The distressed ambulance service program; to provide for a legislative management report; and to provide a continuing appropriation.
Impact
The implementation of SB 2033 will facilitate better responsiveness and accountability within ambulance services across North Dakota. It introduces provisions for corrective actions if a service fails to meet operational standards, thereby potentially improving health and safety outcomes for communities. The law offers the flexibility for the department to assist struggling services while simultaneously holding them accountable for performance. The continued appropriation of funds through the creation of a dedicated program fund ensures that necessary financial resources are available for effective program administration.
Summary
Senate Bill 2033 seeks to establish a 'Distressed Ambulance Service Program' within North Dakota's regulatory framework. The bill aims to address the challenges faced by ambulance services that are deemed 'distressed,' providing a structured approach for intervention and support. This program includes the development of improvement plans tailored to enhance the operational capacity and sustainability of struggling ambulance services, thereby ensuring reliable emergency medical response within assigned service areas. The Department of Health and Human Services will oversee the program, adopting necessary rules and conducting evaluations to monitor compliance and improvements.
Sentiment
The general sentiment toward SB 2033 appears to be supportive among healthcare professionals and first responders, as the bill addresses a critical gap in emergency medical services. Many stakeholders recognize the importance of having a structured program in place that empowers ambulance services to improve their operational standards. However, there may be concerns among local governments or smaller services regarding the feasibility of compliance with new requirements and the potential administrative burdens stemming from increased oversight.
Contention
Notable points of contention surrounding SB 2033 include the potential financial implications for the state and the ambulance services involved. Some local operations may fear that stringent requirements could lead to further financial strain. Furthermore, the measures allowing the Department to revoke licenses or suspend operations might be viewed as too punitive, especially if a service is already facing challenges. The balance between oversight for public safety and the operational autonomy of struggling ambulance services will be a key topic for discussion as the bill moves forward.
The establishment of an educational reimbursement program; to provide for a legislative management study; to provide for a legislative management report; to provide an appropriation; and to provide an effective date.
A pay for success fund; to provide for a legislative management study; to provide for a legislative management report; to provide for a continuing appropriation; to provide for a transfer; and to provide an effective date.
The autism voucher; to provide a statement of legislative intent; to provide for a legislative management study; to provide for a report; to provide an effective date; and to declare an emergency.
Family foster care for children licenses, certifications, and approvals, and identified and kinship relatives; and to provide for a report to legislative management.
The powers and duties of the state auditor and the salary of the state auditor; to provide for a legislative management study; to provide for a legislative management report; and to declare an emergency.
A prescription drug reference rate pilot program; to provide for a legislative management report; to provide a penalty; and to provide an expiration date.
Early childhood services and child care assistance; to provide for a legislative management report; to provide an appropriation; and to provide an effective date.
Relating to the use of epinephrine auto-injectors and medication designated for treatment of respiratory distress on public and private school campuses.