HB 2402 Arizona House · 57th Legislature - Second Regular Session

ambulance services; certificates of necessity

HB 2402 requires ambulance services in Arizona to submit detailed operational data quarterly to the state department, including dispatch times, on-scene response times, ambulance availability, mutual aid requests, and patient injury reports. This applies directly to all ambulance service providers operating within the state. The department must publicly post this information (with personal details redacted) on its website and may impose a $500 civil penalty for failure to comply with reporting requirements. The bill focuses on increasing transparency around ambulance service performance rather than altering service standards or emergency protocols.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

House Passage

Mar 2026

Senate Passage

Governor

Introduced Jan 22, 2026 Last action Mar 18, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version → House Engrossed Version (03/05/2026) · 6 edits · Mar 5, 2026

MODERATE

This bill significantly expands the data ambulance services must report to the state, including details on call cancellations, hospital arrival times, and specific incidents like medication errors or patient injuries. It also introduces new civil penalties for non-compliance and establishes a public dashboard to track response times. Additionally, the bill clarifies rules for issuing certificates of necessity in small communities and updates the requirements for renewing these licenses.

Scope change

The bill expands the scope of reporting requirements to include new metrics such as hospital arrival times and mutual aid refusals, while also clarifying eligibility for small municipalities to obtain their own ambulance service licenses.

REQUIREMENT

Ambulance services must now report hospital arrival times, hospital release times, and details of any medication errors or unintended patient injuries.

Services must report instances where they declined to provide mutual aid to other certified providers, along with an explanation.

The department must publish a public dashboard showing ambulance response times and the percentage of calls requiring advanced life support.

Updated the renewal process for certificates of necessity to allow for automatic three-year renewals unless cause is shown for a shorter term.

ENFORCEMENT

A new civil penalty of up to $500 is established for ambulance services that fail to comply with quarterly reporting requirements.

ELIGIBILITY

Clarified that cities, towns, or fire districts with populations under 10,000 may apply for their own certificate of necessity if they can demonstrate the ability to provide required services.

Floor votes · House Mar 5, 2026

How they voted

43–7

Passed · 10 other

Total votes 60

Mar 5, 2026

D Democratic27

16 Yea 7 Nay 4

59% Yea

R Republican33

27 Yea 6

81% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 18, 2026

Upper · Passed

DPA

upper

Mar 5, 2026

Lower · Passed

PASSED

lower

Mar 4, 2026

Lower · Passed

DPA

lower

Feb 3, 2026

Lower · Passed

lower

1 primary · 0 co-sponsors