AR HB1841

Creates the Arkansas Revenue Investment in Vital EMS Systems (ARRIVES) Fund as a special revenue fund administered by the Department of Health to support emergency medical services agencies

Requires eligible EMS agencies to be licensed and in good standing for at least 3 years, serve as provider of record for a county or municipality for at least 12 months, and offer advanced life support or be transitioning to that level within one year

Excludes agencies under state sanctions, federal integrity agreements, non-emergency transport providers, volunteer EMS providers, and first responder agencies not providing 24-hour advanced life support ambulance operations

Distributes funds based on a 5-tier county population system: Tier 1 (100,000+ population) receives 2.76%, Tier 2 (50,000-99,999) receives 3.45%, Tier 3 (25,000-49,999) receives 12.44%, Tier 4 (10,000-24,999) receives 60.62%, and Tier 5 (under 10,000) receives 20.73%

Directs the State Board of Health to promulgate rules implementing the program; approved April 22, 2025