All Roll Calls
Yes: 126 • No: 10
North DakotaHB 13942025 Regular SessionHouseWALLET
AN ACT to amend and reenact sections 23-27-01 and 23-27-02 of the North Dakota Century Code, relating to the licensing of emergency medical services operations.
Sponsored By: Pat D. Heinert (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Only licensed teams may offer EMS
Only licensed EMS operators using EMS personnel can advertise or provide EMS to the public. The law defines what counts as EMS, who an EMS operator is, and who counts as EMS personnel and EMS professionals. EMS includes prehospital assessment, stabilization, treatment, and transport to hospitals or other proper destinations. EMS operations include basic and advanced ambulance services, air ambulances, and quick response units. EMS personnel include licensed EMS professionals, drivers, and department‑certified providers like first responders.
New licensing rules for EMS operators
The Department of Health and Human Services licenses EMS operations and sets service areas. New licenses are limited by the needs of each service area, and licenses can be transferred with department approval. Each service area must have its own license, and a separate headquarters counts as a separate operation. One headquarters may dispatch crews from multiple locations if all calls and dispatch orders happen at that headquarters. An operator may run substations under one license only if the substation was designated before December 31, 2024 and stayed designated, the areas are adjoining, the same entity dispatches both, and the operator pays a license fee for each substation. The department must also create special licenses or waivers for EMS that serve industrial sites closed to the public. Operators based outside North Dakota that only do cross‑border transports are outside this chapter, but they may not treat or pick up patients in North Dakota for in‑state transport unless allowed by rule.
Sponsors & Cosponsors
Sponsor
Pat D. Heinert
Republican • House
Cosponsors
Glenn Bosch
Republican • House
Dori Hauck
Republican • House
Karen Karls
Republican • House
Lisa Meier
Republican • House
Todd Porter
Republican • House
Michelle Axtman
Republican • Senate
Sean Cleary
Republican • Senate
Kristin Roers
Republican • Senate
Roll Call Votes
Senate vote • 3/19/2025
Second reading, passed, yeas 46 nays 0
Yes: 46 • No: 0
House vote • 2/4/2025
Second reading, passed, yeas 80 nays 10
Yes: 80 • No: 10
Actions Timeline
Filed with Secretary Of State 03/27
3/31/2025HouseSigned by Governor 03/26
3/28/2025HouseSent to Governor
3/25/2025HouseSigned by Speaker
3/25/2025HouseSigned by President
3/24/2025SenateReturned to House
3/20/2025HouseSecond reading, passed, yeas 46 nays 0
3/19/2025SenateReported back, do pass, place on calendar 6 0 0
3/10/2025SenateCommittee Hearing 10:00
3/5/2025SenateIntroduced, first reading, referred Human Services Committee
2/13/2025SenateReceived from House
2/5/2025SenateSecond reading, passed, yeas 80 nays 10
2/4/2025HouseLaid over one legislative day
1/31/2025HouseAmendment adopted, placed on calendar
1/29/2025HouseReported back amended, do pass, amendment placed on calendar 10 2 1
1/28/2025HouseCommittee Hearing 10:20
1/20/2025HouseIntroduced, first reading, referred Human Services Committee
1/13/2025House
Bill Text
Adopted by the House Human Services Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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