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North Dakota House Bill HB1394

North Dakota 2025-2026 Regular Session

North Dakota House Bill HB1394 Compare Versions

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1-Sixty-ninth Legislative Assembly of North Dakota
2-In Regular Session Commencing Tuesday, January 7, 2025
3-HOUSE BILL NO. 1394
4-(Representatives Heinert, Bosch, Hauck, Karls, Meier, Porter)
5-(Senators Axtman, Cleary, Roers)
6-AN ACT to amend and reenact sections 23-27-01 and 23-27-02 of the North Dakota Century Code,
7-relating to the licensing of emergency medical services operations.
1+25.1075.01001
2+Title.02000
3+Adopted by the Human Services
4+Committee
5+Sixty-ninth
6+January 27, 2025
7+Legislative Assembly
8+of North Dakota
9+Introduced by
10+Representatives Heinert, Bosch, Hauck, Karls, Meier, Porter
11+Senators Axtman, Cleary, Roers
12+A BILL for an Act to amend and reenact sectionsections 23-27-01 and 23-27-02 of the North
13+Dakota Century Code, relating to the licensing of emergency medical services operations.
814 BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
9-SECTION 1. AMENDMENT. Section 23-27-01 of the North Dakota Century Code is amended and
10-reenacted as follows:
15+SECTION 1. AMENDMENT. Section 23-27-01 of the North Dakota Century Code is
16+amended and reenacted as follows:
1117 23-27-01. License required - Licensing of emergency medical services operations -
1218 Exception - Waiver.
13-1.The department of health and human services shall license emergency medical services
14-operations and may designate their service areas. The department shall limit the issuance of a
15-license for any new emergency medical services operation based on the needs of the service
16-area. A license for an emergency medical services operation is nontransferabletransferable
17-upon approval of the department.
18-2.Emergency medical services may not be advertised, offered, or provided to the public except
19-by an emergency medical services operator that provides the emergency medical services
20-through emergency medical services personnel.
19+1.The department of health and human services shall license emergency medical
20+services operations and may designate their service areas. The department shall limit
21+the issuance of a license for any new emergency medical services operation based on
22+the needs of the service area. A license for an emergency medical services operation
23+is nontransferabletransferable upon approval of the department.
24+2.Emergency medical services may not be advertised, offered, or provided to the public
25+except by an emergency medical services operator that provides the emergency
26+medical services through emergency medical services personnel.
2127 3.Except as otherwise provided under subsection 4, anAn emergency medical services
22-operatorservices operation must be separately licensed for each of the operator's emergency
23-medical services operations and an operation that is headquartered from a separate location
24-must be considered a separate operationthe designated service area of the operation. Under
25-this subsection, an operation with a single headquarters site may dispatchposition vehicles
26-and emergency medical services personnel fromat more than one location if calls requesting
27-services are received and orders for vehicle dispatch are made at the single headquarters
28-sitewithin the designated service area of an emergency medical services operation.
29-4.Notwithstanding subsection 3, an operator of an emergency medical services operation may
30-operate one or more substation ambulance services operations under a single license if:
31-a.The substation ambulance services operation was designated before December 31,
32-2024, and remains continuously designated;
33-b.The headquarters ambulance services operation is not a substation ambulance services
34-operation of another emergency medical services operation;
35-b.c.The substation ambulance services operation area borders the headquarters ambulance
36-services operation area or borders another substation of the headquarters ambulance
37-services operation;
38-c.d.The headquarters ambulance services operation and the substation ambulance services
39-operation are dispatched by the same entity; and
40-d.e.The operator of the emergency medical services operation pays a license fee for each of
41-its substation ambulance services operations. H. B. NO. 1394 - PAGE 2
28+operatorservices operation must be separately licensed for each of the operator's
29+emergency medical services operations and an operation that is headquartered from a
30+separate location must be considered a separate operationthe designated service
31+area of the operation. Under this subsection, an operation with a single headquarters
32+Page No. 1 25.1075.01001
33+ HOUSE BILL NO. 1394
34+PROPOSED AMENDMENTS TO
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54+20 Sixty-ninth
55+Legislative Assembly
56+site may dispatchposition vehicles and emergency medical services personnel fromat
57+more than one location if calls requesting services are received and orders for vehicle
58+dispatch are made at the single headquarters sitewithin the designated service area of
59+an emergency medical services operation.
60+4.Notwithstanding subsection 3, an operator of an emergency medical services
61+operation may operate one or more substation ambulance services operations under a
62+single license if:
63+a.The substation ambulance services operation was licensed designated before
64+December 31, 2024, and remains continuously licensed designated ;
65+b.The headquarters ambulance services operation is not a substation ambulance
66+services operation of another emergency medical services operation;
67+b.c.The substation ambulance services operation area borders the headquarters
68+ambulance services operation area or borders another substation of the
69+headquarters ambulance services operation;
70+c.d.The headquarters ambulance services operation and the substation ambulance
71+services operation are dispatched by the same entity; and
72+d.e.The operator of the emergency medical services operation pays a license fee for
73+each of its substation ambulance services operations.
4274 5.The provisions of this chapter do not apply to an operator from another state which is
43-headquartered at a location outside of this state and transports patients across state lines, but
44-the operator may not treat patients within this state or pick up patients within this state for
45-transportation to locations within this state, except as provided by rule.
46-6.The department of health and human services shall adopt rules for special licenses and
47-waiver provisions for an operator of an emergency medical services operation intended for
48-industrial sites not available to the general public.
49-SECTION 2. AMENDMENT. Section 23-27-02 of the North Dakota Century Code is amended and
50-reenacted as follows:
75+headquartered at a location outside of this state and transports patients across state
76+lines, but the operator may not treat patients within this state or pick up patients within
77+this state for transportation to locations within this state, except as provided by rule.
78+6.The department of health and human services shall adopt rules for special licenses
79+and waiver provisions for an operator of an emergency medical services operation
80+intended for industrial sites not available to the general public.
81+SECTION 2. AMENDMENT. Section 23-27-02 of the North Dakota Century Code is
82+amended and reenacted as follows:
5183 23-27-02. Definitions.
5284 For the purpose of this chapter, unless the context otherwise requires:
5385 1."Department" means the department of health and human services.
54-2."Emergency medical services" means the prehospital medical stabilization or transportation,
55-including interfacility transportation, of an individual who is sick, injured, wounded, or
56-otherwise incapacitated or helpless, or in a real or perceived acute medical condition, by a
57-person that holds oneself out to the public as being in that service or that regularly provides
58-that service. The term includes:
59-a.Assessing, stabilizing, and treating life-threatening and non-life-threatening medical
60-conditions; or
61-b.Transporting a patient who is in a real or perceived acute medical condition to a hospital
62-emergency room or other appropriate medical destination.
86+Page No. 2 25.1075.01001
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116+30 Sixty-ninth
117+Legislative Assembly
118+2."Emergency medical services" means the prehospital medical stabilization or
119+transportation, including interfacility transportation, of an individual who is sick, injured,
120+wounded, or otherwise incapacitated or helpless, or in a real or perceived acute
121+medical condition, by a person that holds oneself out to the public as being in that
122+service or that regularly provides that service. The term includes:
123+a.Assessing, stabilizing, and treating life-threatening and non-life-threatening
124+medical conditions; or
125+b.Transporting a patient who is in a real or perceived acute medical condition to a
126+hospital emergency room or other appropriate medical destination.
63127 3."Emergency medical services operation" means an entity licensed to offer and provide
64128 emergency medical services by emergency medical services personnel with physician
65-oversight. The term includes basic life support ambulance services, advanced life support
66-ambulance services, air ambulance services, and quick response unit services.
67-4."Emergency medical services personnel" means individuals who provide emergency medical
68-services for emergency medical services operations. The term includes emergency medical
69-services professionals, drivers, and department-certified emergency medical services
70-providers, such as cardiopulmonary resuscitation drivers and first responders.
71-5."Emergency medical services professional" means an individual licensed by the department
72-under this chapter.
73-6."Substation ambulance services" means an ambulance station that has its own service area
74-designated by the department and is not individually licensed as an emergency medical
75-services operation. H. B. NO. 1394 - PAGE 3
76-____________________________ ____________________________
77-Speaker of the House President of the Senate
78-____________________________ ____________________________
79-Chief Clerk of the House Secretary of the Senate
80-This certifies that the within bill originated in the House of Representatives of the Sixty-ninth Legislative
81-Assembly of North Dakota and is known on the records of that body as House Bill No. 1394.
82-House Vote: Yeas 80 Nays 10 Absent 4
83-Senate Vote:Yeas 46 Nays 0 Absent 1
84-____________________________
85-Chief Clerk of the House
86-Received by the Governor at ________M. on _____________________________________, 2025.
87-Approved at ________M. on __________________________________________________, 2025.
88-____________________________
89-Governor
90-Filed in this office this ___________day of _______________________________________, 2025,
91-at ________ o’clock ________M.
92-____________________________
93-Secretary of State
129+oversight. The term includes basic life support ambulance services, advanced life
130+support ambulance services, air ambulance services, and quick response unit
131+services.
132+4."Emergency medical services personnel" means individuals who provide emergency
133+medical services for emergency medical services operations. The term includes
134+emergency medical services professionals, drivers, and department-certified
135+emergency medical services providers, such as cardiopulmonary resuscitation drivers
136+and first responders.
137+5."Emergency medical services professional" means an individual licensed by the
138+department under this chapter.
139+ 6. "Substation ambulance services" means an ambulance station that has its own service
140+area designated by the department and is not individually licensed as an emergency
141+medical services operation.
142+Page No. 3 25.1075.01001
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