This bill establishes a framework for providing 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 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 of $2,023. If this calculation results in an amount less than $125,000, the minimum budget is set at $125,000. The grant amount for each operation will be the lesser of the calculated budget or the cost of runs multiplied by the average number of runs, with a maximum total grant not exceeding $225,000.

Additionally, the bill specifies deductions from the budget calculation, including reimbursement for runs and property tax valuations, and sets a minimum total grant amount of at least 50% of the previous year's grant, provided it does not exceed the calculated budget. It also stipulates that operations with more than 800 runs per year are ineligible for funding and that response areas acquired after April 1, 2024, due to adjacent ambulance service closures will not be included in the grant calculation.