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HRS §321-227

State rules for ambulance certification and safety

The state health department makes rules for ambulances, including checking vehicles, equipment, supplies, and communication systems. Counties that run their own emergency services must buy and maintain their own equipment. The department can charge a fee for yearly ambulance inspections, and ambulance workers must follow state medical licensing rules.

countiesemployeesemployersstate agencies

The statute, as written — Regulation of ambulances

The department of health shall adopt, amend, and repeal rules under chapter 91 for the regulation of ambulances within the State, including but not limited to the certification of vehicles, equipment, supplies, and communications systems; provided that any county operating a county emergency medical services system pursuant to part XI of chapter 46 shall be responsible for the purchase, maintenance, and servicing of all vehicles, equipment, supplies, and communication systems operated for emergency services within the county. The department may contract to certify air and ground ambulance units statewide. The department may charge a reasonable fee for annual certification and safety inspections of air and ground ambulances. Any person who provides emergency medical service as an employee of any emergency ambulance service statewide shall be subject to chapter 453.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.