1. (1)

   1. (a) Each ground ambulance provider license issued under this part shall be for an exclusive geographic service area as described in the license.
   2. (b) Only the licensed ground ambulance provider may respond to an ambulance request that originates within the provider's exclusive geographic service area, except as provided in Subsection (5) and Section 53-2d-516.

2. (2)

   1. (a) Each paramedic provider license issued under this part shall be for an exclusive geographic service area as described in the license.
   2. (b) Only the licensed paramedic provider may respond to a paramedic request that originates within the exclusive geographic service area, except as provided in Subsection (6) and Section 53-2d-516.
3. (3) Nothing in this section may be construed as either requiring or prohibiting that the formation of boundaries in a given location be the same for a licensed paramedic provider and a licensed ambulance provider.

4. (4)

   1. (a) A licensed ground ambulance or paramedic provider may, as necessary, enter into a mutual aid agreement to allow another licensed provider to give assistance in times of unusual demand.
   2. (b) A mutual aid agreement shall include a formal written plan detailing the type of assistance and the circumstances under which it would be given.
   3. (c) The parties to a mutual aid agreement shall submit a copy of the agreement to the bureau.
   4. (d) Notwithstanding this Subsection (4), a licensed provider may not subcontract with another entity to provide services in the licensed provider's exclusive geographic service area.

5. (5) Notwithstanding Subsection (1), a licensed ground ambulance provider may respond to an ambulance request that originates from the exclusive geographic area of another provider:

   1. (a) pursuant to a mutual aid agreement;
   2. (b) to render assistance on a case-by-case basis to that provider; and
   3. (c) as necessary to meet needs in time of disaster or other major emergency.

6. (6) Notwithstanding Subsection (2), a licensed paramedic provider may respond to a paramedic request that originates from the exclusive geographic area of another provider:

   1. (a) pursuant to a mutual aid agreement;
   2. (b) to render assistance on a case-by-case basis to that provider; and
   3. (c) as necessary to meet needs in time of disaster or other major emergency.

7. (7) The bureau may, upon the renewal of a license, align the boundaries of an exclusive geographic area with the boundaries of a political subdivision:

   1. (a) if the alignment is practical and in the public interest;
   2. (b) if each licensed provider that would be affected by the alignment agrees to the alignment; and

   3. (c) taking into consideration the requirements of:

      1. (i) Section 11-48-103; and
      2. (ii) Section 53-2d-508.

Amended by Chapter 340, 2025 General Session