AZ HB2290

Creates a new "certificate of operation" for eligible entities (direct or indirect hospital owners) to operate ambulance services for interfacility transports, exempting them from certificate of necessity requirements.

Eligible entities may operate ambulances directly or through a service contract with a registered service provider and may bill for services at director-approved rates.

Director must issue a certificate of operation within 45 days if applicant demonstrates expertise, integrity, fiscal competence, pays required fees, and files a surety bond; certificate is deemed granted if director fails to determine within 60 days.

Initial certificate of operation lasts one year, with renewal for three-year terms if requirements are met; eligible entities must maintain liability insurance equivalent to certificate of necessity holders.

Adds definitions to statute for "certificate of operation," "direct owner," "indirect owner," "eligible entity," "hospital," and "interfacility transport" to support the new regulatory framework.