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HRS §46-194

County fees for emergency medical services and ambulance rides

Counties can charge reasonable fees for ambulance rides, emergency care, and community paramedicine. But they cannot deny anyone these services because they cannot pay or lack insurance. Counties can make rules to carry out this law.

counties

The statute, as written — Emergency medical services; fees

(a) The county may establish reasonable fees to be collected from individuals who are: (1) Transported by emergency ground ambulance services to a health care facility within the county designated by the county for the care of the individual; (2) Provided health care by emergency medical services personnel within the county but not transported by ground ambulance to a health care facility; or (3) Provided care by the community paramedicine program. (b) No ambulance services, or any other emergency medical services available from or under the authority of this part shall be denied to any person on the basis of the ability of the person to pay or because of the lack of prepaid health care coverage or proof of the ability to pay or coverage. (c) The county may adopt rules pursuant to chapter 91 necessary to effectuate the purposes of this section.
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.