The bill establishes a new chapter, 23-27.2, in the North Dakota Century Code, which creates the Distressed Ambulance Service Program. This program is designed to support ambulance services that are struggling to meet operational standards, as determined by the Department of Health and Human Services. The chapter includes definitions of key terms, outlines the program's administration, and sets forth procedures for identifying and assisting distressed ambulance services. The department is tasked with monitoring these services, evaluating their compliance, and developing emergency medical services plans to ensure reliable response and transport services.

Additionally, the bill provides for a continuing appropriation to a newly created fund dedicated to the distressed ambulance service program, which will cover administrative costs and contractor fees. It mandates that the department report to the legislative management on the program's status, including the number of distressed services, program costs, and overall effectiveness. The bill emphasizes the importance of stakeholder involvement in developing improvement plans and outlines the process for public meetings to gather input on these plans.