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 the calculation 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 is determined by deducting certain reimbursements and property tax valuations from the calculated budget, with a maximum grant amount capped at $225,000. Additionally, the bill stipulates that the minimum total grant must be at least 50% of the previous year's grant amount, while also ensuring that operations with more than 800 runs per year are ineligible for funding.

The bill also includes specific provisions regarding the distribution of funds, stating that if legislative appropriations are insufficient, the department will distribute a prorated share of the calculated grant amount. 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. This legislation aims to ensure that ambulance services receive adequate financial support while establishing clear guidelines for eligibility and funding calculations.