authority

31.

Authorizes
a member state's EMS authority, in addition to any other powers granted under
state law, to:

a)

issue
subpoenas for both hearings and investigations that require the attendance and
testimony of witnesses and the production of evidence; and

b)

issue
cease and desist orders to restrict, suspend or revoke an individual's
privilege to practice in the member state.

32.

Requires
subpoenas issued by a member state's EMS authority for the attendance and
testimony of witnesses or the production of evidence from another member state,
or both, to be enforced in the remote state by any court of competent
jurisdiction, according to that court's practice and procedure in considering
subpoenas issued in its own proceedings.�

33.

Requires the issuing state
EMS authority to pay any witness fees, travel expenses, mileage and other fees
required by the service statutes of the state where the witnesses or evidence,
or both, are located.

Establishment of
the Commission

34.

Establishes
the Commission.

35.

States
that the Commission is a body politic and an instrumentality of the Compact
states.

36.

Requires
the judicial proceedings by or against the Commission to be brought solely and
exclusively, as proper venue, in a court of competent jurisdiction where the
principal office of the Commission is located.

37.

States
that the Compact is not a waiver of sovereign immunity.

38.

Requires
each member state to have and be limited to one delegate.

39.

Requires
the responsible official of the state EMS authority or the state EMS
authority's designee to be the delegate to the Compact for each member state.

40.

Allows
any delegate to be removed or suspended from office as provided by the law of
the state from which the delegate is appointed.

41.

Requires
any vacancy occurring in the Commission to be filled in accordance with the
laws of the member state in which the vacancy exists.

42.

Requires
the Governor of a member state, if more than one board, office or other agency
with the legislative mandate to license EMS personnel at and above the level of
EMT exists, to determine which entity will be responsible for assigning the
delegate.

43.

Requires each delegate to:

a)

be entitled to one vote with regard to the promulgation of rules and
creation of bylaws; and

b)

have
an opportunity to participate in the business and affairs of the Commission.

44.

Requires
a delegate to vote in person or by such other means as provided in the bylaws.

45.

Requires
the bylaws to provide for delegates' participation in meetings by telephone or
other means of communication.

46.

Requires
the Commission to meet at least once during each calendar year.

47.

Requires
additional Commission meetings to be held as set forth in the bylaws.

48.

Requires
all Commission meetings to be open to the public.

49.

Requires
public notice of Commission meetings to be given in the same manner as required
under the rulemaking provisions of the Compact.

50.

Allows
the Commission to convene in a closed, nonpublic meeting if the Commission
discusses any of the following:

a)

noncompliance
of a member state with its obligations under the Compact;

b)

the
employment, compensation, discipline or other personnel matters, practices or
procedures related to specific employees or other matters related to the
Commission's internal personnel practices and procedures;

c)

the
current, threatened or reasonably anticipated litigation;

d)

the
negotiation of contracts for the purchase or sale of goods, services or real
estate;

e)

the
accusation of any person of a crime or the formal censure of any person;

f)

the
disclosure of trade secrets or commercial or financial information that is
privileged or confidential;

g)

the
disclosure of information of a personal nature where disclosure would
constitute a clearly unwarranted invasion of personal privacy;

h)

the
disclosure of investigatory records compiled for law enforcement purposes;

i)

the
disclosure of information related to any investigatory reports prepared by or
on behalf of or for use of the Commission or another committee charged with
responsibility of investigation or determination of compliance issues in
accordance with the Compact; or

j)

any
matter specifically exempted from disclosure by federal or member state
statute.

51.

Requires
the Commission's legal counsel or designee, if a meeting or portion of a
meeting is closed in accordance with the Compact, to:

a)

certify
that the meeting may be closed; and

b)

reference
each relevant exempting provision.

52.

Requires
the Commission to:

a)

keep
minutes that fully and clearly describe all matters discussed in the closed
meeting;

b)

provide a full and accurate summary of actions taken, and the reasons
for any actions, including a description of the views expressed; and

c)

identify in the prescribed minutes all documents considered in
connection with an action.

53.

Requires all minutes and
documents of a closed meeting to remain under seal subject to release by a
majority vote of the Commission or an order of a court of competent
jurisdiction.

54.

Requires
the Commission, by a majority vote of the delegates, to prescribe bylaws or
rules, or both, to govern its conduct as may be necessary or appropriate to
carry out the purposes and exercise the powers of the Compact, including:

a)

establishing
the fiscal year of the Commission;

b)

providing
reasonable standards and procedures:

i.

for the establishment and meetings of other committees; and

ii.

governing any general or specific delegation of any authority or
function of the Commission;

c)

providing
reasonable procedures for calling and conducting meetings of the Commission,
ensuring reasonable advance notice of all meetings and providing an opportunity
for attendance of such meetings by interested parties, with enumerated
exceptions designed to protect the public's interest, the privacy of
individuals and proprietary information, including trade secrets;

d)

establishing
the titles, duties and authority and reasonable procedures for electing the
officers of the Commission;

e)

providing
reasonable standards and procedures for establishing the personnel policies and
programs of the Commission;

f)

promulgating
a code of ethics to address permissible and prohibited activities of Commission
members and employees;

g)

providing
a mechanism for winding up the operations of the Commission and the equitable
disposition of any surplus monies that may exist after the termination of the
Compact after the payment or reserving of all of the Commission's debts or
obligations, or both;

h)

publishing
the Commission's bylaws and filing a copy, and a copy of any amendment, with
the appropriate agency or officer in each member state, if any;

i)

maintaining
the Commission's financial records in accordance with the bylaws; and

j)

meeting and taking such actions as are consistent with the provisions of
the Compact and the bylaws.

55.

Requires the bylaws to
exclusively govern the personnel policies and programs of the Commission

56.

Allows the Commission to
meet in closed session only after a majority of the membership votes to close a
meeting in whole or in part.

57.

Requires the Commission, as
soon as practicable, to make public a copy of the vote to close the meeting
revealing the vote of each member with no proxy votes allowed.

58.

Requires
the Commission to have the following powers:

a)

to promulgate uniform rules to facilitate and coordinate implementation
and administration of the Compact;

b)

to bring and prosecute legal proceedings or actions in the name of the
Commission, provided that the standing of any state EMS authority or other
regulatory body responsible for EMS personnel licensure to sue or be sued under
applicable law is not affected;

c)

to purchase and maintain insurance and bonds;

d)

to borrow, accept or contract for services of personnel, including
employees of a member state;

e)

to hire employees, elect or appoint officers, fix compensation, define
duties, grant such individuals appropriate authority to carry out the purposes
of the Compact and to establish the Commission's personnel policies and
programs relating to conflicts of interest, qualifications of personnel and
other related personnel matters;

f)

to accept any and all appropriate donations and grants of monies,
equipment, supplies, materials and services, and to receive, use and dispose of
the donations and grants, provided that at all times the Commission strives to
avoid any appearance of impropriety and conflict of interest;

g)

to lease, purchase, accept appropriate gifts or donations of, or
otherwise to own, hold, improve or use any property, real, personal or mixed,
provided that at all times the Commission strives to avoid any appearance of
impropriety;

h)

to sell, convey, mortgage, pledge, lease, exchange, abandon or otherwise
dispose of any property, real, personal or mixed;

i)

to establish a budget and make expenditures;

j)

to borrow monies;

k)

to appoint committees, including advisory committees composed of
members, state regulators, state legislators or their representatives, and
consumer representatives and such other interested persons as may be designated
in the Compact and the bylaws;

l)

to provide and receive information from, and to cooperate with, law
enforcement agencies;

m)

to adopt and use an official seal; and

n)

to perform such other functions as may be necessary or appropriate to
achieve the purposes of the Compact consistent with the state regulation of EMS
personnel licensure and practice.

59.

Requires
the Commission rules to have the force and effect of law and be binding in all
member states.

Financing of the Commission

60.

Requires
the Commission to pay, or provide for the payment of, the reasonable expenses
of its establishment, organization and ongoing activities.

61.

Allows
the Commission to accept any and all appropriate revenue sources, donations and
grants of monies, equipment, supplies, materials and services.

62.

Allows
the Commission to levy on and collect an annual assessment from each member
state or impose fees on other parties to cover the cost of the operations and
activities of the Commission and its staff, which is in a total amount
sufficient to cover its annual budget as approved each year for which revenue
is not provided by other sources.

63.

Requires the aggregate annual assessment amount to be allocated based on
a formula to be determined by the Commission.

64.

Requires
the Commission to promulgate a rule for the aggregate annual assessment amount
that is binding on all member states.

65.

Prohibits
the Commission from incurring obligations of any kind before securing the
monies adequate to meet the obligations.

66.

Prohibits
the Commission from pledging the credit of any member state, except by and with
the authority of the member state.

67.

Requires
the Commission to keep accurate accounts of all receipts and disbursements.�

68.

Subjects
the receipts and disbursements of the Commission to the audit and accounting
procedures established under its bylaws.

69.

Requires
all receipts and disbursements of monies handled by the Commission to be
audited yearly by a certified or licensed public accountant.

70.

Requires
the report of the yearly audit to be included in and become part of the annual
report of the Commission.

Qualified Immunity, Defense and Indemnification

71.

Requires
the members, officers, executive director, employees and representatives of the
Commission to be immune from suit and liability, either personally or in their
official capacity, for any claim for damage to or loss of property or personal
injury or other civil liability caused by or arising out of any actual or
alleged act, error or omission that occurred or that the person against whom
the claim is made had a reasonable basis for believing occurred within the
scope of Commission employment, duties or responsibilities.

72.

States
that the prescribed immunity does not apply to any damage, loss, injury or
liability caused by the intentional or wilful or wanton misconduct of the
person.

73.

Requires the Commission to
defend any member, officer, executive director, employee or representative of
the Commission in any civil action seeking to impose liability arising out of
any actual or alleged act, error or omission that occurred within the scope of
Commission employment, duties or responsibilities, or that the person against
whom the claim is made had a reasonable basis for believing occurred within the
scope of Commission employment, duties or responsibilities, provided that:

a)

a person may retain
their own counsel; and

b)

the actual or alleged
act, error or omission did not result from the person's intentional or wilful
or wanton misconduct.

74.

Requires
the Commission to indemnify and hold harmless any member, officer, executive
director, employee or representative of the Commission for the amount of any
settlement or judgment obtained against that person arising out of any actual
or alleged act, error or omission that occurred within the scope of Commission
employment, duties or responsibilities, or that such person had a reasonable
basis for believing occurred within the scope of Commission employment, duties
or responsibilities.

75.

States
that the prescribed indemnification does not apply if the actual or alleged
act, error or omission did not result from the intentional or wilful or wanton
misconduct of the person.

Coordinated
Database

76.

Requires
the Commission to provide for the development and maintenance of a coordinated
database and reporting system containing licensure, adverse action and
significant investigatory information on all licensed individuals in member
states.

77.

Requires
a member state to submit a uniform data set to the coordinated database on all
individuals to whom the Compact applies as required by Commission rules,
including:

a)

identifying
information;

b)

licensure
data;

c)

significant
investigatory information;

d)

adverse
actions against a license;

e)

an
indicator that a privilege to practice is restricted, suspended or revoked;

f)

nonconfidential
information related to alternative program participation;

g)

any
denial of an application for licensure and the reason or reasons for such
denial; and

h)

other
information that may facilitate the administration of the Compact, as
determined by the Commission rules.

78.

Requires
the coordinated database administrator to promptly notify all member states of
any adverse action taken against, or significant investigative information on,
any individual in a member state.

79.

Allows
a member state that contributes information to the coordinated database to
designate information that may not be shared with the public without the
express permission of that member state.

80.

Requires
any information submitted to the coordinated database that is subsequently
required to be expunged by the laws of the member state contributing the
information to be removed from the coordinated database.

Rulemaking

81.

Requires
the Commission to exercise its rulemaking powers in accordance with the
criteria set forth in the Compact and the adopted Commission rules.

82.

States
that rules and amendments become binding as of the date specified in each rule
or amendment.

83.

Requires
a rule, if a majority of the legislatures of the member states rejects a rule
by enacting a statute or resolution in the same manner used to adopt the
Compact, to have no further force and effect in any member state.

84.

Requires
rules or amendments to the rules to be adopted at a regular or special meeting
of the Commission.

85.

Requires
the Commission, before it promulgates and adopts a final rule or rules, and at
least 60 days before the meeting at which the rule or rules will be considered
and voted on, to file a notice of proposed rulemaking:

a)

on
the website of the Commission; and

b)

on
the website of each member state EMS authority or in the publication in which
each state would otherwise publish proposed rules.

86.

Requires
the notice of proposed rulemaking to include:

a)

the
proposed time, date and location of the meeting in which the rule or rules will
be considered and voted on;

b)

the
text of the proposed rule or rules or amendment and the reason for the proposed
rule or rules;

c)

a
request for comments on the proposed rule or rules from any interested person;
and

d)

the
manner in which interested persons may submit notice to the Commission of their
intention to attend the public hearing and any written comments.

87.

Requires
the Commission, before adopting a proposed rule, to allow persons to submit
written data, facts, opinions and arguments.

88.

Requires
the Commission to make available to the public any submitted written data,
facts, opinions and arguments on a proposed rule.

89.

Requires
the Commission to grant an opportunity for a public hearing before it adopts a
rule or amendment if a hearing is requested by any of the following:

a)

at
least 25 persons;

b)

a
governmental subdivision or agency; or

c)

an
association having at least 25 members.

90.

Requires
the Commission, if a hearing is held on the proposed rule or amendment, to
publish the place, time and date of the scheduled public hearing.

91.

Requires
all persons wishing to be heard at the hearing to notify the Executive Director
of the Commission or other designated member in writing at least five business
days before the scheduled date of the hearing of their desire to appear and
testify at the hearing.

92.

Requires
hearings on the proposed rule or amendment to be conducted in a manner
providing each person who wishes to comment a fair and reasonable opportunity
to comment orally or in writing.

93.

States
that a transcript of the hearing on the proposed rule or amendment is not
required unless a written request for a transcript is made.

94.

Requires the person requesting a transcript of the hearing on a proposed
rule or amendment to bear the cost of producing the transcript.

95.

Allows a recording to be made in lieu of a transcript under the same
terms and conditions as a transcript

96.

States that the Commission is not precluded from making a transcript or
recording of the hearing if it so chooses.

97.

States that a separate hearing is not required on each proposed rule.

98.

Allows proposed rules to be grouped for the convenience of the
Commission at hearings.

99.

Requires the Commission, following the scheduled hearing date, or by
close of business on the scheduled hearing date if the hearing was not held, to
consider all written and oral comments received.

100.

Requires the Commission, by majority vote of all members, to take final
action on the proposed rule and determine the effective date of the rule, if
any, based on the rulemaking record and the full text of the rule.

101.

Allows the Commission to proceed with promulgating the proposed rule
without a public hearing if no written notice of intent to attend the public
hearing by interested parties is received.

102.

Allows the Commission, on a determination that an emergency exists, to
consider and adopt an emergency rule without prior notice, opportunity for
comment or hearing, provided that the usual rulemaking procedures provided in
the Compact are retroactively applied to the rule as soon as reasonably
possible but no later than 90 days after the effective date of the rule.

103.

States that an emergency rule is one that is adopted immediately to do
any of the following:

a)

meet an imminent threat to public health, safety or welfare;

b)

prevent a loss of Commission or member state monies;

c)

meet a deadline for the promulgation of an administrative rule that is
established by federal law or rule; or

d)

protect the public health and safety.

104.

Allows the Commission or an authorized committee of the Commission to
direct revisions to a previously adopted rule or amendment for purposes of
correcting typographical errors, errors in format, errors in consistency or
grammatical errors.

105.

Requires public notice of any revisions to be posted on the website of
the Commission.

106.

Requires the revision to be subject to challenge by any person for a
period of 30 days after posting.

107.

Allows the revision to be challenged only on grounds that the revision
results in a material change to a rule.

108.

Requires a challenge to be made in writing and delivered to the
Executive Director of the Commission before the end of the notice period.�

109.

States that the revision will take effect without further action if no
challenge is made.

110.

Prohibits the revision from taking effect without the approval of the Commission
if the revision is challenged.

Oversight

111.

Requires the executive, legislative and judicial branches of state
government in each member state to enforce the Compact and take all actions
necessary and appropriate to effectuate the Compact's purposes and intent.

112.

Requires the Compact and the promulgated Commission rules to have
standing as statutory law.

113.

Requires all courts to take judicial notice of the Compact and the
Commission rules in any judicial or administrative proceeding in a member state
pertaining to the subject matter of the Compact, which may affect the powers,
responsibilities or actions of the Commission.

114.

Entitles the Commission to receive service of process in any judicial or
administrative proceeding and have standing to intervene in such a proceeding
for all purposes.�

115.

States that
failure to provide service of process to the Commission renders a judgment or
order void as to the Commission, the Compact or Commission rules.

Default, Technical Assistance and Termination

116.

Requires the Commission, if the Commission determines that a member
state has defaulted in the performance of its obligations or responsibilities
under the Compact or the Commission rules, to:

a)

provide written notice to the defaulting state and other member states
of the nature of the default, the proposed means of curing the default and any
other action to be taken by the Commission; and

b)

provide remedial training and specific technical assistance regarding
the default.

117.

Allows the defaulting state, if it fails to cure the default, to be
terminated from the Compact on an affirmative vote of the member states and all
rights, privileges and benefits conferred by the Compact may be terminated on
the effective date of termination.

118.

States that a cure of the default does not relieve the offending state
of obligations or liabilities incurred during the period of default.

119.

Requires termination of membership in the Compact to be imposed only
after all other means of securing compliance have been exhausted.

120.

Requires notice of intent to suspend or terminate to be given by the
Commission to the Governor, the majority and minority leaders of the defaulting
state's legislature and each member state.

121.

States that a terminated state is responsible for all assessments,
obligations and liabilities incurred through the effective date of termination,
including obligations that extend beyond the effective date of termination.

122.

Prohibits the Commission from bearing any costs related to a state that
is found to be in default or that has been terminated from the Compact, unless
agreed on in writing between the Commission and the defaulting state.

123.

Allows the defaulting state to appeal the action of the Commission by
petitioning the U.S. District Court for the District of Columbia or the federal
district where the Commission has its principal offices.

124.

Requires a prevailing member state to be awarded all litigation costs,
including reasonable attorney fees.

Dispute Resolution

125.

Requires the Commission, on request by a member state, to attempt to
resolve disputes related to the Compact that arise among member states and
between member and nonmember states.

126.

Requires the Commission to promulgate a rule providing for both
mediation and binding dispute resolution for disputes as appropriate.

Enforcement

127.

Requires the Commission, in the reasonable exercise of its discretion,
to enforce the provisions of the Compact and Commission rules.

128.

Allows the Commission, by majority vote, to initiate legal action in the
U.S. District Court for the District of Columbia or the federal district where
the Commission has its principal offices against a member state in default to
enforce compliance with the provisions of the Compact and Commission rules and
bylaws.�

129.

Allows the relief sought by the Commission to include both injunctive
relief and damages.�

130.

Requires the prevailing member state, if judicial enforcement is
necessary, to be awarded all litigation costs, including reasonable attorney
fees.

131.

States that the enforcement remedies prescribed in the Compact are not
the exclusive remedies of the Commission.�

132.

Allows the Commission to pursue any other remedies available under
federal or state law.

Implementation
Date of the Compact

133.

Requires the
Compact to become effective on the date on which the Compact statute is enacted
into law in the tenth member state.

134.

Requires the
provisions of the Compact, which become effective upon enacted by the tenth
member state, to be limited to the powers granted to the Commission relating to
assembly and the promulgation of rules.

135.

Requires the
Commission, upon the enactment of the Compact, to meet and exercise rulemaking
powers necessary to implement and administer the Compact.

136.

Subjects any
state that joins the Compact after the Commission's initial adoption of the
rules to the rules as they exist on the date on which the Compact becomes law
in that state.�

137.

States that any
rule that has been previously adopted by the Commission has the full force and
effect of law on the day the Compact becomes law in that state.

138.

Allows any
member state to withdraw from the Compact by enacting a statute repealing the
Compact.

139.

States that a
member state's withdrawal does not take effect until six months after enactment
of the repealing statute.

140.

States that a
member state's withdrawal does not affect the continuing requirement of the
withdrawing state's EMS authority to comply with the investigative and adverse
action reporting requirements of the Compact before the effective date of
withdrawal.

141.

States that the
Compact does not invalidate or prevent any EMS personnel licensure agreement or
other cooperative arrangement between a member state and a nonmember state that
does not conflict with the provisions of the Compact.

142.

Allows the
Compact to be amended by the member states.�

143.

States that an
amendment to the Compact does not become effective and binding on any member
state until it is enacted into the laws of all member states.

Construction
and Severability

144.

Requires the
Compact to be liberally construed to effectuate the purposes of the Compact.�

145.

States that, if
the Compact is held contrary to the constitution of any state member, the
Compact remains in full force and effect as to the remaining member states.

146.

States that the
Compact does not supersede state law or rules related to licensure of EMS
agencies.

Miscellaneous

147.

Requires a person applying for initial certification as an EMCT in
accordance with the Compact, beginning on the effective date or on approval
from the Federal Bureau of Investigation, to posses a valid fingerprint
clearance card.

148.

States that the
confidential records requirements relating to ECMTs do not prevent DHS from
submitting information in compliance with the Compact.

149.

Defines terms.

150.

Makes technical and conforming changes.

151.

Becomes effective on the general effective date.

Amendments Adopted by the
House of Representatives

1.

Requires
a person applying for initial certification as an EMCT in accordance with the
Compact, beginning on the effective date or on approval from the Federal Bureau
of Investigation, to possess a valid fingerprint clearance card.

2.

States
that the confidential records requirements relating to ECMTs do not prevent DHS
from submitting information in compliance with the Compact.

3.

Makes
technical and conforming changes.

Senate Action
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House
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Prepared by Senate Research

April 14, 2026

JT/ci

Current Bill Text

Read the full stored bill text
SB1235 - 572R - H Ver

House Engrossed
Senate Bill

EMS reciprocity;
compact.

State of Arizona

Senate

Fifty-seventh Legislature

Second Regular Session

2026

SENATE BILL 1235

AN
ACT

amending sections 36-2202, 36-2220
and 36-2245, Arizona Revised Statutes; amending title 36, chapter 21.1,
Arizona Revised Statutes, by adding article 2.1; amending sections 41-619.51,
41-1758 and 41-1758.01, Arizona Revised Statutes; relating to
emergency medical services.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it
enacted by the Legislature of the State of Arizona:

Section
1.
1. Section
36-2202, Arizona Revised Statutes, is amended to read:

START_STATUTE
36-2202.

Duties of the director; qualifications of medical director

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 department to certify qualified
emergency medical care technicians who have completed statewide standardized
training required under section 36-2204, paragraph 1 and a standardized
certification test required under section 36-2204, paragraph 2, who hold
valid certification with a national certification organization or who have
completed training and testing by the United States armed forces at a level
comparable to the national standards for emergency medical care
technicians. Before the director may consider approving a statewide
standardized training or a standardized certification test, or both, each of
these must first be recommended by the medical direction commission and the
emergency medical services council to ensure that the standardized training
content is consistent with national education standards and that the
standardized certification test examines comparable material to that examined
in the tests of a national certification organization. �
Beginning
on the effective date of this amendment to this section or on approval from the
federal bureau of investigation, a person applying for initial certification as
an emergency medical care technician pursuant to the emergency medical services
personnel licensure interstate compact and in compliance with the requirements
of section 36-2259 shall possess a valid fingerprint clearance card
pursuant to title 41, chapter 12, article 3.1.

3. Adopt standards and criteria that pertain to the
quality of emergency care pursuant to section 36-2204.

4. Adopt rules necessary to carry out this
chapter. Each rule shall identify all sections and subsections of
this chapter under which the rule was formulated.

5. Adopt reasonable medical equipment, supply,
staffing and safety standards, criteria and procedures to issue a certificate
of registration to operate an ambulance.

6. Maintain a state system for recertifying
emergency medical care technicians, except as otherwise provided by section 36-2202.01,
that is independent from any national certification organization
recertification process. This system shall allow emergency medical
care technicians to choose to be recertified under the state or the national
certification organization recertification system subject to subsection H of
this section.

B. Emergency medical technicians who choose the
state recertification process shall recertify in one of the following ways:

1. Successfully completing an emergency medical
technician refresher course approved by the department.

2. Successfully completing an emergency medical
technician challenge course approved by the department.

3. For emergency medical care technicians who are
currently certified at the emergency medical technician level by the
department, attesting on a form provided by the department that the applicant
holds a valid and current cardiopulmonary resuscitation certification, has and
will maintain documented proof of a minimum of twenty-four hours of
continuing medical education within the last two years consistent with
department rules and has functioned in the capacity of an emergency medical
technician for at least two hundred forty hours during the last two years.

C. After consultation with the emergency medical
services council, the director may authorize pilot programs designed to improve
the safety and efficiency of ambulance inspections for governmental or quasi-governmental
entities that provide emergency medical services in this state.

D. The rules, standards and criteria adopted by the
director pursuant to subsection A, paragraphs 2, 3, 4 and 5 of this section
shall be adopted in accordance with title 41, chapter 6, except that the
director may adopt on an emergency basis pursuant to section 41-1026
rules relating to the regulation of ambulance services in this state necessary
to protect the public peace, health and safety in advance of adopting rules,
standards and criteria as otherwise provided by this subsection.

E. The director may
waive the requirement for compliance with a protocol adopted pursuant to
section 36-2205 if the director determines that the techniques, drug
formularies or training makes the protocol inconsistent with contemporary
medical practices.

F. The director may suspend a protocol adopted
pursuant to section 36-2205 if the director does all of the
following:

1. Determines that the rule is not in the public's
best interest.

2. Initiates procedures pursuant to title 41,
chapter 6 to repeal the rule.

3. Notifies all interested parties in writing of the
director's action and the reasons for that action. Parties
interested in receiving notification shall submit a written request to the
director.

G. To be eligible for appointment as the medical
director of the emergency medical services and trauma system, the person shall
be qualified in emergency medicine and shall be licensed as a physician in one
of the states of the United States.

H. Applicants for certification shall apply to the
director for certification. Emergency medical care technicians shall
apply for recertification to the director every two years. The
director may extend the expiration date of an emergency medical care
technician's certificate for thirty days. The department shall
establish a fee for this extension by rule. Emergency medical care
technicians shall pass an examination administered by the department as a
condition for recertification only if required to do so by the advanced life
support base hospital's medical director or the emergency medical care
technician's medical director.

I. The medical director of the emergency medical
services and trauma system is exempt from title 41, chapter 4, articles 5 and 6
and is entitled to receive compensation pursuant to section 38-611,
subsection A.

J. The standards, criteria and procedures adopted by
the director pursuant to subsection A, paragraph 5 of this section shall
require that ambulance services:

1. Providing interfacility transportation in any
certificate of necessity area of this state have one ambulance attendant as
defined in section 36-2201, paragraph 6, subdivision (a), (c), (d) or (e)
and one ambulance attendant as defined in section 36-2201, paragraph 6,
subdivision (a), (b), (c), (d), or (e) staffing an ambulance while transporting
a patient. If an ambulance attendant as defined in section 36-2201,
paragraph 6, subdivision (b) is staffing the ambulance pursuant to this
paragraph, that ambulance attendant may exclusively drive the ambulance.

2. Serving a rural or wilderness certificate of
necessity area with a population of less than ten thousand persons have at
least one ambulance attendant as defined in section 36-2201, paragraph 6,
subdivision (a), (c), (d) or (e) and one ambulance attendant as defined in
section 36-2201, paragraph 6, subdivision (a) or (b) staffing an
ambulance while transporting a patient.

3. Serving a population of ten thousand persons or
more have at least one ambulance attendant as defined in section 36-2201,
paragraph 6, subdivision (a) and one ambulance attendant as defined in section
36-2201, paragraph 6, subdivision (a), (c), (d) or (e) staffing an
ambulance while transporting a patient.

K. If the department determines there is not a
qualified administrative medical director, the department shall ensure the
provision of administrative medical direction for an emergency medical
technician if the emergency medical technician meets all of the following
criteria:

1. Is employed by a nonprofit or governmental
provider employing less than twelve full-time emergency medical
technicians.

2. Stipulates to the inability to secure a physician
who is willing to provide administrative medical direction.

3. Stipulates that the provider agency does not
provide administrative medical direction for its employees.
END_STATUTE

Sec.
2.
2. Section 36-2220, Arizona Revised Statutes,
is amended to read:

START_STATUTE
36-2220.

Records; confidentiality; definition

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 patient record, including clinical records,
prehospital care records, medical reports, laboratory statements and reports,
any file, film, record or report or oral statement relating to diagnostic
findings, treatment or outcome of patients, whether written or recorded, and
any information from which a patient, the patient's family or the patient's
health care provider or facility might be identified except records, files and
information are available to the patient, the patient's guardian or the patient's
agent.

2. Information obtained and data collected for
purposes of chapter 25 or chapter 4, article 5 of this title.

B. Unless otherwise provided by law, all medical
records developed and kept by a prehospital component of the statewide trauma
system and information contained in these records are confidential and may not
be released to the public without written authorization by the patient, the
patient's guardian or the patient's agent.

C. Notwithstanding subsection B of this section, a
prehospital incident history report completed and kept by a nonhospital
political subdivision of this state is available to the public except for
information in that report that is protected from disclosure by the laws of
this state or federal law, including confidential patient treatment
information.

D. Patient records and medical records covered by
this section may be obtained pursuant to section 12-2294.01.

E. Information,
documents and records received by the department or prepared by the department
in connection with an investigation that is conducted pursuant to this article
and that relates to emergency medical care technicians are confidential and are
not subject to public inspection or civil discovery. The results of
the investigation and the decision of the department are available to the
public after the investigation is completed and the investigation file is
closed. �
This subsection does not prevent the department from
submitting information in compliance with the emergency medical services
personnel licensure interstate compact as required by section 36-2259.

F. For the purposes of this section,
"prehospital incident history report" means a record of the
prehospital response, nature of the incident and transportation of an emergency
medical services patient that is documented on a prehospital incident history
report.
END_STATUTE

Sec.
3.
3. Section
36-2245, Arizona Revised Statutes, is amended to read:

START_STATUTE
36-2245.

Investigations; complaints; informal interviews; hearings;
stipulations; judicial review; civil penalty; confidentiality

A. The department may conduct an investigation into
the operation of ambulances and ambulance services.

B. Proceedings under this section may be initiated
by the department.

C. If the department receives a written and signed
statement of dissatisfaction or dispute of charges or any matter relating to
the regulation of ambulance services, the customer is deemed to have filed an
informal complaint against the ambulance service. Within fifteen days
of receipt of

after receiving
the
complaint, a designated representative of the department shall inform the
ambulance service that an informal complaint has been filed, state the nature
of the allegations made, specify the purported rule violation and identify
specific records relating to the purported rule violation that the ambulance
service shall provide to the department. �The ambulance service shall comply
with the request for records in a timely manner.

D. Within forty-five days
of
receipt of

after receiving
the records, the
department shall determine
if

whether
the
complaint is nonsubstantive or substantive.

E. If the department determines that a complaint
filed pursuant to this section is nonsubstantive,
it

the department
shall render a written decision to all parties
within five days
of

after
that
determination. �The complainant may make a formal complaint to the department
if the complainant disagrees with the department's decision. If the
nonsubstantive complaint involves rates and charges, a designated
representative of the department shall attempt to resolve the dispute by
correspondence or telephone with the ambulance service and the customer.

F. If the department determines that a complaint
filed pursuant to this section is substantive, the complaint becomes a formal
complaint. �The department shall inform the ambulance service that the initial
investigation was substantive in nature and may warrant action pursuant to this
article. �The department shall inform the ambulance service of the specific
rule violation and shall allow the ambulance service thirty days to answer the
complaint in writing.

G. The department may issue a written request for an
informal interview with the ambulance service if the department believes that
the evidence indicates that grounds for action exist. �The request shall state
the reasons for the interview and shall schedule an
informal

interview at least ten days
from

after
the date that the department sends the request for an
interview.

H. If the department determines that evidence
warrants action or if the ambulance service refuses to attend the informal
interview, the director shall institute formal proceedings and hold a hearing
pursuant to title 41, chapter 6, article 10.

I. If the department believes that a lesser
disciplinary action is appropriate, the department may enter into a stipulated
agreement with the ambulance service. This stipulation may include a civil
penalty as provided under subsection J of this section.

J. In addition to other disciplinary action provided
under this section, the director may impose a civil penalty of not more than
three hundred fifty dollars

$350
for each
violation of this chapter that constitutes grounds to suspend or revoke a
certificate of necessity. �This penalty shall not exceed
fifteen
thousand dollars

$15,000
. Each day that
a violation occurs constitutes a separate offense. The director
shall deposit, pursuant to sections 35-146 and 35-147, all monies
collected under this subsection in the emergency medical services operating
fund established
under

by
section 36-2218.

K. The director may suspend a certificate of
necessity without holding a hearing if the director determines that the
certificate holder has failed to pay a civil penalty imposed under this
section. The director shall reinstate the certificate of necessity when the
certificate holder pays the penalty in full.

L. Except as provided in section 41-1092.08,
subsection H, a final decision of the department pursuant to this section is
subject to judicial review pursuant to title 12, chapter 7, article 6.

M. Information, documents and records received by
the department or prepared by the department in connection with an
investigation that is conducted pursuant to this article and that relates to
emergency medical care technicians are confidential and are not subject to
public inspection or civil discovery.� When the investigation has been
completed and the investigation file has been closed, the results of the
investigation and the decision of the department shall be available to the
public. �
This subsection does not prevent the department from
submitting information in compliance with the emergency medical services
personnel licensure interstate compact as required by section 36-2259.
END_STATUTE

Sec.
4.
4. Title
36, chapter 21.1, Arizona Revised Statutes, is amended by adding article 2.1,
to read:

ARTICLE 2.1. EMERGENCY MEDICAL SERVICES PERSONNEL

LICENSURE INTERSTATE COMPACT

START_STATUTE
36-2259.

Emergency medical services licensure interstate compact

SECTION 1. PURPOSE

The purpose of this compact is to protect the
public through verification of competency and to ensure accountability for
patient care-related activities of all states' licensed emergency medical
services (EMS) personnel, such as emergency medical technicians (EMT
s
), advanced emergency medical technicians (AEMTs) and
paramedics. This compact is intended to facilitate the day-to-day
movement of EMS personnel across state boundaries in the performance of their
EMS duties as assigned by an appropriate authority and to authorize state EMS
offices to afford immediate legal recognition to EMS personnel who are licensed
in a member state.� This compact recognizes that states have a vested interest
in protecting the public's health and safety through their licensing and
regulation of EMS personnel and that such state regulation shared among the
member states will best protect the public health and safety. �This compact is
designed to achieve the following purposes and objectives:

1. Increase public access to EMS
personnel.

2. Enhance the states' ability to
protect the public's health and safety, especially patient safety.

3. Encourage the cooperation of
member states in the areas of EMS personnel licensure and regulation.

4. Support the licensing of military
members who are separating from an active duty tour and the spouses of those
military members.

5. Facilitate the exchange of
information between member states regarding EMS personnel licensure, adverse
actions and significant investigatory information.

6. Promote compliance with the laws
governing EMS personnel practice in each member state.

7. Invest all member states with the
authority to hold EMS personnel accountable through the mutual recognition of
member state licenses.

SECTION 2. DEFINITIONS

In this compact, unless the context otherwise
requires:

1. "Advanced emergency medical
technician" or "AEMT" means an individual who is licensed with
cognitive knowledge and a scope of practice that corresponds to that level in
the national EMS education standards and national EMS scope of practice model.

2. "Adverse
action" means:

(
a
) Any administrative, civil, equitable or criminal action
allowed by a state's laws that may be imposed against licensed EMS personnel by
a state EMS authority or state court.

(
b
) Includes
actions against an individual's license such as revocation, suspension,
probation, a consent agreement, monitoring or another limitation or encumbrance
on the individual's practice, a letter of reprimand or admonition, a fine, a
criminal conviction and a state court judgment enforcing adverse actions by the
state EMS authority.

3. "Alternative program"
means a voluntary, nondisciplinary substance abuse recovery program that is
approved by a state EMS authority.

4. "Certification" means
the successful verification of entry-level cognitive and psychomotor competency
using a reliable, validated and legally defensible examination.

5. "Commission" means the
national administrative body of which all states that have enacted this compact
are members.

6. "Emergency medical
technician" or "EMT" means an individual who is licensed with
cognitive knowledge and a scope of practice that corresponds to that level in
the national EMS education standards and national EMS scope of practice model.

7. "Home state" means a
member state where an individual is licensed to practice emergency medical
services.

8. "License" means the
authorization by a state for an individual to practice as an EMT, AEMT or
paramedic or at a level in between EMT and paramedic.

9. "Medical director" means
a physician who is licensed in a member state and who is accountable for the
care delivered by EMS personnel.

10. "Member state" means a
state that has enacted this compact.

11. "Paramedic" means an
individual who is licensed with cognitive knowledge and a scope of practice
that corresponds to that level in the national EMS education standards and
national EMS scope of practice model.

12. "Privilege to practice"
means an individual's authority to deliver emergency medical services in remote
states as authorized under this compact.

13. "Remote State" means a
member state in which an individual is not licensed.

14. "Restricted" means the
outcome of an adverse action that limits a license or the privilege to
practice.

15. "Rule" means a written
statement of the Commission that is promulgated pursuant to Section 12 of this
compact and that:

(
a
) Is of
general applicability.

(
b
) Implements,
interprets or prescribes a policy or provision of this compact.

(
c
) Is an
organizational, procedural or practice requirement of the commission and has
the force and effect of statutory law in a member state.

(
d
) Includes
the amendment, repeal or suspension of an existing rule.

16. "Scope of practice"
means defined parameters of various duties or services that may be provided by
an individual with specific credentials and that, whether regulated by rule,
statute or court decision, tend to represent the limits of services the
individual may perform.

17. "Significant investigatory
information" means either:

(
a
) Investigative
information that a state EMS authority, after a preliminary inquiry that
includes notification and an opportunity to respond if required by state law,
has reason to believe, if proved true, would result in the imposition of an adverse
action on a license or privilege to practice.

(
b
) Investigative
information that indicates that an individual represents an immediate threat to
public health and safety regardless of whether the individual has been notified
and had an opportunity to respond.

18. "State" means any
state, commonwealth, district or territory of the United States.

19. "State EMS authority"
means the board, office or other agency with the legislative mandate to license
EMS personnel.

SECTION 3. HOME STATE LICENSURE

A. Any member state in which an
individual holds a current license is deemed a home state for the purposes of
this compact.

B. Any member state may require an
individual to obtain and retain a license to be authorized to practice in the
member state under circumstances not authorized by the privilege to practice
under the terms of this compact.

C. A home state's issuance of a
license authorizes an individual to practice in a remote state under the
privilege to practice only if the home state meets all of the following:

1. Currently requires the use of the
national registry of emergency medical technicians (NREMT) examination as a
condition of issuing initial licenses at the EMT and paramedic levels.

2. Has a mechanism in place for
receiving and investigating complaints about individuals.

3. Notifies the commission, in
compliance with the terms prescribed in this compact, of any adverse action or
significant investigatory information regarding an individual.

4. Not later than five years after
activation of this compact, requires a criminal background check of all
applicants for initial licensure, including the use of the results of
fingerprint or other biometric data checks compliant with the requirements of
the federal

bureau of investigation, with the exception
of federal employees who have suitability determination in accordance with 5
Code of Federal regulations section 731.202 and who submit documentation of
such as promulgated in the rules of the commission.

5. Complies with the rules of the
commission.

SECTION 4. COMPACT PRIVILEGE TO PRACTICE

A. Member states shall recognize the
privilege to practice of an individual who is licensed in another member state
that is in conformance with section 3 of this compact.

B. To exercise the privilege to
practice under the terms and provisions of this compact, an individual must
meet all of the following:

1. Be at least eighteen years of age.

2. Possess a current unrestricted
license in a member state as an EMT, AEMT, paramedic or state recognized and
licensed level with a scope of practice and authority between EMT and
paramedic.

3. Practice under the supervision of
a medical director.

C. An individual providing patient
care in a remote state under the privilege to practice shall function within
the scope of practice authorized by the home state unless and until modified by
an appropriate authority in the remote state as may be defined in the rules of
the commission.

D. Except as provided in subsection C
of this section, an individual practicing in a remote state is subject to the
remote state's authority and laws. A remote state, in accordance
with due process and that state's laws, may restrict, suspend or revoke an
individual's privilege to practice in the remote state and may take any other
necessary actions to protect the health and safety of its citizens. �If a
remote state takes action, it shall promptly notify the home state and the
commission.

E. If an individual's license in any
home state is restricted or suspended, the individual is not eligible to
practice in a remote state under the privilege to practice until the
individual's home state license is restored.

F. If an individual's privilege to
practice in any remote state is restricted, suspended or revoked, the
individual is not eligible to practice in any remote state until the
individual's privilege to practice is restored.

SECTION 5. CONDITIONS OF PRACTICE IN A REMOTE
STATE

An individual may practice in a remote state
under a privilege to practice only in the performance of the individual's EMS
duties as assigned by an appropriate authority, as defined in the rules of the
commission, and under the following circumstances:

1. The individual originates a
patient transport in a home state and transports the patient to a remote state.

2. The individual originates in the
home state and enters a remote state to pick up a patient and provide care and
transport of the patient to the home state.

3. The individual enters a remote
state to provide patient care or transport, or both, within that remote state.

4. The individual enters a remote
state to pick up a patient and provide care and transport to a third member
state.

5. Other conditions as determined by
rules promulgated by the commission.

SECTION 6. RELATIONSHIP TO
EMERGENCY

MANAGEMENT ASSISTANCE COMPACT

On the declaration by a member state's governor
of a state of emergency or disaster that activates the emergency management
assistance compact (EMAC), all relevant terms and provisions of EMAC apply and,
to the extent any terms or provisions of this Compact conflict with EMAC, the
terms of EMAC shall prevail with respect to any individual practicing in the
remote state in response to the declaration.

SECTION 7. VETERANS AND MILITARY SERVICE MEMBERS

SEPARATING FROM ACTIVE DUTY AND THEIR SPOUSES

A. Member states shall consider a
veteran, active military service member and member of the national guard and
reserves separating from an active duty tour, and the spouse of any of these,
who holds a current valid and unrestricted NREMT certification at or above the
level of the state license being sought as satisfying the minimum training and
examination requirements for such licensure.

B. Member states shall expedite the
processing of licensure applications submitted by veterans, active military
service members and members of the national guard and reserves separating from
an active duty tour, and their spouses.

C. All individuals functioning with a
privilege to practice under this section remain subject to the adverse actions
provisions of section 8 of this compact.

SECTION 8. ADVERSE ACTIONS

A. A home state has exclusive power
to impose adverse action against an individual's license issued by the home
state.

B. If an individual's license in any
home state is restricted or suspended, the individual is not eligible to
practice in a remote state under the privilege to practice until the
individual's home state license is restored, and the following apply:

1. All home state adverse action
orders shall include a statement that the individual's privilege to practice is
inactive. The order may allow the individual to practice in remote states with
prior written authorization from both the home state EMS authority and the
remote state EMS authority.

2. An individual who is currently
subject to adverse action in the home state shall not practice in any remote
state without prior written authorization from both the home state ems
authority and the remote state EMS authority.

C. A member state shall report
adverse actions and any occurrences that the individual's privilege to practice
is restricted, suspended or revoked to the commission in accordance with the
rules of the commission.

D. A remote state may take adverse
action on an individual's privilege to practice within that state.

E. Any member state may take adverse
action against an individual's privilege to practice in that state based on the
factual findings of another member state so long as each state follows its own
procedures for imposing such adverse action.

F. A home state's EMS authority shall
investigate and take appropriate action with respect to reported conduct in a
remote state as it would if such conduct had occurred within the home
state. In such cases, the home state's law shall control in
determining the appropriate adverse action.

G. This compact does not override a
member state's decision that participation in an alternative program may be
used in lieu of adverse action and that such participation shall remain
nonpublic if required by the member state's laws. Member states
shall require individuals who enter any alternative programs to agree not to
practice in any other member state during the term of the alternative program
without prior authorization from the other member state.

SECTION 9. ADDITIONAL POWERS INVESTED IN

A MEMBER STATE'S EMS AUTHORITY

A member state's EMS authority, in addition to
any other powers granted under state law, is authorized under this compact to:

1. Issue subpoenas for both hearings
and investigations that require the attendance and testimony of witnesses and
the production of evidence. Subpoenas issued by a member state's EMS
authority for the attendance and testimony of witnesses or the production of
evidence from another member state, or both, shall be enforced in the remote
state by any court of competent jurisdiction, according to that court's
practice and procedure in considering subpoenas issued in its own proceedings.
The issuing state EMS authority shall pay any witness fees, travel expenses,
mileage and other fees required by the service statutes of the state where the
witnesses or evidence, or both, are located.

2. Issue cease and desist orders to
restrict, suspend or revoke an individual's privilege to practice in the member
state.

SECTION 10. ESTABLISHMENT OF THE INTERSTATE
COMMISSION

FOR EMS PERSONNEL PRACTICE

A. The
compact states hereby create and establish a joint public agency known as the
interstate commission for EMS personnel practice. The following apply:

1. The commission is a body politic
and an instrumentality of the compact states.

2. Venue is proper and judicial
proceedings by or against the Commission shall be brought solely and
exclusively in a court of competent jurisdiction where the principal office of
the commission is located. The commission may waive venue and jurisdictional
defenses to the extent it adopts or consents to participate in alternative
dispute resolution proceedings.

3. This compact is not a waiver of
sovereign immunity.

B. Membership, voting and meetings
are as follows:

1. Each member state shall have and
be limited to one delegate. The responsible official of the state EMS authority
or the state EMS authority's designee shall be the delegate to this compact for
each member state. Any delegate may be removed or suspended from office as
provided by the law of the state from which the delegate is
appointed. Any vacancy occurring in the commission shall be filled
in accordance with the laws of the member state in which the vacancy exists. In
the event that more than one board, office or other agency with the legislative
mandate to license EMS personnel at and above the level of EMT exists, the
governor of that state will determine which entity will be responsible for
assigning the delegate.

2. Each delegate shall be entitled to
one vote with regard to the promulgation of rules and creation of bylaws and
shall otherwise have an opportunity to participate in the business and affairs
of the commission. A delegate shall vote in person or by such other means as
provided in the bylaws. The bylaws may provide for delegates'
participation in meetings by telephone or other means of communication.

3. The commission shall meet at least
once during each calendar year. Additional meetings shall be held as set forth
in the bylaws.

4. All meetings shall be open to the
public, and public notice of meetings shall be given in the same manner as
required under the rulemaking provisions in section 12 of this compact.

5. The commission may convene in a
closed, nonpublic meeting if the commission must discuss any of the following:

(
a
) Noncompliance
of a member state with its obligations under the compact.

(
b
) The
employment, compensation, discipline or other personnel matters, practices or
procedures related to specific employees or other matters related to the
commission's internal personnel practices and procedures.

(
c
) The
current, threatened or reasonably anticipated litigation.

(
d
) The
negotiation of contracts for the purchase or sale of goods, services or real
estate.

(
e
) The
accusation of any person of a crime or the formal censure of any person.

(
f
) The
disclosure of trade secrets or commercial or financial information that is
privileged or confidential.

(
g
) The
disclosure of information of a personal nature where disclosure would
constitute a clearly unwarranted invasion of personal privacy.

(
h
) The
disclosure of investigatory records compiled for law enforcement purposes.

(
i
) The
disclosure of information related to any investigatory reports prepared by or
on behalf of or for use of the commission or another committee charged with
responsibility of investigation or determination of compliance issues pursuant
to this compact.

(
j
) Any matter
specifically exempted from disclosure by federal or member state statute.

6. If a meeting, or portion of a
meeting, is closed pursuant to this subsection, the commission's legal counsel
or designee shall certify that the meeting may be closed and shall reference
each relevant exempting provision. The commission shall keep minutes
that fully and clearly describe all matters discussed in the closed meeting and
shall provide a full and accurate summary of actions taken, and the reasons
therefore, including a description of the views expressed. All
documents considered in connection with an action shall be identified in such
minutes. All minutes and documents of a closed meeting shall remain
under seal, subject to release by a majority vote of the commission or an order
of a court of competent jurisdiction.

C. The commission, by a majority vote
of the delegates, shall prescribe bylaws or rules, or both, to govern its
conduct as may be necessary or appropriate to carry out the purposes and
exercise the powers of this compact, including:

1. Establishing the fiscal year of
the commission.

2. Providing reasonable standards and
procedures:

(
a
) For the
establishment and meetings of other committees.

(
b
) Governing
any general or specific delegation of any authority or function of the
commission.

3. Providing reasonable procedures
for calling and conducting meetings of the commission, ensuring reasonable
advance notice of all meetings and providing an opportunity for attendance of
such meetings by interested parties, with enumerated exceptions designed to
protect the public's interest, the privacy of individuals and proprietary
information, including trade secrets. The commission may meet in
closed session only after a majority of the membership votes to close a meeting
in whole or in part.� As soon as practicable, the commission shall make public
a copy of the vote to close the meeting revealing the vote of each member with
no proxy votes allowed.

4. Establishing the titles, duties
and authority and reasonable procedures for electing the officers of the
commission.

5. Providing reasonable standards and
procedures for establishING the personnel policies and programs of the
commission. Notwithstanding any civil service or other similar laws of any
member state, the bylaws shall exclusively govern the personnel policies and
programs of the commission.

6. Promulgating a code of ethics to
address permissible and prohibited activities of commission members and
employees.

7. Providing a mechanism for winding
up the operations of the commission and the equitable disposition of any
surplus monies that may exist after the termination of thIS compact after the
payment or reserving of all of THE COMMISSION'S debts OR obligations, or both.

8. publishING THE COMMISSION'S bylaws
and FILING a copy thereof, and a copy of any amendment thereto, with the
appropriate agency or officer in each member state, if any.

9. maintainING THE COMMISSION'S
financial records in accordance with the bylaws.

10. meetING and takING such actions
as are consistent with the provisions of this compact and the bylaws.

D. The commission shall have the
following powers:

1. to promulgate uniform rules to
facilitate and coordinate implementation and administration of this compact.
The rules shall have the force and effect of law and shall be binding in all
member states.

2. To bring and prosecute legal
proceedings or actions in the name of the commission, provided that the
standing of any state EMS authority or other regulatory body responsible for
EMS personnel licensure to sue or be sued under applicable law shall not be
affected.

3. To purchase and maintain insurance
and bonds.

4. To borrow, accept or contract for
services of personnel, including employees of a member state.

5. To hire employees, elect or
appoint officers, fix compensation, define duties, grant such individuals
appropriate authority to carry out the purposes of THIS compact, and to
establish the Commission's personnel policies and programs relating to
conflicts of interest, qualifications of personnel and other related personnel
matters.

6. To accept any and all appropriate
donations and grants of monies, equipment, supplies, materials and services,
and to receive, use and dispose of the same, provided that at all times the
commission shall strive to avoid any appearance of impropriety and conflict of
interest.

7. To lease, purchase, accept
appropriate gifts or donations of, or otherwise to own, hold, improve or use,
any property, real, personal or mixed, provided that at all times the
Commission shall strive to avoid any appearance of impropriety.

8. To sell, convey, mortgage, pledge,
lease, exchange, abandon or otherwise dispose of any property, real, personal
or mixed.

9. To establish a budget and make
expenditures.

10. To borrow monies.

11. To appoint committees, including
advisory committees composed of members, state regulators, state legislators or
their representatives, and consumer representatives, and such other interested
persons as may be designated in this compact and the bylaws.

12. To provide and receive
information from, and to cooperate with, law enforcement agencies.

13. To adopt and use an official
seal.

14. To perform such other functions
as may be necessary or appropriate to achieve the purposes of this compact
consistent with the state regulation of EMS personnel licensure and practice.

E. Financing of the commission is as
follows:

1. The commission shall pay, or
provide for the payment of, the reasonable expenses of its establishment,
organization and ongoing activities.

2. The commission may accept any and
all appropriate revenue sources, donations and grants of monies, equipment,
supplies, materials and services.

3. The commission may levy on and
collect an annual assessment from each member state or impose fees on other
parties to cover the cost of the operations and activities of the commission
and its staff, which must be in a total amount sufficient to cover its annual
budget as approved each year for which revenue is not provided by other
sources. The aggregate annual assessment amount shall be allocated based on a
formula to be determined by the commission, which shall promulgate a rule
binding on all member states.

4. The commission shall not incur
obligations of any kind before securing the monies adequate to meet the
obligations. The commission shall not pledge the credit of any
member state, except by and with the authority of the member state.

5. The commission shall keep accurate
accounts of all receipts and disbursements. The receipts and
disbursements of the commission ARE subject to the audit and accounting
procedures established under its bylaws. However, all receipts and
disbursements of monies handled by the Commission shall be audited yearly by a
certified or licensed public accountant, and the report of the audit shall be
included in and become part of the annual report of the commission.

F. Qualified immunity, defense and
indemnification are as follows:

1. The members, officers, executive
director, employees and representatives of the commission ARE immune from suit
and liability, either personally or in their official capacity, for any claim
for damage to or loss of property or personal injury or other civil liability
caused by or arising out of any actual or alleged act, error or omission that
occurred, or that the person against whom the claim is made had a

reasonable basis for believing occurred within the scope of commission
employment, duties or responsibilities, provided that this paragraph does not
protect any such person from suit or liability, or both, for any damage, loss,
injury or liability caused by the intentional or wilful or wanton misconduct of
that person.

2. The commission shall defend any
member, officer, executive director, employee or representative of the
commission in any civil action seeking to impose liability arising out of any
actual or alleged act, error or omission that occurred within the scope of
commission employment, duties or responsibilities, or that the person against
whom the claim is made had a reasonable basis for believing occurred within the
scope of commission employment, duties or responsibilities, provided that this
paragraph does not prohibit that person from retaining the person's own
counsel, and provided further that the actual or alleged act, error or omission
did not result from that person's intentional or wilful or wanton misconduct.

3. The commission shall indemnify and
hold harmless any member, officer, executive director, employee or
representative of the commission for the amount of any settlement or judgment
obtained against that person arising out of any actual or alleged act, error or
omission that occurred within the scope of commission employment, duties or
responsibilities, or that such person had a reasonable basis for believing
occurred within the scope of commission employment, duties or responsibilities,
provided that the actual or alleged act, error or omission did not result from
the intentional or wilful or wanton misconduct of that person.

SECTION 11. COORDINATED DATABASE

A. The commission shall provide for
the development and maintenance of a coordinated database and reporting system
containing licensure, adverse action and significant investigatory information
on all licensed individuals in member states.

B. Notwithstanding any other
provision of state law to the contrary, a member state shall submit a uniform
data set to the coordinated database on all individuals to whom this compact
APPLIES as required by the rules of the commission, including:

1. Identifying information.

2. Licensure data.

3. Significant investigatory
information.

4. Adverse actions against a license.

5. An indicator that a privilege to
practice is restricted, suspended or revoked.

6. Nonconfidential information
related to alternative program participation.

7. Any denial of AN application for
licensure and the reason or reasons for such denial.

8. Other information that may
facilitate the administration of this compact, as determined by the rules of
the commission.

C. The coordinated database
administrator shall promptly notify all member states of any adverse action
taken against, or significant investigative information on, any individual in a
member state.

D. a Member state THAT CONTRIBUTES
information to the coordinated database may designate information that may not
be shared with the public without the express permission of THAT MEMBER state.

E. Any information submitted to the
coordinated database that is subsequently required to be expunged by the laws
of the member state contributing the information shall be removed from the
coordinated database.

SECTION 12. RULEMAKING

A. The
commission shall exercise its rulemaking powers pursuant to the criteria set
forth in this section and the rules adopted thereunder. Rules and amendments
become binding as of the date specified in each rule or amendment.

B. If a majority of the legislatures
of the member states rejects a rule by enactING a statute or resolution in the
same manner used to adopt thIS compact, that rule shall have no further force
and effect in any member state.

C. Rules or amendments to the rules
shall be adopted at a regular or special meeting of the commission.

D. bEFORE THE COMMISSION PROMULGATES
AND ADOPTS a final rule or rules, and at least sixty days before the meeting at
which the rule OR RULES will be considered and voted on, the commission shall
file a notice of proposed rulemaking:

1. On the website of the Commission.

2. On the website of each member
state EMS authority or IN the publication in which each state would otherwise
publish proposed rules.

E. The notice of proposed rulemaking
shall include all of the following:

1. The proposed time, date and
location of the meeting in which the rule OR RULES will be considered and voted
on.

2. The text of the proposed rule OR
RULES or amendment and the reason for the proposed rule OR RULES.

3. A request for comments on the
proposed rule OR RULES from any interested person.

4. The manner in which interested
persons may submit notice to the commission of their intention to attend the
public hearing and any written comments.

F. Before ADOPTING a proposed rule,
the commission shall allow persons to submit written data, facts, opinions and
arguments, which shall be made available to the public.

G. The commission shall grant an
opportunity for a public hearing before it adopts a rule or amendment if a
hearing is requested by any of the following:

1. At least twenty-five persons.

2. A governmental subdivision or
agency.

3. An association having at least
twenty-five members.

H. If a hearing is held on the
proposed rule or amendment, the commission shall publish the place, time and
date of the scheduled public hearing, and the following apply:

1. All persons wishing to be heard at
the hearing shall notify the executive director of the commission or other
designated member in writing at least five business days before the scheduled
date of the hearing of their desire to appear and testify at the hearing.

2. Hearings shall be conducted in a
manner providing each person who wishes to comment a fair and reasonable
opportunity to comment orally or in writing.

3. A transcript of the hearing is not
required unless a written request for a transcript is made, in which case the
person requesting the transcript shall bear the cost of producing the
transcript. �A recording may be made in lieu of a transcript under the same
terms and conditions as a transcript. This paragraph does not
preclude the commission from making a transcript or recording of the hearing if
it so chooses.

4. This section does not require a
separate hearing on each rule. Rules may be grouped for the convenience of the
commission at hearings required by this section.

I. Following the scheduled hearing
date, or by the close of business on the scheduled hearing date if the hearing
was not held, the commission shall consider all written and oral comments
received.

J. The commission, by majority vote
of all members, shall take final action on the proposed rule and shall
determine the effective date of the rule, if any, based on the rulemaking
record and the full text of the rule.

K. If no written notice of intent to
attend the public hearing by interested parties is received, the commission may
proceed with promulgatING the proposed rule without a public hearing.

L. On A determination that an
emergency exists, the commission may consider and adopt an emergency rule
without prior notice, opportunity for comment or hearing, provided that the
usual rulemaking procedures provided in thIS compact and in this section ARE
retroactively applied to the rule as soon as reasonably possible, in no event
later than ninety days after the effective date of the rule. For the purposes
of this SUBSECTION, an emergency rule is one that must be adopted immediately
in order to do any of the following:

1. Meet an imminent threat to public
health, safety or welfare.

2. Prevent a loss of commission or
member state monies.

3. Meet a deadline for the
promulgation of an administrative rule that is established by federal law or
rule.

4. Protect THE public health and
safety.

M. The commission or an authorized
committee of the commission may direct revisions to a previously adopted rule
or amendment for purposes of correcting typographical errors, errors in format,
errors in consistency or grammatical errors. �Public notice of any revisions
shall be posted on the website of the commission. �The revision shall be
subject to challenge by any person for a period of thirty days after posting.
The revision may be challenged only on grounds that the revision results in a
material change to a rule. A challenge shall be made in writing and delivered
to the EXECUTIVE DIRECTOR of the commission BEFORE the end of the notice
period. If no challenge is made, the revision will take effect without further
action. �If the revision is challenged, the revision may not take effect
without the approval of the commission.

SECTION 13. OVERSIGHT, DISPUTE RESOLUTION AND
ENFORCEMENT

A. Oversight OF THE COMMISSION is as
follows:

1. The executive, legislative and
judicial branches of state government in each member state shall enforce this
compact and take all actions necessary and appropriate to effectuate thIS
compact's purposes and intent. This compact and the rules
promulgated hereunder shall have standing as statutory law.

2. All courts shall take judicial
notice of thIS compact and the rules in any judicial or administrative
proceeding in a member state pertaining to the subject matter of this compact,
which may affect the powers, responsibilities or actions of the commission.

3. The commission IS entitled to
receive service of process in any such proceeding and shall have standing to
intervene in such a proceeding for all purposes. Failure to provide service of
process to the commission renderS a judgment or order void as to the
commission, this compact or promulgated rules.

B. Default, technical assistance and
termination are as follows:

1. If the commission determines that
a member state has defaulted in the performance of its obligations or
responsibilities under this compact or the promulgated rules, the commission
shall:

(
a
) Provide
written notice to the defaulting state and other member states of the nature of
the default, the proposed means of curing the default and any other action to
be taken by the Commission.

(
b
) Provide
remedial training and specific technical assistance regarding the default.

2. If a state in default fails to
cure the default, the defaulting state may be terminated from thIS compact on
an affirmative vote of a majority of the member states, and all rights,
privileges and benefits conferred by this compact may be terminated on the
effective date of termination. A cure of the default does not relieve the
offending state of obligations or liabilities incurred during the period of
default.

3. Termination of membership in thIS
compact shall be imposed only after all other means of securing compliance have
been exhausted. Notice of intent to suspend or terminate shall be given by the
commission to the governor, the majority and minority leaders of the defaulting
state's legislature and each member state.

4. A state that has been terminated
is responsible for all assessments, obligations and liabilities incurred
through the effective date of termination, including obligations that extend
beyond the effective date of termination.

5. The commission shall not bear any
costs related to a state that is found to be in default or that has been
terminated from thIS compact, unless agreed on in writing between the
commission and the defaulting state.

6. The defaulting state may appeal
the action of the commission by petitioning the United States district court
for the District of Columbia or the federal district where the commission has
its principal offices. The prevailing member STATE shall be awarded all costs
of such litigation, including reasonable attorney fees.

C. Dispute Resolution is as follows:

1. On request by a member state, the
commission shall attempt to resolve disputes related to thIS compact that arise
among member states and between member and nonmember states.

2. The commission shall promulgate a
rule providing for both mediation and binding dispute resolution for disputes
as appropriate.

D. Enforcement is as follows:

1. The commission, in the reasonable
exercise of its discretion, shall enforce the provisions and rules of this
compact.

2. By majority vote, the commission
may initiate legal action in the United States district court for the District
of Columbia or the federal district where the commission has its principal
offices against a member state in default to enforce compliance with the
provisions of the compact and its promulgated rules and bylaws. The
relief sought may include both injunctive relief and damages. If
judicial enforcement is necessary, the prevailing member STATE shall be awarded
all costs of such litigation, including reasonable attorney fees.

3. The remedies prescribed in this
compact shall not be the exclusive remedies of the commission. The commission
may pursue any other remedies available under federal or state law.

SECTION 14. DATE OF IMPLEMENTATION OF THE
INTERSTATE

COMMISSION FOR EMS PERSONNEL PRACTICE AND ASSOCIATED

RULES, WITHDRAWAL AND AMENDMENT

A. ThIS compact IS EFFECTIVE on the
date on which the compact statute is enacted into law in the tenth member
state. The provisions, which become effective at that time, shall be limited to
the powers granted to the commission relating to assembly and the promulgation
of rules. Thereafter, the commission shall meet and exercise
rulemaking powers necessary to implement and administer this compact.

B. Any state that joins thIS compact
AFTER the commission's initial adoption of the rules IS subject to the rules as
they exist on the date on which thIS compact becomes law in that state. Any
rule that has been previously adopted by the commission HAS the full force and
effect of law on the day thIS compact becomes law in that state.

C. Any member state may withdraw from
this compact by enacting a statute repealing the same, and the following apply:

1. A member state's withdrawal DOES
not take effect until six months after enactment of the repealing statute.

2. Withdrawal DOES not affect the
continuing requirement of the withdrawing state's EMS authority to comply with
the investigative and adverse action reporting requirements of this act before
the effective date of withdrawal.

D. This compact does not invalidate
or prevent any EMS personnel licensure agreement or other cooperative
arrangement between a member state and a nonmember state that does not conflict
with the provisions of this compact.

E. This compact may be amended by the
member states. aN amendment to this compact DOES NOT become effective and
binding on any member state until it is enacted into the laws of all member
states.

SECTION 15. CONSTRUCTION AND SEVERABILITY

This compact shall be liberally construed so as
to effectuate the purposes of this compact. If this compact IS held
contrary to the constitution of any state member thereto, thIS compact remainS
in full force and effect as to the remaining member states. This
compact does not supersede state law or rules related to licensure of EMS
agencies.
END_STATUTE

Sec.
5.
5. Section
41-619.51, Arizona Revised Statutes, is amended to read:

START_STATUTE
41-619.51.

Definitions

In this article, unless the context otherwise requires:

1. "Agency" means the supreme court, the
department of economic security, the department of child safety, the department
of education, the department of health services, the department of juvenile
corrections, the department of emergency and military affairs, the department
of public safety, the department of transportation, the state real estate
department, the department of insurance and financial institutions, the Arizona
game and fish department, the Arizona department of agriculture, the board of
examiners of nursing care institution administrators and assisted living
facility managers, the state board of dental examiners, the Arizona state board
of pharmacy, the board of physical therapy, the state board of psychologist
examiners, the board of athletic training, the board of occupational therapy
examiners, the state board of podiatry examiners, the acupuncture board of
examiners, the state board of technical registration, the board of massage
therapy, the board of behavioral health examiners or the Arizona department of
housing.

2. "Board" means the board of
fingerprinting.

3. "Central registry exception" means
notification to the department of economic security, the department of child
safety or the department of health services, as appropriate, pursuant to
section 41-619.57 that the person is not disqualified because of a
central registry check conducted pursuant to section 8-804.

4. "Expedited review" means an
examination, in accordance with board rule, of the documents an applicant
submits by the board or its hearing officer without the applicant being
present.

5. "Good cause exception" means the
issuance of a fingerprint clearance card to an employee pursuant to section 41-619.55.

6. "Person" means a person who is required
to be fingerprinted pursuant to this article or who is subject to a central
registry check and any of the following:

(a) Section 3-314.

(b) Section 8-105.

(c) Section 8-322.

(d) Section 8-463.

(e) Section 8-509.

(f) Section 8-802.

(g) Section 8-804.

(h) Section 15-183.

(i) Section 15-503.

(j) Section 15-512.

(k) Section 15-534.

(l) Section 15-763.01.

(m) Section 15-782.02.

(n) Section 15-1330.

(o) Section 15-1881.

(p) Section 17-215.

(q) Section 28-3228.

(r) Section 28-3413.

(s) Section 32-122.02.

(t) Section 32-122.05.

(u) Section 32-122.06.

(v) Section 32-823.

(w) Section 32-1232.

(x) Section 32-1276.01.

(y) Section 32-1284.

(z) Section 32-1297.01.

(aa) Section 32-1904.

(bb) Section 32-1941.

(cc) Section 32-1982.

(dd) Section 32-2022.

(ee) Section 32-2063.

(ff) Section 32-2108.01.

(gg) Section 32-2123.

(hh) Section 32-2371.

(ii) Section 32-3271.

(jj) Section 32-3430.

(kk) Section 32-3620.

(ll) Section 32-3668.

(mm) Section 32-3669.

(nn) Section 32-3922.

(oo) Section 32-3924.

(pp) Section 32-4128.

(qq) Section 32-4222.

(rr) Section 36-113.

(ss) Section 36-207.

(tt) Section 36-411.

(uu) Section 36-425.03.

(vv) Section 36-446.04.

(ww) Section 36-594.01.

(xx) Section 36-594.02.

(yy) Section 36-766.01.

(zz) Section 36-882.

(aaa) Section 36-883.02.

(bbb) Section 36-897.01.

(ccc) Section 36-897.03.

(ddd) Section 36-1940.

(eee) Section 36-1940.01.

(fff) Section 36-2069.

(
ggg
) Section
36-2202.

(ggg)

(
hhh
)
Section 36-3008.

(hhh)

(
iii
)
Section 41-619.53.

(iii)

(
jjj
)
Section 41-1964.

(jjj)

(
kkk
)
Section 41-1967.01.

(kkk)

(
lll
)
Section 41-1968.

(lll)

(
mmm
)
Section 41-1969.

(mmm)

(
nnn
)
Section 41-2814.

(nnn)

(
ooo
)
Section 41-4025.

(ooo)

(
ppp
)
Section 46-141,
subsection A or B.

(ppp)

(
qqq
)
Section 46-321.
END_STATUTE

Sec.
6.
6. Section
41-1758, Arizona Revised Statutes, is amended to read:

START_STATUTE
41-1758.

Definitions

In this article, unless the context otherwise requires:

1. "Agency" means the supreme court, the
department of economic security, the department of child safety, the department
of education, the department of health services, the department of juvenile
corrections, the department of emergency and military affairs, the department
of public safety, the department of transportation, the state real estate
department, the department of insurance and financial institutions, the board
of fingerprinting, the Arizona game and fish department, the Arizona department
of agriculture, the board of examiners of nursing care institution
administrators and assisted living facility managers, the state board of dental
examiners, the Arizona state board of pharmacy, the board of physical therapy,
the state board of psychologist examiners, the board of athletic training, the
board of occupational therapy examiners, the state board of podiatry examiners,
the acupuncture board of examiners, the state board of technical registration,
the board of massage therapy, the board of behavioral health examiners or the
Arizona department of housing.

2. "Division" means the fingerprinting
division in the department of public safety.

3. "Electronic or internet-based fingerprinting
services" means a secure system for digitizing applicant fingerprints and
transmitting the applicant data and fingerprints of a person or entity
submitting fingerprints to the department of public safety for any authorized
purpose under this title. For the purposes of this paragraph,
"secure system" means a system that complies with the information
technology security policy approved by the department of public safety.

4. "Good cause exception" means the
issuance of a fingerprint clearance card to an applicant pursuant to section 41-619.55.

5. "Person" means a person who is required
to be fingerprinted pursuant to any of the following:

(a) Section 3-314.

(b) Section 8-105.

(c) Section 8-322.

(d) Section 8-463.

(e) Section 8-509.

(f) Section 8-802.

(g) Section 15-183.

(h) Section 15-503.

(i) Section 15-512.

(j) Section 15-534.

(k) Section 15-763.01.

(l) Section 15-782.02.

(m) Section 15-1330.

(n) Section 15-1881.

(o) Section 17-215.

(p) Section 28-3228.

(q) Section 28-3413.

(r) Section 32-122.02.

(s) Section 32-122.05.

(t) Section 32-122.06.

(u) Section 32-823.

(v) Section 32-1232.

(w) Section 32-1276.01.

(x) Section 32-1284.

(y) Section 32-1297.01.

(z) Section 32-1904.

(aa) Section 32-1941.

(bb) Section 32-1982.

(cc) Section 32-2022.

(dd) Section 32-2063.

(ee) Section 32-2108.01.

(ff) Section 32-2123.

(gg) Section 32-2371.

(hh) Section 32-3271.

(ii) Section 32-3430.

(jj) Section 32-3620.

(kk) Section 32-3668.

(ll) Section 32-3669.

(mm) Section 32-3922.

(nn) Section 32-3924.

(oo) Section 32-4128.

(pp) Section 32-4222.

(qq) Section 36-113.

(rr) Section 36-207.

(ss) Section 36-411.

(tt) Section 36-425.03.

(uu) Section 36-446.04.

(vv) Section 36-594.01.

(ww) Section 36-594.02.

(xx) Section 36-766.01.

(yy) Section 36-882.

(zz) Section 36-883.02.

(aaa) Section 36-897.01.

(bbb) Section 36-897.03.

(ccc) Section 36-1940.

(ddd) Section 36-1940.01.

(eee) Section 36-2069.

(
fff
) Section
36-2202.

(fff)

(
ggg
)
Section 36-3008.

(ggg)

(
hhh
)
Section 41-619.52.

(hhh)

(
iii
)
Section 41-619.53.

(iii)

(
jjj
)
Section 41-1964.

(jjj)

(
kkk
)
Section 41-1967.01.

(kkk)

(
lll
)
Section 41-1968.

(lll)

(
mmm
)
Section 41-1969.

(mmm)

(
nnn
)
Section 41-2814.

(nnn)

(
ooo
)
Section 41-4025.

(ooo)

(
ppp
)
Section 46-141, subsection A or B.

(ppp)

(
qqq
)
Section 46-321.

6. "Rap back
services" has the same meaning prescribed in section 41-1750.

7. "Vulnerable adult" has the same meaning
prescribed in section 13-3623.
END_STATUTE

Sec.
7.
7. Section
41-1758.01, Arizona Revised Statutes, is amended to read:

START_STATUTE
41-1758.01.

Fingerprinting
division; powers and duties

A. The fingerprinting division is established in the
department of public safety and shall:

1. Conduct fingerprint background checks for persons
and applicants who are seeking licenses from state agencies, employment with
licensees, contract providers and state agencies or employment or educational
opportunities with agencies that require fingerprint background checks pursuant
to sections 3-314, 8-105, 8-322, 8-463, 8-509, 8-802,
15-183, 15-503, 15-512, 15-534, 15-763.01, 15-782.02,
15-1330, 15-1881, 17-215, 28-3228, 28-3413, 32-122.02,
32-122.05, 32-122.06, 32-823, 32-1232, 32-1276.01,
32-1284, 32-1297.01, 32-1904, 32-1941, 32-1982,
32-2022, 32-2063, 32-2108.01, 32-2123, 32-2371,
32-3271, 32-3430, 32-3620, 32-3668, 32-3669, 32-3922,
32-3924, 32-4128, 32-4222, 36-113, 36-207, 36-411,
36-425.03, 36-446.04, 36-594.01, 36-594.02, 36-766.01,
36-882, 36-883.02, 36-897.01, 36-897.03, 36-1940,
36-1940.01, 36-2069,
36-2202,
36-3008,
41-619.52, 41-619.53, 41-1964, 41-1967.01, 41-1968,
41-1969, 41-2814 and

41-4025,
section 46-141, subsection A or B and section 46-321.

2. Issue fingerprint clearance cards. On
issuance, a fingerprint clearance card becomes the personal property of the
cardholder and the cardholder shall retain possession of the fingerprint
clearance card.

3. On submission of an application for a fingerprint
clearance card, collect the fees established by the board of fingerprinting
pursuant to section 41-619.53 and deposit, pursuant to sections 35-146
and 35-147, the monies collected in the board of fingerprinting fund.

4. Inform in writing each person who submits
fingerprints for a fingerprint background check of the right to petition the
board of fingerprinting for a good cause exception pursuant to section 41-1758.03,
41-1758.04 or 41-1758.07.

5. If after conducting a state and federal criminal
history records check the division determines that it is not authorized to
issue a fingerprint clearance card to a person, inform the person in writing
that the division is not authorized to issue a fingerprint clearance
card. The notice shall include the criminal history information on
which the denial was based. This criminal history information is
subject to dissemination restrictions pursuant to section 41-1750 and
Public Law 92-544.

6. Notify the person in writing if the division
suspends, revokes or places a driving restriction notation on a fingerprint
clearance card pursuant to section 41-1758.04. The notice
shall include the criminal history information on which the suspension,
revocation or placement of the driving restriction notation was
based. This criminal history information is subject to dissemination
restrictions pursuant to section 41-1750 and Public Law 92-544.

7. Administer and enforce this article.

B. The fingerprinting division may contract for
electronic or internet-based fingerprinting services through an entity or
entities for the acquisition and transmission of applicant fingerprint and data
submissions to the department, including identity verified fingerprints
pursuant to section 15-106. The entity or entities contracted
by the department of public safety may charge the applicant a fee for services
provided pursuant to this article. The entity or entities contracted
by the department of public safety shall comply with:

1. All information privacy and security measures and
submission standards established by the department of public safety.

2. The information technology security policy
approved by the department of public safety.
END_STATUTE