| 13 | | - | AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES AND CITIES TO 2 |
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| 14 | | - | FRANCHISE OR OPERATE AMBULANCE SERVICES AND PROVIDING THAT 3 |
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| 15 | | - | COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS 4 |
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| 16 | | - | IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED 5 |
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| 17 | | - | OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR 6 |
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| 18 | | - | THE EMERGENCY MANAGE MENT SYSTEM. 7 |
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| 15 | + | AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES TO FRANCHI SE 2 |
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| 16 | + | AMBULANCE SERVICES A ND PROVIDING THAT CO UNTY OFFICIALS SHALL 3 |
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| 17 | + | NOT BE REQUIRED TO A PPROVE MODIFICATIONS IN THE LEVEL OF CARE 4 |
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| 18 | + | PROVIDED BY EMS PROV IDERS THAT ARE NOT OWNED OR OPERATED BY A 5 |
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| 19 | + | CITY IN THE COUNTY OR THE COUNTY RESPONS IBLE FOR THE EMERGENCY 6 |
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| 20 | + | MANAGEMENT SYSTEM. 7 |
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| 21 | | - | SECTION 2. Article 13 of Chapter 153A of the General Statutes is amended by 10 |
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| 22 | | - | adding a new section to read: 11 |
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| 23 | | - | "ยง 153A-251. Level of care modifications. 12 |
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| 24 | | - | Notwithstanding any other provision of law, a county manager or EMS administrator 13 |
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| 25 | | - | delegated the authority to act on behalf of the county shall not be required to sign a document or 14 |
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| 26 | | - | otherwise approve of a modification in the level of care being provided by a provider within the 15 |
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| 27 | | - | county's emergency management system. For purposes of this section, a "modification" means 16 |
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| 28 | | - | either an increase or decrease in level of care. The provisions of this section do not apply if the 17 |
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| 29 | | - | provider is a city located within the county or the county responsible for the emergency 18 |
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| 30 | | - | management system." 19 |
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| 31 | | - | SECTION 3. This act is effective when it becomes law. Section 1 of this act applies 20 |
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| 32 | | - | to any franchise agreements or contracts for ambulance service initiated or renewed on or after 21 |
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| 33 | | - | that date. A city or county with an existing franchise agreement or contract for ambulance service 22 |
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| 34 | | - | in effect on the date this act becomes law shall not renew that agreement or contract. Section 2 23 |
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| 35 | | - | of this act applies to any modification in the level of care occurring on or after the date this act 24 |
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| 36 | | - | becomes law. 25 |
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| 23 | + | SECTION 2. Notwithstanding any provision of or any rule or regulation adopted 10 |
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| 24 | + | pursuant to the authority granted in G.S. 143-508(b), Article 7 of Chapter 131E of the General 11 |
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| 25 | + | Statutes, or any other provision of law, a county manager or EMS administrator delegated the 12 |
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| 26 | + | authority to act on behalf of the county shall not be required to sign a document or otherwise 13 |
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| 27 | + | approve of a modification in the level of care being provided by a provider within the county's 14 |
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| 28 | + | emergency management system. For purposes of this section, a "modification" means either an 15 |
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| 29 | + | increase or decrease in level of care. The provisions of this section do not apply if the provider 16 |
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| 30 | + | is a city located within the county or the county responsible for the emergency management 17 |
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| 31 | + | system. 18 |
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| 32 | + | SECTION 3. This act is effective when it becomes law. Section 2 of this act applies 19 |
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| 33 | + | to any modification in the level of care occurring on or after the date this act becomes law. 20 |
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