The bill establishes a new chapter, 23-27.2, in the North Dakota Century Code, which creates and enacts the Distressed Ambulance Service Program. This program is designed to assist ambulance services that have been declared "distressed" by the Department of Health and Human Services. The bill outlines definitions related to the program, including what constitutes a distressed ambulance service and the responsibilities of the department in administering the program. Key provisions include the evaluation of licensees, the process for declaring a service distressed, and the development of an emergency medical services plan to ensure reliable service delivery.

Additionally, the bill provides for a continuing appropriation to fund the program, allowing the department to manage resources effectively. It mandates that the department report to the legislative management on the program's status, including the number of distressed services and the program's overall effectiveness. The bill emphasizes the importance of stakeholder involvement in the planning process and outlines the procedures for public meetings and the approval of plans. Overall, the legislation aims to enhance the sustainability and reliability of emergency medical services in North Dakota.