North Dakota Code § 23-27-04.2

Emergency medical services - State assistance
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The department of health and human services shall assist in the training of emergency 
medical services personnel of certain emergency medical services operations as determined by 
the department and financially shall assist certain emergency medical services operations as 
determined by the department. Assistance provided under this section must be within the limits 
of legislative appropriation. The department shall adopt criteria for eligibility for assistance in the 
training of emergency medical services personnel of various types of emergency medical 
services operations. The department may establish minimum and maximum amounts of 
financial assistance to be provided to an emergency medical services operation under this 
section. If applications for financial assistance exceed the amount of allocated and available 
funds, the department may prorate the funds among the applicants in accordance with criteria 
adopted by the department. No more than one -half of the funds appropriated by the legislative 
assembly each biennium and allocated for training assistance may be distributed in the first year 
of the biennium. For emergency medical service operations subject to section 23 -27-07, after 
June 30, 2025, financial assistance provided by this section must be distributed to the political 
subdivision having ownership of the licensed ambulance service or the political subdivision 
responsible for the emergency medical service program for the service area.

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