Relating to reporting duties of county commission regarding ambulance services.

HB 4121 requires West Virginia county commissions to provide emergency ambulance service to all residents within their county, but only if the commission has specifically budgeted funds for this purpose in its annual budget. County commissions must also submit an annual report by September 1st to the Office of Emergency Medical Services detailing how ambulance services are provided and the exact amount of county funds spent on emergency ambulance services during the prior fiscal year. This bill does not create new funding but clarifies that counties must make an affirmative budgetary commitment to provide service before the duty applies, and it standardizes the reporting process for transparency.