HB 1394 North Dakota House · 69th Legislative Assembly (2025-26)

AN ACT to amend and reenact sections 23-27-01 and 23-27-02 of the North Dakota Century Code, relating to the licensing of emergency medical services operations.

HB 1394 amends North Dakota's licensing rules for emergency medical services (EMS) operations. It requires EMS operators to hold separate licenses for each location or operation, with exceptions allowing a single license for established substations that meet specific criteria (like sharing dispatch and bordering service areas). Operators must pay a separate license fee for each substation location. This directly affects all EMS providers in North Dakota, particularly those operating multiple sites or substations, by clarifying licensing requirements and fees. The bill does not change rules for out-of-state operators transporting patients across state lines.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Feb 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 13, 2025 Signed Mar 28, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

FIRST ENGROSSMENT Enrollment · 5 edits
MODERATE
This bill amends North Dakota's emergency medical services (EMS) licensing laws to clarify how EMS operations are licensed, define key terms more precisely, and establish rules for substation ambulances. The changes aim to improve oversight of EMS providers, ensure public safety by limiting unlicensed operations, and create flexibility for industrial site EMS needs.
Scope change
The bill expands the regulatory framework for EMS operations by adding specific definitions and clarifying licensing requirements for substation ambulances and out-of-state operators.
REQUIREMENT

Clarified that EMS operations must be separately licensed unless they qualify as substation services meeting specific criteria, including bordering service areas and being dispatched by the same entity.

Required the Department of Health and Human Services to adopt rules for special licenses and waivers for industrial sites not available to the general public.

DEFINITION

Added comprehensive definitions for key terms including 'emergency medical services operation', 'emergency medical services personnel', and 'substation ambulance services' to reduce ambiguity in enforcement.

ELIGIBILITY

Created an exemption for out-of-state operators who transport patients across state lines, provided they do not treat or pick up patients within North Dakota except by rule.

TIMELINE

Established December 31, 2024 as a cutoff date for substation ambulance services to qualify for single licensing under grandfather provisions.

Floor votes · Senate Mar 19, 2025 · House Feb 4, 2025

How they voted

460
Passed · 1 other
Total votes 47
Mar 19, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
41 Yea 1
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
8
Committee
4
Mar 31, 2025
Introduced
Filed with Secretary Of State 03/27
legislature
Mar 28, 2025
Signed into law
Signed by Governor 03/26
lower
Mar 19, 2025
Upper · Passed
Second reading, passed, yeas 46 nays 0
upper
Mar 10, 2025
Upper · Passed
Reported back, do pass, place on calendar 6 0 0
upper
Mar 5, 2025
Upper · Passed
Committee Hearing 10:00
upper
Feb 13, 2025
Introduced
Introduced, first reading, referred Human Services Committee
upper
Feb 4, 2025
Lower · Passed
Second reading, passed, yeas 80 nays 10
lower
Jan 29, 2025
Lower · Passed
Amendment adopted, placed on calendar
lower
Jan 28, 2025
Lower · Passed
Reported back amended, do pass, amendment placed on calendar 10 2 1
lower
Jan 20, 2025
Lower · Passed
Committee Hearing 10:20
lower
Jan 13, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
1 primary · 8 co-sponsors

Sponsors