The bill establishes an Alternative Emergency Medical Services Response Model Pilot Program in Otter Tail County and Grant County, overseen by the Emergency Medical Services Regulatory Board. The program allows primary ambulance services to partner with supporting ambulance services to enhance advanced life support capabilities for emergency calls. The bill outlines definitions for key terms, the application process for participating ambulance services, operational requirements, staffing standards, and the responsibilities of medical directors. It also allows the board to issue waivers or variances to existing statutes as necessary for the program's implementation.

Additionally, the bill appropriates $3,000,000 from the general fund for fiscal year 2025 to support the pilot program, with funds allocated to Otter Tail County. The county is required to reimburse the Emergency Medical Services Regulatory Board for reasonable administrative costs, and the appropriation is available until June 30, 2027. The program is set to expire on this date, with an effective start date of July 1, 2024.