This bill establishes a framework for distributing state financial assistance to eligible ambulance service operations in North Dakota for the biennium from July 1, 2025, to June 30, 2027. It outlines a specific calculation method for determining the minimum reasonable budget for each operation, which is based on the average number of runs over the past two years multiplied by a set cost per run. The bill sets the cost of a run at $2,023 and establishes a minimum budget of $125,000 for operations that fall below this threshold. Additionally, it details how grant amounts will be calculated by deducting reimbursements and property tax valuations from the budget, with a maximum grant amount capped at $225,000.

The bill also specifies eligibility criteria for receiving funding, stating that operations must be owned and operated by a city or county or fall within a rural ambulance service district. It excludes operations located within fifteen miles of another service that conduct fewer than fifty runs per year. Furthermore, it clarifies that any response area acquired after April 1, 2024, due to the closure of an adjacent ambulance service will not be included in the grant calculation. The department of health and human services is tasked with distributing the funds, and if appropriations are insufficient, a prorated share of the calculated grant amount will be provided.