Emergency Medical Services

A.   The director of health may contract for the provision of emergency medical ambulance services with a county which applies to
       the director for direct operation of such services provided that the county:

1. Develops a detailed budget including a line item description of services to be funded and other related costs for review and analysis;
2. Provides evidence that the county will satisfactorily provide this required level of emergency ambulance services, will plan, coordinate, and facilitate the development of components in the EMS service area;
3. Provides evidence of administrative capability and supporting resources for the provision of emergency medical ambulance services;
4. Permits an annual audit and evaluation of expenditures, procedures, calls, and operations in order to determine the adequacy and cost effectiveness of services rendered; and
5. Provides a description of existing emergency ambulance units, locations, personnel, and level of personnel, including an inventory of vehicles, medical and non medical equipment and supplies.

B.   If the director of health determines that a county’s application satisfactorily provides the required information and if the county
       and the director agree upon the amount of compensation for the services to be performed and appropriated and allocated funds
       are  available in the agreed upon amount, then the department of health may contract with the county for the provision of
       emergency medical ambulance services.

C.   If a county does not apply to the director of health for the operation of emergency medical ambulance services, the director shall
       operate services or contract with a private agency for such services according to the emergency medical services system
       plan of the county.

       [Eff. AUG 12 1985] (Auth: HRS §§321-228, 321-233) (Imp: HRS §321-228)