All Roll Calls
Yes: 255 • No: 20
North DakotaSB 20332025 Regular SessionSenateWALLET
AN ACT to create and enact chapter 23-27.2 of the North Dakota Century Code, relating to the distressed ambulance service program; to provide for a legislative management report; and to provide a continuing appropriation.
Sponsored By: Legislative Management
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
Funding to keep ambulance service running
The law creates a Distressed Ambulance Service Program Fund. Money in the fund, plus any interest, is continuously available to the health department to run the program and pay contractors. It also provides $150,000 in one-time general fund money for July 1, 2025 through June 30, 2027 to hire a consultant. The consultant helps identify, evaluate, and plan how to manage distressed services.
State help for struggling ambulances
The law creates a state program to keep ambulance service reliable. The health department finds at risk services and mails notices to the service and local leaders. If a service is declared distressed, the department assigns a coordinator within 7 days to build a plan. The plan must include a clear timeline, consider nearby areas, and take input from local stakeholders. A proposed plan is presented at a public meeting within 30 days, and a final plan at a second meeting within 30 more days. If the service rejects the plan, it may submit changes within 14 days, and the department decides within 7 days. The department may grant short waivers that do not harm safety and can act to protect public health if no agreement is reached.
New deadlines and bills for ambulance providers
If your ambulance service gets a notice, you must send a corrective plan within 45 days. List how you will fix problems and your timeline. The department approves it or asks for changes within 15 days. If changes are requested, your response deadline may be extended. If the department spends money to run the planning process or to keep response going, it can bill a distressed service. Payment is due within 30 days of the request.
Sponsors & Cosponsors
Sponsor
Legislative Management
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/28/2025
Second reading, passed as amended, yeas 82 nays 9
Yes: 82 • No: 9
Senate vote • 4/25/2025
Second reading, passed, yeas 45 nays 0
Yes: 45 • No: 0
House vote • 4/8/2025
Second reading, passed as amended, yeas 83 nays 10
Yes: 83 • No: 10
Senate vote • 2/11/2025
Second reading, passed, yeas 45 nays 1
Yes: 45 • No: 1
Actions Timeline
Filed with Secretary Of State 05/02
6/11/2025HouseSigned by Governor 05/02
5/2/2025SenateSent to Governor
5/1/2025SenateSigned by President
5/1/2025SenateSigned by Speaker
5/1/2025HouseSecond reading, passed as amended, yeas 82 nays 9
4/28/2025HouseConference committee report adopted
4/28/2025HouseReported back from conference committee, in place of, placed on calendar
4/25/2025HouseSecond reading, passed, yeas 45 nays 0
4/25/2025SenateConference committee report adopted
4/25/2025SenateReported back from conference committee, in place of, placed on calendar
4/24/2025SenateConference committee appointed Fegley Rios K. Anderson
4/15/2025HouseConference committee appointed Lee Roers Clemens
4/11/2025SenateRefused to concur
4/11/2025SenateReturned to Senate (12)
4/9/2025SenateEmergency clause carried
4/8/2025HouseSecond reading, passed as amended, yeas 83 nays 10
4/8/2025HouseAmendment adopted, placed on calendar
4/4/2025HouseReported back amended, do pass, amendment placed on calendar 12 0 1
4/3/2025HouseCommittee Hearing 02:15
3/10/2025HouseIntroduced, first reading, referred Human Services Committee
2/18/2025HouseReceived from Senate
2/12/2025HouseSecond reading, passed, yeas 45 nays 1
2/11/2025SenateAmendment adopted, placed on calendar
2/10/2025SenateReported back amended, do pass, amendment placed on calendar 16 0 0
2/7/2025Senate
Bill Text
Adopted by the Conference Committee
Adopted by the House Human Services Committee
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with Conference Committee Amendments
FIRST ENGROSSMENT with House Amendments
INTRODUCED
Prepared by the Legislative Council staff for Senator Davison
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