Subchapter 4 Ambulance Services
§11-72-28 Locations and Minimum Levels
A. The minimum levels of emergency ambulance services for each of the six major islands of the State shall be as follows:
- Oahu: advanced life support in thirteen locations;
- Hawaii: advanced life support in six locations;
- Maui: advanced life support in four locations and basic life support in one location;
- Kauai: advanced life support in two locations and basic life support in one location;
- Molokai: advanced life support in one location; and
- Lanai: basic life support in one location.
B. Each island emergency ambulance services system shall have, on the island, one backup ambulance vehicle for
every four ambulance vehicles in service on that island, or as determined by the director of health.
[Eff. AUG 12 1985] (Auth: HRS §§321-228, 321-233) (Imp: HRS §§321-224, 321-228)
A. The minimum staff for responding to an emergency ambulance call shall be one mobile intensive care technician and one
emergency medical technician for advanced life support;
B. The minimum staff for responding to an emergency ambulance call shall be two emergency medical technicians for basic life
support, except hospital-based ambulance service shall be one emergency medical technician and one registered nurse
licensed in the State of Hawaii, provided that:
- The nurse has satisfactorily completed the department of health’s prehospital emergency care nursing course; and
- A written exemption to the ambulance service licensing requirements specified in this part be granted by the director
of health.
C. Air ambulance services shall be staffed by a State of Hawaii licensed physician, State of Hawaii registered nurse or mobile
intensive care technician for advanced life supports or one emergency medical technician for basic life support.
[Eff. AUG 12 1985] (Auth: HRS §§321-228, 321-233) ( Imp: HRS §321-228)
§11-72-30 Licensing and Certification
Each advanced life support and basic life support unit, and all vehicles and equipment used, shall be in compliance with the ambulance licensing and personnel certification standards as prescribed by this chapter.
[Eff. AUG 12 1985 ] (Auth: HRS §§321-227, 321-233) (Imp: HRS §§311-226, 321-227)A. Effective upon adoption of this section, the fee for emergency ambulance services for each patient treated and transported to a
medical facility or to a location for aeromedical transport, including but not limited to airports helipads or helicopter landing sites,
shall be according to the following schedule.
Ambulance service fee schedule:
| Advanced life support (ALS) emergency transport, no specialized ALS services rendered, all inclusive (mileage and supplies); | $400 |
| ALS ground emergency transport, specialized ALS services rendered, all inclusive (mileage and supplies); | $450 |
| Basic life support (BLS) ground emergency transport, no specialized ALS services rendered, all inclusive (mileage and supplies); and | $375 |
| ALS emergency aeromedical helicopter transport for the island of Hawaii, all inclusive (mileage and supplies). | $2,250 |
B. The fee schedule set forth in subsection (a) may be increased on July 1 of each year. Fees, however, may not be increased
more than ten percent each year. The fee increase shall be based upon projected revenue collected to equal no less than fifty
percent of the preceding fiscal year’s ambulance service direct contract cost.
C. Fees for emergency ambulance services shall be collected by the director of health or by a county or other agency under
contract with the department of health. The revenue collected shall be deposited by a county or other authorized agency into
the state general fund, except amounts necessary to provide for collection services for bad debt accounts.”
[Eff. 09/28/81 ;am JUL 01 1996 ] (Auth: HRS §§321-232, 38-2, 38-10) (Imp: HRS §321-232)
§11-72-32 Determination of Ability to Pay
A. No emergency medical services provided by or under contract with the department of health shall be denied to any person
on the basis of the ability of the person to pay therefor or because of the lack of prepaid health care coverage or proof of such
ability or coverage.
B. The department of health or its designate shall make every reasonable effort to collect any fee for emergency ambulance
service assessed under Section 11-72-31. In the event of nonpayment of any fee assessed under Section 11-72-31, the
department of health or its designate shall determine whether that person is financially able to pay such fee. The county or
other entity or agency that provided the emergency medical services shall forward records relating to services to the
department of health or its designate. If the department of health or its designate finds that a person is financially able to
pay, the department of health or its designate shall continue every reasonable effort to collect such fees or, if the cost of
the provided services were borne by the county or other entity or agency, the department of health or its designate shall
notify the county or other entity or agency that it may proceed to collect the unpaid fee. If the department of health or its
designate finds that a recipient of services is without sufficient resources to pay for the service, further action to collect the
fees may be terminated.
C. The department of health or its designate shall determine ability to pay by using criteria based on the 1985 income poverty
guidelines for Hawaii and established by the U.S. Department of Health and Human Services, which are published annually in
the Federal Register.
D. The department of health shall determine that a recipient of services is without sufficient resources to pay fees if the recipient’s
annual family income is at or below the appropriate maximum family income specified in subsection (c) when calculated by
either of the following methods:
- Multiplying by four the recipient’s family income for the three months preceding the determination of ability to pay; or
- Using the recipient’s actual family income for the twelve months preceding the determination of ability to pay.
[Eff. AUG 12 1985] (Auth: HRS §§321-232, 321-233) (Imp: HRS §321-232)