Arkansas Rules Pertaining to Outdoor Mass Gatherings — 20 CAR § 137-111 (formerly 007.04.10 Ark. Code R. 001)[1]
Summary
Arkansas regulates outdoor mass gatherings entirely by rule. The State Board of Health's Rules Pertaining to Outdoor Mass Gatherings define an outdoor mass gathering as "[a]n actual or reasonably anticipated assembly of more than 1,000 persons who will remain at the location of the gathering for a continuous period of 24 hours or more," excluding stadiums, arenas, amusement parks and government fairgrounds. Sponsors must receive Department approval before proposing or advertising a covered gathering, with a preliminary notice of intent at least 90 days out and a detailed plan of sanitation and medical care at least 45 days out. The rule requires at least one emergency aid station, a minimum of 100 square feet, weatherproof, staffed by "[a]n Arkansas licensed paramedic who shall be present on the site," or alternatively a licensed registered nurse with a physician on call as backup. Ambulances scale with attendance: one up to 10,000 persons, two from 10,000 to 50,000, and one more for each additional 25,000. Station equipment includes oxygen, stretchers, medications, cots, blankets and lighting.
So what
Arkansas is a paramedic-floor state rather than a physician state: the enforceable minimum is an on-site Arkansas-licensed paramedic (or an RN with an on-call physician) in a 100-square-foot weatherproof aid station, with ambulance counts that step at 10,000 and 50,000 attendees and then every 25,000. The 90-day notice and 45-day medical and sanitation plan deadlines mean the medical director must be engaged before the event is publicly announced, because the plan is reviewed by ADH before approval. Single-day events and shows at stadiums or fairgrounds fall outside the rule and default to EMS licensure law and local requirements only.