COUNTIES/FRANCHISE AMBULANCE SERVICE.

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View NCGA Bill Details(link is external)2025-2026 Session
House Bill 219 (Public) Filed Tuesday, February 25, 2025
AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES AND CITIES TO FRANCHISE OR OPERATE AMBULANCE SERVICES AND PROVIDING THAT COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM.
Intro. by Pless.
Status: Re-ref Com On Rules, Calendar, and Operations of the House (House action) (Apr 29 2025)

SOG comments (1):

Long title change

Submitted by jhenders@sog.unc.edu on

Committee substitute to the 1st edition changed the long title. Original long title was AN ACT REPEALING THE LAW THAT AUTHORIZES COUNTIES TO FRANCHISE AMBULANCE SERVICES AND PROVIDING THAT COUNTY OFFICIALS SHALL NOT BE REQUIRED TO APPROVE MODIFICATIONS IN THE LEVEL OF CARE PROVIDED BY EMS PROVIDERS THAT ARE NOT OWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM.

Bill History:

H 219

Bill Summaries:

  • Bill H 219 (2025-2026)
    Summary date: Apr 9 2025 - View Summary

    House committee substitute to the 1st edition makes the following changes.

    Makes the repeal of GS 153A-250, which allowed local governments, by ordinance, to franchise ambulance service, applicable to any franchise agreement or contracts for ambulance service initiated or renewed on or after the date that the act becomes law. 

    Moves the uncodified provision related to the approval of a modification of the level of care being provided into new GS 153A-251 and specifies that the provision is notwithstanding any other provision of law (was, notwithstanding specified listed provisions and any other provision of law). 

    Amends the act's long title. 

    Government, Public Safety and Emergency Management, Local Government
    GS 153A
  • Bill H 219 (2025-2026)
    Summary date: Feb 25 2025 - View Summary

    Repeals GS 153A-250, which allowed counties, by ordinance, to franchise ambulance service.

    Prohibits a county manager or EMS administrator delegated authority to act on behalf of the county from being required to sign a document or otherwise approve a modification in the level of care being provided by a provider within the county's emergency management system. Specifies that this does not apply if the provider is a city located within the county or the county responsible for the emergency management system. 

    Government, Public Safety and Emergency Management, Local Government
    GS 153A
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