Utah Code § 11-48-103

Provision of ambulance services in municipalities and counties -- Essential
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service.
(1)
(a) The governing body of each municipality and county has exclusive authority to and shall,
subject to Title 53, Chapter 2d, Part 5, Ambulance and Paramedic Providers, ensure at least
a minimum level of 911 ambulance services and ground ambulance interfacility transport
services are provided:
(i) within the territorial limits of the municipality or county;
(ii) by a ground ambulance provider, licensed by the Bureau of Emergency Medical Services
under Title 53, Chapter 2d, Part 5, Ambulance and Paramedic Providers; and
(iii) in accordance with rules established by the Trauma System and Emergency Medical
Services Committee under Section 53-2d-105.
(b) 911 ambulance services are essential services.
(2)
(a) A municipality or county may:
(i) provide, maintain, and support 911 ambulance services for the municipality's or county's own
jurisdiction; or

(ii) enter into an interlocal agreement or procurement contract with a public or private entity
to provide, receive, support, or maintain 911 ambulance services or ground ambulance
interfacility transport services, under any arrangement and to any extent that the
municipality or county determines.
(b)
(i) A municipality or county shall enter into an interlocal agreement with a public or private entity
for the provision of backup interfacility transport services.
(ii) An interlocal agreement described in Subsection (2)(b)(i) may be used when the primary
interfacility transport service provider is unavailable.
(iii) A municipality or county shall share a copy of the interlocal agreement described in
Subsection (2)(b)(i) with dispatchers and health care facilities within the municipality's or
county's jurisdiction.
(3)
(a) Subject to Subsections (3)(b) and (c), at the expiration of a license term under Section
53-2d-501, a county or municipality shall offer a first right to provide interfacility transports for
an area to the current 911 ambulance service provider for that area.
(b) If the first right under Subsection (3)(a) is not exercised, the county or municipality shall
ensure that 911 ambulance services are provided in accordance with this section.
(c) If the current 911 ambulance service provider under Subsection (3)(a) is not the current
interfacility transport provider, the current interfacility provider's license shall remain intact
until the later of:
(i) two years after the enactment of this Subsection (3); or
(ii) the day of the next formal review conducted in accordance with Subsection (4).
(4)
(a) A county or municipality shall conduct a formal review of 911 service providers and
interfacility transport service providers:
(i) in an open and public meeting in accordance with Title 52, Chapter 4, Open and Public
Meetings Act; and
(ii) not more than three months prior to the day on which the current license is set to expire
under Subsection 53-2d-501(2).
(b) The review under Subsection (4)(a) shall evaluate the cost, quality, and access goals for the
county's or municipality's emergency medical services in the geographic area pursuant to rule
made by the division.
(c) The county or municipality conducting a review under Section (4)(b) shall issue a formal
request for proposals for the purpose of evaluating alternative qualified emergency medical
service providers and interfacility transport providers, including for-profit emergency medical
service providers, government-operated emergency medical service providers, and quasi-
governmental emergency medical service providers.
(5) A municipality or county that provides, maintains, and supports 911 ambulance services for the
municipality's or county's own jurisdiction under Subsection (2)(a) shall obtain a license as a
ground ambulance provider from the Bureau of Emergency Medical Services under Title 53,
Chapter 2d, Part 5, Ambulance and Paramedic Providers.

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