Emergency Medical Services Modifications

Municipalities and counties must now ensure minimum levels of 911 and interfacility ambulance services are provided within their jurisdictions.

Local governments must conduct formal reviews of ambulance providers every four years in public meetings to evaluate cost, quality, and access.

Local governments must request competitive sealed proposals to evaluate alternative qualified emergency medical service providers.

Local governments must offer current 911 ambulance providers first right to provide interfacility transport services when licensing expires.

Municipalities and counties must enter into interlocal agreements for backup interfacility transport services when primary providers are unavailable.

The Bureau of Emergency Medical Services is removed from the provider selection process but retains authority to discipline providers and investigate complaints.

Willful disobedience of valid subpoenas or cease and desist letters from the Bureau is now a class B misdemeanor.

Local governments providing their own 911 ambulance services must obtain a ground ambulance provider license from the Bureau.

Requires municipalities and counties to conduct formal reviews and evaluations of emergency medical service providers every four years using competitive sealed proposals.

Removes the Bureau of Emergency Medical Services Management from involvement in selecting emergency medical service providers, though the bureau retains jurisdiction to discipline non-911 ambulance providers.

Requires counties and municipalities to offer first right to provide interfacility transports to current 911 ambulance service providers before selecting alternatives.

Mandates that municipalities and counties enter into interlocal agreements for backup interfacility transport services when primary providers are unavailable.

Requires formal reviews of 911 service providers and interfacility transport service providers to be conducted in open public meetings.

Makes it a class B misdemeanor to willfully disobey valid subpoenas or cease and desist letters from the Bureau of Emergency Medical Services.

Changed the review frequency requirement from an unspecified interval to a mandatory four-year cycle for evaluating emergency medical service providers.

Added requirement for municipalities and counties to use competitive sealed proposals when evaluating alternative qualified emergency medical service providers.

Added requirement that public meetings for the review process must be held no more than three months prior to the license expiration date.

Expanded eligibility to include interfacility transport service providers in the competitive proposal evaluation process.

Added government-operated and quasi-governmental emergency medical service providers to the list of providers subject to competitive proposal evaluation.

Added requirement for municipalities and counties to conduct formal reviews and evaluations of emergency medical service providers every four years

Added requirement for municipalities and counties to request competitive sealed proposals when evaluating alternative emergency medical service providers

Removed Bureau of Emergency Medical Services involvement in provider selection process, except for verifying minimum requirements and providing notice

Granted investigative authority to the Bureau including subpoena power

Made willful disobedience of valid subpoenas or cease and desist letters from the Bureau a class B misdemeanor

Established specific timeline for formal reviews (not more than three months prior to license expiration) and four-year review cycle

Reduced formal review frequency for ambulance providers from every eight years to every four years

Requires municipalities and counties to request competitive sealed proposals when evaluating alternative qualified emergency medical service providers

Requires municipalities and counties to establish backup interfacility transport agreements with public or private entities for use when primary providers are unavailable

Requires local governments to share backup interfacility transport agreements with dispatchers and healthcare facilities

Maintains Bureau authority to discipline non-911 ambulance providers while removing Bureau involvement in provider selection processes

Changed formal review timeline from every eight years to every four years

Municipalities and counties now have exclusive authority to ensure minimum levels of ground ambulance interfacility transport services are provided within their jurisdictions.

Local governments must conduct reviews and evaluations of emergency medical service providers every four years and request competitive sealed proposals to evaluate alternative qualified providers.

Municipalities and counties must offer first right to provide interfacility transports to current 911 ambulance service providers when selecting new services.

Local governments must enter into interlocal agreements with public or private entities for backup interfacility transport services when primary providers are unavailable.

Bureau removed from provider selection processes except for verifying minimum requirements and providing notice of approval.

Bureau granted investigative authority including power to administer oaths, subpoena witnesses, and require production of documents.

Willful disobedience of valid subpoenas or cease and desist letters from the bureau is now a class B misdemeanor.

Bureau jurisdiction expanded to include discipline of non-911 ambulance service providers.

Bill takes effect on May 7, 2025.