AN ACT to create and enact chapter 23-27.2 of the North Dakota Century Code, relating to the distressed ambulance service program; to provide for a legislative management report; and to provide a continuing appropriation.
What changed between versions
Department's waiver authority was expanded to allow waiving specific provisions of chapter 23-27 or related rules for defined periods, provided public health and safety are not adversely affected.
Notice requirements for distressed ambulance services were changed to describe circumstances rather than specific violations, and the response requirements were expanded to include proposed timeframes for compliance.
New requirements mandate that emergency medical services plans include detailed timelines, evaluate impacts on adjacent service areas, and consider input from multiple stakeholders including local governments and medical facilities.
Criteria for identifying distressed ambulance services were modified to focus on 'substantial likelihood to fail to comply' rather than actual failure to comply, allowing earlier intervention.
Added specific timelines requiring public meetings within 30 days of coordinator assignment and a second meeting within 30 days of the first, with clear procedures for plan approval or amendment.