GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 2
HOUSE BILL 219
Committee Substitute Favorable 4/9/25
Short Title: Counties/Franchise Ambulance Service. (Public)
Sponsors:
Referred to:
February 27, 2025
*H219 -v-2*
A BILL TO BE ENTITLED 1
AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES AND CITIES TO 2
FRANCHISE OR OPERATE AMBULANCE SERVICES AND PROVIDING THAT 3
COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS 4
IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED 5
OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR 6
THE EMERGENCY MANAGE MENT SYSTEM. 7
The General Assembly of North Carolina enacts: 8
SECTION 1. G.S. 153A-250 is repealed. 9
SECTION 2. Article 13 of Chapter 153A of the General Statutes is amended by 10
adding a new section to read: 11
"ยง 153A-251. Level of care modifications. 12
Notwithstanding any other provision of law, a county manager or EMS administrator 13
delegated the authority to act on behalf of the county shall not be required to sign a document or 14
otherwise approve of a modification in the level of care being provided by a provider within the 15
county's emergency management system. For purposes of this section, a "modification" means 16
either an increase or decrease in level of care. The provisions of this section do not apply if the 17
provider is a city located within the county or the county responsible for the emergency 18
management system." 19
SECTION 3. This act is effective when it becomes law. Section 1 of this act applies 20
to any franchise agreements or contracts for ambulance service initiated or renewed on or after 21
that date. A city or county with an existing franchise agreement or contract for ambulance service 22
in effect on the date this act becomes law shall not renew that agreement or contract. Section 2 23
of this act applies to any modification in the level of care occurring on or after the date this act 24
becomes law. 25