Arkansas legislation introduces ARRIVES Act to fund emergency medical services

Arkansas lawmakers have introduced House Bill 1841, known as the Arkansas Revenue Investment in Vital EMS Systems (ARRIVES) Act, aimed at bolstering emergency medical services (EMS) across the state. Unveiled on April 22, 2025, this legislation seeks to provide critical funding to licensed EMS agencies, ensuring they can maintain and enhance their operations.

The ARRIVES Act outlines specific eligibility criteria for agencies seeking financial support. To qualify, an EMS agency must have been licensed and in good standing for at least three years, serve as the provider of record for a county or municipality for a minimum of twelve months, and offer emergency ground ambulance services at either the advanced or basic life support level. Notably, agencies currently facing state sanctions or those that do not operate 24/7 at the advanced life support level are excluded from applying.

This bill comes at a time when many EMS agencies are grappling with funding shortages and operational challenges. Proponents argue that the ARRIVES Act is essential for ensuring timely and effective emergency care, particularly in rural areas where resources are often stretched thin. "This funding will help us maintain our readiness and improve response times," said a representative from a local EMS agency.

However, the bill has sparked debates among lawmakers and stakeholders. Some express concerns about the stringent eligibility requirements, fearing they may inadvertently exclude smaller or volunteer agencies that play a vital role in community health. Critics argue that the focus should also include support for non-emergency transport services, which are crucial for patient care continuity.

As the Arkansas legislature prepares to discuss the bill further, its implications could be significant. If passed, the ARRIVES Act could reshape the landscape of emergency medical services in the state, potentially leading to improved patient outcomes and more robust emergency response capabilities. The next steps will involve committee reviews and potential amendments, with advocates urging swift action to address the pressing needs of EMS providers statewide.