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Utah's Division of Professional Licensing currently has no dedicated state licensing system for emergency medical services (EMS) agencies that handle controlled substances, such as strong painkillers used in emergency care, beyond the federal registration these agencies must already hold with the Drug Enforcement Administration. This bill would create a state controlled substance license for EMS agencies, requiring them to obtain a license for each registered location where they receive controlled substances, maintain detailed records and inventories, and follow rules the Division develops for storage, restocking, and recordkeeping. It would allow EMS personnel to administer, dispense, or distribute controlled substances in the field under a standing written protocol or verbal order from a supervising physician or other authorized medical professional, while giving the Division authority to charge licensing fees, inspect records, and deny, suspend, revoke, or place licenses on probation for violations, including fines of up to $5,000 deposited into a state controlled substance database fund. If an agency's federal DEA registration is denied, revoked, or suspended, the state license would also be automatically suspended.