# North Carolina HB 219: AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES TO FRANCHISE AMBULANCE SERVICES AND PROVIDING THAT COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM.

North Carolina HB 219, AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES TO FRANCHISE AMBULANCE SERVICES AND PROVIDING THAT COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM., is a 2025-2026 Session House bill sponsored by Mark Pless (Republican); status in committee, last action 2025-04-29 (Re-ref Com On Rules, Calendar, and Operations of the House) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB219-2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Carolina HB 219
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES TO FRANCHISE AMBULANCE SERVICES AND PROVIDING THAT COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM.
- Status: in committee
- Chamber: House
- Introduced: 2025-02-25
- Last action: 2025-04-29, Re-ref Com On Rules, Calendar, and Operations of the House
- Sponsor: Mark Pless (Republican)
- Cosponsors: 0
- Subjects: AMBULANCES, COMMERCE, COUNTIES, EMERGENCY MEDICAL SERVICES, EMERGENCY SERVICES, FRANCHISES, LOCAL GOVERNMENT, PUBLIC
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Mark Pless (Republican), House

## Actions (7)

- 2025-04-29: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-04-29: Withdrawn From Com (House)
- 2025-04-09: Re-ref Com On State and Local Government (House)
- 2025-04-09: Reptd Fav Com Substitute (House)
- 2025-02-27: Ref to the Com on Emergency Management and Disaster Recovery, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-02-27: Passed 1st Reading (House)
- 2025-02-25: Filed (House)

## Bill text

- Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v1.pdf)
- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v2.pdf)

## Related bills

- HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v1.pdf)
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H219v2.pdf)

## Related
- [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
- [North Carolina bills](https://policyrisk.com/states/north-carolina/bills)
- [North Carolina state hub](https://policyrisk.com/states/north-carolina)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/NC-HB219-2025 (as of 2026-11-01).