SB1235 Establishes Arizona EMS Reciprocity Interstate Compact
Arizona Legislative Events
Summary
Arizona Senate Bill SB1235 establishing an interstate Emergency Medical Services (EMS) reciprocity compact has passed both chambers. The legislation requires Arizona and other compact member states to recognize EMS licenses issued by other member states, enabling EMS professionals to practice across state lines without obtaining additional licenses. The bill passed the Senate 27-3 and cleared the House Health & Human Services Committee 10-0 before final House passage.
What changed
Arizona SB1235 enacts an interstate EMS reciprocity compact establishing formal recognition of EMS licenses across member states. The bill defines compact procedures, rulemaking authority for the Arizona Department of Health Services, and participation requirements for EMS agencies and professionals. The legislation passed the Senate 27-3 on March 3, 2026 and cleared the House on April 9, 2026 after committee amendments.\n\nAffected parties include Arizona EMS agencies, licensed EMS professionals seeking multi-state practice authority, and state health departments managing EMS licensure. EMS providers licensed in any compact member state will gain streamlined ability to deliver services in other member states, reducing administrative barriers during emergencies and routine cross-border operations. Healthcare systems relying on EMS transport across state lines should anticipate increased workforce flexibility and potential changes to staffing models.
What to do next
- Monitor for Governor's signature and effective date
- Review EMS credentialing procedures for out-of-state personnel from compact member states
- Update interstate deployment policies for EMS agencies operating near state borders
Archived snapshot
Apr 10, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
ChangeBridge / Arizona / SB1235 Passed SB1235 Senate Bill Passed 2026-03-03
EMS reciprocity; compact.
Bill Details
State Arizona
Session Fifty-seventh Legislature - Second Regular Session (2026)
Chamber Senate
Official Source apps.azleg.gov/BillStatus/BillOverview/84748
LegiScan View on LegiScan
Sponsors
John Kavanagh (Sen - R)
Action History
2026-04-09 H House Committee of the Whole action: Do Pass Amended 2026-03-31 H House minority caucus: Do pass 2026-03-31 H House majority caucus: Do pass 2026-03-30 H House Committee of the Whole consent calendar 2026-03-30 H House RULES Committee action: constitutional and in proper form, voting: (8-0-0-0-0-0) 2026-03-23 H House read second time 2026-03-23 H House HHS Committee action: Do Pass Amended, voting: (10-0-0-2-0-0) 2026-03-19 H Assigned to House RULES Committee 2026-03-19 H Assigned to House HHS Committee 2026-03-19 H Introduced in House and read first time 2026-03-03 H Transmit to House 2026-03-03 S Senate third reading PASSED voting: (27-3-0-0) 2026-02-23 S Senate minority caucus: Do pass 2026-02-23 S Senate majority caucus: Do pass 2026-02-23 S Senate consent calendar 2026-02-23 S Senate RULES Committee action: Proper For Consideration, voting: (0-0-0-0) 2026-02-18 S Senate RAGE Committee action: Do Pass, voting: (7-0-0-0) 2026-01-22 S Senate read second time 2026-01-21 S Assigned to Senate RULES Committee 2026-01-21 S Assigned to Senate RAGE Committee 2026-01-21 S Introduced in Senate and read first time
Votes
2026-01-28 Senate Regulatory Affairs and Government Efficiency Committee Action (HELD) Yea: 0 Nay: 0 2026-02-18 Senate Regulatory Affairs and Government Efficiency Committee Action (DP) Yea: 7 Nay: 0 2026-02-23 Senate Rules Committee Action (PFC) Yea: 0 Nay: 0 2026-03-03 Senate - Third Reading Yea: 27 Nay: 3 2026-03-23 House Health & Human Services Committee Action (DPA) Yea: 10 Nay: 0 2026-03-30 House Rules Committee Action (C&P) Yea: 8 Nay: 0 2026-04-09 House - Committee of the Whole (DPA) Yea: 0 Nay: 0
Committee Referrals
2026-01-21 S Regulatory Affairs and Government Efficiency 2026-01-21 S Rules 2026-03-03 H Health and Human Services 2026-03-19 H Rules
Amendments
2026-03-20 HOUSE - Health & Human Services 2026-03-24 HOUSE - Health & Human Services Adopted 0000-00-00 House COW 04/09 - Amended by HHS - Bliss
Bill Text Versions
2026-01-20 Introduced 2026-02-27 Engrossed
Subjects
Compact Definitions Emergency Medical Services Emergency Medical Services Licensure Interstate Compact Ems Reciprocity Public Health And Safety - Title 36 Rulemaking Legislative data powered by LegiScan (CC BY 4.0)
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