The proposed bill aims to establish a distressed ambulance service program in North Dakota, creating a new section in Chapter 23-27 of the North Dakota Century Code. It defines "distressed ambulance service" and outlines the responsibilities of the Department of Health and Human Services in administering the program. The department will be tasked with evaluating licensees, issuing waivers, and developing emergency medical services plans in collaboration with a distressed ambulance work group. The bill emphasizes stakeholder involvement, requiring public meetings to discuss the strengths and weaknesses of distressed services and to develop improvement plans.

Additionally, the bill includes provisions for the creation of a distressed ambulance service program fund, which will be continuously appropriated for the program's administration. It mandates that the department report to the legislative management on the program's status, including the number of distressed services and overall effectiveness. The bill also declares an emergency, indicating the urgency of addressing the challenges faced by ambulance services in the state.