25.1075.01000
Sixty-ninth
Legislative Assembly
of North Dakota
Introduced by
Representatives Heinert, Bosch, Hauck, Karls, Meier, Porter
Senators Axtman, Cleary, Roers
A BILL for an Act to amend and reenact section 23-27-01 of the North Dakota Century Code,
relating to the licensing of emergency medical services operations.
BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
SECTION 1. AMENDMENT. Section 23-27-01 of the North Dakota Century Code is
amended and reenacted as follows:
23-27-01. License required - Licensing of emergency medical services operations -
Exception - Waiver.
1.The department of health and human services shall license emergency medical
services operations and may designate their service areas. The department shall limit
the issuance of a license for any new emergency medical services operation based on
the needs of the service area. A license for an emergency medical services operation
is nontransferabletransferable upon approval of the department.
2.Emergency medical services may not be advertised, offered, or provided to the public
except by an emergency medical services operator that provides the emergency
medical services through emergency medical services personnel.
3.Except as otherwise provided under subsection 4, an emergency medical services
operator must be separately licensed for each of the operator's emergency medical
services operations and an operation that is headquartered from a separate location
must be considered a separate operation. Under this subsection, an operation with a
single headquarters site may dispatch vehicles and emergency medical services
personnel from more than one location if calls requesting services are received and
orders for vehicle dispatch are made at the single headquarters site.
Page No. 1 25.1075.01000
HOUSE BILL NO. 1394
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22 Sixty-ninth
Legislative Assembly
4.Notwithstanding subsection 3, an operator of an emergency medical services
operation may operate one or more substation ambulance services operations under a
single license if:
a.The substation ambulance services operation was licensed before December 31,
2024, and remains continuously licensed;
b.The headquarters ambulance services operation is not a substation ambulance
services operation of another emergency medical services operation;
b.c.The substation ambulance services operation area borders the headquarters
ambulance services operation area or borders another substation of the
headquarters ambulance services operation;
c.d.The headquarters ambulance services operation and the substation ambulance
services operation are dispatched by the same entity; and
d.e.The operator of the emergency medical services operation pays a license fee for
each of its substation ambulance services operations.
5.The provisions of this chapter do not apply to an operator from another state which is
headquartered at a location outside of this state and transports patients across state
lines, but the operator may not treat patients within this state or pick up patients within
this state for transportation to locations within this state, except as provided by rule.
6.The department of health and human services shall adopt rules for special licenses
and waiver provisions for an operator of an emergency medical services operation
intended for industrial sites not available to the general public.
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