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 based on the average number of runs and the cost per run, which is set at $2,023. The minimum budget is established at $125,000 if the calculated amount falls below this threshold. The grant amount is determined by deducting specific reimbursements and property tax valuations from the budget, with a maximum total grant not exceeding $225,000. Additionally, the bill stipulates that the minimum total grant must be at least 50% of the previous year's grant amount, ensuring some level of funding continuity.

The bill also specifies eligibility criteria, stating that operations with more than 800 runs per year are ineligible for funding. Furthermore, it includes provisions for prorated funding if legislative appropriations are insufficient to cover the full grant amounts. Notably, 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 for that operation. This legislation aims to support the financial stability of ambulance services while ensuring that funding is allocated based on specific operational metrics.