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 bill allows the division to approve grants even in the absence of 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 costs associated with EMS. It specifies that applicants for sustainability grants must be licensed as 911 response agencies and must certify their billing practices. The bill removes the requirement for counties to submit an approved plan for coordinating emergency medical services in order to endorse grant applications. It emphasizes that the provision of EMS is a government function and mandates counties to ensure reasonable availability of these services throughout their jurisdiction. The act is set to take effect on July 1, 2025, due to an emergency declaration.