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 support ambulance services that are 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 department's authority to monitor and evaluate licensees, provide notices of deficiencies, and develop emergency medical services plans to ensure reliable ambulance response.

Additionally, the bill establishes a continuing appropriation for the Distressed Ambulance Service Program Fund, which will be used to cover the costs associated with administering the program. The department is also required to report to the legislative management on the program's status, including the number of distressed services, program costs, and overall effectiveness. This structured approach aims to enhance the sustainability and reliability of emergency medical services across North Dakota.