HB 219 North Carolina House · 2025-2026 Session

Counties/Franchise Ambulance Service.

HB 219 proposes to repeal the existing law that authorizes counties to franchise ambulance services. The bill also specifies that county officials, such as a county manager or EMS administrator, would no longer be required to approve modifications to the level of care offered by certain emergency medical services (EMS) providers. This change applies to EMS providers that are not owned or operated by a city within the county or by the county itself, removing a layer of county oversight for these services.

Bill status died 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 25, 2025 Last action Apr 29, 2025

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What changed between versions

Edition 1 → Edition 2 · 4 edits

MODERATE

This bill was amended to expand its scope from only repealing laws about county franchising of ambulance services to also allowing cities to franchise or operate ambulance services. The amendment adds a new section to the General Statutes that clarifies county officials don't need to approve level of care modifications for providers not owned by cities or the county's emergency management system.

Scope change

The bill now applies to both counties and cities regarding ambulance service franchising and operations, whereas it previously only addressed counties.

SCOPE

The bill title and short title were updated to reflect that both counties and cities are now included in the ambulance service franchising provisions.

REQUIREMENT

A new section was added to the General Statutes (Section 153A-251) that explicitly states county managers or EMS administrators are not required to approve modifications in the level of care for providers not owned or operated by a city or the county's emergency management system.

TIMELINE

Section 3 was revised to clarify that the repeal applies to franchise agreements initiated or renewed on or after the effective date, and existing agreements cannot be renewed.

TECHNICAL

The original text mentioned that the repeal applied to G.S. 153A-250 without adding a new section, but now includes a new statutory section for level of care modifications.

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 29, 2025

Committee

Re-ref Com On Rules, Calendar, and Operations of the House

lower

Apr 9, 2025

Committee

Re-ref Com On State and Local Government

lower

Apr 9, 2025

Lower · Passed

Reptd Fav Com Substitute

lower

Feb 27, 2025

Committee

Ref to the Com on Emergency Management and Disaster Recovery, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House

lower

Feb 25, 2025

Introduced

Filed

lower

0 primary · 1 co-sponsor