AZ SB1345

Establishes uniform response time standards for ambulance services based on geographic areas (urban, suburban, rural, wilderness), with less stringent requirements for secondary providers in areas with multiple certificate of necessity holders.

Requires the director to incorporate eleven specific factors when calculating mileage rates, including vehicle costs, fuel, maintenance, insurance, mechanic wages, depreciation, and equipment reserves.

Modifies certificate of necessity application procedures by requiring the department to post notice of substantive completeness within 30 days and reducing the response period for interested parties from 60 to 30 days.

Changes initial certificate of necessity terms from one year to three years upon renewal if all requirements are met, and authorizes temporary certificates of necessity for up to 120 days during the renewal review process.

Allows ambulance services to add new rate categories established by the director without modifying other approved rates, and permits primary 911 providers to be designated with different response time requirements than secondary providers in overlapping service areas.