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House advances bill to open local EMS contracts to competitive bidding, sponsors say it restores local control

Utah House of Representatives · March 5, 2003
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Summary

The House heard and advanced a second substitute to Senate Bill 180, creating a 4-year exclusive contract model for emergency medical services awarded via local RFPs, with oversight from local elected officials and the state Bureau of EMS; sponsor and supporters characterized it as a negotiated, consensus package.

Representative Daniels introduced second substitute Senate Bill 180 on the House floor as a three-part proposal to address local control, competition and accountability in emergency medical services. "This bill addresses 3 issues, and that is local control, competition, and accountability," Daniels said, describing a process in which municipalities or counties issue requests for proposals and award exclusive geographic contracts for four years, renewable once before an eight-year reissue is required.

Why it matters: Sponsors framed the measure as a negotiated, consensus solution agreed with industry stakeholders including Gold Cross Ambulance, the Association of Counties, the League of Cities and Towns, Salt Lake County and firefighter representatives. Proponents told colleagues the bill would give locally elected officials authority to select and oversee EMS providers while preserving state-level clinical and regulatory oversight.

What the bill does: Daniels said the winning bidder would receive an exclusive contract for a four-year term; at the locality’s discretion the RFP could be reissued for another four years, and after eight years the contract must be re-solicited. He also said the RFP would be developed locally and that the Bureau of EMS at the Department of Health would retain an accountability role.

Reaction on the floor: Representative Wallace urged support, saying the bill puts decisions "in the hands of the proper parties" and will lead to a stronger EMS system regardless of whether providers change. Other members asked technical questions about implementation and the length of negotiations; Daniels described the measure as the result of a long, multi-year process and opened the measure to questions and debate.

Next steps: The House opened voting on the second substitute; the transcript records debate and floor consideration. The bill was presented to the chamber for a vote following floor debate.