This bill amends Section 46-905 of the Idaho Code to revise the provisions regarding the use and distribution of emergency medical services (EMS) funds and county accountability. It establishes that the division is responsible for distributing funds from the emergency medical services vehicle and equipment grant fund to qualifying nonprofit and governmental entities that apply for grants. The criteria for grant approval include the applicant's licensing status, demonstrated need, and endorsement from a local fire district, city, or county. Notably, the division can approve grants even without an endorsement if it is unjustifiably withheld.

Additionally, the bill outlines the distribution of funds from the emergency medical services fund, which is to be used exclusively for EMS costs. It specifies that applicants for sustainability grants must be licensed as 911 response agencies and must certify their billing practices. The previous requirement for counties to submit an approved plan for coordinating emergency medical services responses has been deleted, streamlining the application process. The bill emphasizes that the provision of EMS is a government function and encourages counties to use sustainability grants to support community health EMS initiatives. An emergency is declared, making the act effective on July 1, 2025.