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2015 Legislative Session Final Report

The North Dakota EMS Association with the support of a number of individuals worked hard during this 64th legislative session.  We followed a number of bills and testified at several hearings throughout the 78 days.  During the session the advocacy committee was updated frequently on the progress of bills, especially our funding bills as they numerous several times.  In addition to information being available online we had one legislative call to action alert that requested EMS leaders to reach out to members of the Senate Appropriations.  During the final days of the session we also asked key stakeholders to email members of the conference committee regarding the EMS Assistance Grant funding bill.  While on the outside it may not have appeared that much activity was occurring, there were emails and phone calls on a nearly daily basis between the lobbyist and advocacy chairs, committee members, and myself.  The amount of work and activity is truly amazing and it started last summer when we began to develop strategy.  We then met with the Governor’s office in August and hit the ground running in December.


 In this final report I would like to highlight the two major funding bills followed by the House and Senate bills and the two concurrent resolutions. The Rural EMS Assistance Grants (in HB 1004) will have $7.5 million for the 2015-2017 biennium, which is another increase.  It is $500,000 less than the Governor had in his budget released in December however given the financial revenue forecasts many other programs had cuts or hold even spending.  When I looked back recently to see just how far we’ve come with funding it is truly amazing to see the achievement.  In 2007 the staffing grant had $1.25 million in funding; in 2009 an additional million was added for a total of $2.25 million.  In the 2011 session the language was changed to the EMS Assistance Grant and a total of $4.25 million was approved.  Last session we received $6.6 million and now we are currently at $7.5 million for 2015-2017.  In 8 years we have went from $1.25 million to $7.5 million.  When you look at the entire picture with all EMS funding (assistance grant, oil impact, training grant, etc.) we are approaching $15 million, which is impressive.  Language that was added to House Bill 1004 is that at least 85% of the $7.5 million be distributed to EMS agencies that do not receive an oil impact grant during the biennium beginning July 1, 2015 and ending June 30, 2017.  Legislators felt that this percentage needed to be added to allow for more equal distribution.  This percentage had been higher at 95% and we advocated for closer to 70% and ultimately ended at 85%.  Many services will welcome this new language while I know a handful of agencies that receive the oil impact grants will be anticipating less from the assistance grants, which will be unfortunate for them.  DEMST will release more information regarding this requirement and what it means in the coming weeks.  The EMS Advisory Council is currently working on changes to the funding areas and grant requirements that will take affect for the 2016 grant.  It is imperative that you work to collaborate with your neighboring EMS service and utilize these grant funds wisely.


The other major funding bill for EMS was HB 1176, a bill that allocates oil production tax dollars.  EMS agencies in the oil-producing counties will be eligible for a $6 million earmark this biennium to cover costs for staff, equipment, coverage, and personnel training.  In the last session we did receive a $7 million earmark, however $7.5 million was actually allocated to EMS in the 2013-2015 biennium based upon grant requests and needs of the EMS industry.  This earmark along with the allowance for staffing costs has been critical for the EMS industry in oil impact.  The next grant round from the Energy Infrastructure and Impact Office (EIIO) will be this fall.        



House Bill 1255 originally was drafted for language additions to define what an “emergency response” was as well as the definition of an “ALS assessment”.  This new language matched the Medicare manual and was necessary for the ND Medicaid and WSI programs when it came to reimbursing ambulance transports.  Late in the session and at the request of several legislators language was added to get a handle on air ambulance services, specifically the high out of pocket expenses for patients.  The Department of Health had drafted language to consider however ultimately the insurance department drafted a significant portion of HB 1255.  The final bill language is considerably more detailed and is available on our website and http://www.legis.nd.gov/ and searching HB 1255.  This bill contains items such as;


·         Create and maintain a primary and secondary call list of air ambulance services operating in ND.

·         To qualify for the primary list the air ambulance provider shall be a participating provider of the health insurance carriers in the state which collectively hold at least 75% of the health insurance coverage in the state.

·         This primary and secondary call list must be distributed to all hospitals, EMS services, and Public Safety Answering Points (PSAP) in this state.  Entities calling for air transport should first request an air ambulance provider on the primary call list followed by the secondary call list.

·         The Department of Health shall establish air ambulance response zones for rotary wing aircraft.

·         The air ambulance service provider shall provide their fee schedule (base rate and mileage) to the Department of Health for distribution to each hospital, EMS service, PSAP’s, and each 911 coordinator in the state. 

·         Before a hospital refers a patient to an air ambulance service provider the hospital shall make a reasonable effort to inform the patient or the patient’s legal guardian of the fees for the air ambulance service provider.

·         State health council shall adopt rules establishing air ambulance service provider requirements that address; transport plans, auto launch protocol, cancellation protocol, transporting to the nearest medical facility, medical necessity, and informed consent.

 

In House Bill 1323 a stroke system of care was created in language.  This bill allows for items such as; development of a system plan, hospital standards and designation of stroke centers, creation of a stroke registry, quality improvement program, transportation guidelines for EMS, and the creation of a stroke system of care task force that will meet quarterly.


Senate Bill 2012 is the Department of Human Services budget.  It has been a couple of sessions since EMS last had a Medicaid rebase for ambulance transport.  We worked with DHS prior to the session on an increase for ambulance transport payments.  Originally in Governor Dalrymple’s budget there were dollars added to increase the rates to 80% of the Workforce Safety Insurance (WSI) rates, which would’ve been a significant increase from the current 53%.  Early in the session we were at 70%, and then it dropped to 60%, and finally settled in at 64%, which is an 11% increase.  I know all the percentages are confusing.  What it essentially means is that on the North Dakota WSI fee schedule Medicaid currently pays 53%; or 53 cents on each dollar.  Starting with transports on July 1, 2015 we will now be at 64%.  This modest increase will result in an additional $1.25 million for the EMS industry, half coming from federal dollars.  We hope to continue to get these rates increased each legislative session.


Medical assistance coverage for the services of licensed community paramedics, advanced EMT’s and EMT’s was added in SB 2043.  The Department of Human Services shall adopt rules governing payments to licensed community paramedics, advanced EMT’s, and EMT’s for health-related services provided to Medicaid patients.


Senate Bill 2070 provides for immunity for someone contacting law enforcement or EMS and reporting that someone was in need of medical assistance due to a drug overdose.  To receive immunity they must remain on scene until assistance arrives, cooperate with EMS and law enforcement, and the overdosed individual must have been in need of EMS.  The maximum number of individuals that may be immune for any one occurrence is three individuals.       


The Narcan rescue kit bill was SB 2104.  This bill defines an apioid antagonist, describes who can receive a Naloxone rescue kit, and an individual acting in good faith may self-administer an opioid antagonist or administer an opioid antagonist to another individual who the administering individual suspects is at risk or experiencing an opioid overdose.  It is important to keep in mind that this bill “does not expand the scope of practice of a health care professional”.  There will be more information released by DEMST later this year on Narcan rescue kits, training, and other important elements that relate to the passage of this bill.


Every individual expected to use an AED is to receive CPR and AED training on the device.  This language was added to SB 2348 along with maintaining and testing AED’s, establishing AED protocols, and immunity from civil liability for those who are not compensated act in good faith and provide emergency care by using an AED.


Two concurrent resolutions were passed in the legislature this year that may impact EMS.  HCR 3028 directs Legislative Management to study the feasibility and desirability of the establishment of county or multi-county emergency response centers outside of urban centers that already maintain emergency response agencies with around-the-clock staffing.  Legislative Management does determine which studies do actually occur and this one is likely to get a study.  This came from the Association of Counties out of a request from Grand Forks County.  A study of this potential idea is likely to show the costs to run in the hundreds of millions with no mechanism to pay for this type of system.  This will be an interesting study that will hopefully show the true cost of what volunteerism has been providing the past 40 plus years and how the future of staffing EMS could look like and what funds could be utilized to pay for this.  The other resolution, SCR 4019 directs Legislative Management to study the feasibility and desirability of procuing health insurance, workers’ compensation insurance, or other benefits for volunteer firefighters and EMS workers, including determining whether the volunteers would be covered in the case of an accident or injury, the scope and conditions of coverage, and overall cost to insure volunteers.  Legislators have always been very supportive of volunteers and recognizing the crisis we are in with volunteerism decline.  They understand additional motivation factors are needed as well as making sure volunteers are adequately covered if they are injured while providing service.  The EMS Association will participate in any way that we can with both of these studies as they are commissioned over the next two years.


A special thank you to our 2015 Legislative Vision Award recipients; Senator Tim Mathern and Representative Jon Nelson.  We value your leadership, support and direction you have given us.  We also would like to thank each of our legislators; they have been very supportive of EMS and our initiatives over the past several years.  We appreciate many of you who called, emailed, and visited with your legislators to keep our bills moving forward.  To have a successful session it takes an abundance of work from so many dedicated supporters, a heartfelt thank you to all of you! 


In five years and three legislative sessions this 64th session was my last as your president.  NDEMSA would not have been able to achieve the level of support without the assistance of our lobbyist Ken Tupa, our advocacy members; Tim Meyer, Jim Restemayer, Art Culver, Pat Tracy, Lynn Hartman, and Sherm Syverson, and of course many EMS providers from throughout our state.  While I will not miss the tremendous amount of work during these sessions, I will most certainly miss the people I have had the privilege to interact with over the past three sessions.  As we close the books on this 64th session NDEMSA will soon look for guidance and advocacy members for the next session.  Please contact our office if this is an endeavor you may be interested in.   



ND EMS Association Advocacy Committee Priorities for 2013

1.  Increased allocation for the Rural EMS Assistance Grant program.  Currently this program sits at $4.25 million for the next biennium and the Governor has proposed in his 2013-2015 budget a $6.6 million allocation.  We will be advocating for an allocation of $12 million for this program, as we did in the 2011 legislative session

2.  Continue our support for emergency service priority in the Energy Infrastructure and Impact Grant Program.  During the November 2011 special session $30 million was emphasized for emergency services (EMS, Fire, Police, Sheriff) and we hope to keep this emphasis a priority as well as build upon the allocation during the legislative session.

3.  Systems of Care:  Trauma, STEMI (cardiac), and Stroke.  NDEMSA will actively advocate and employ grassroots efforts to enhance the systems of care in North Dakota.  We will support and help sponsor bills for the North Dakota Trauma System, STEMI system and the Community Paramedic demonstration project, and appropriations for stroke systems of care funding.

4.  We will continue to support other bills that have a positive impact on the ND EMS system as well as work to defeat any bills that may present a greater challenge for our state's EMS providers and EMS agencies.

House and Senate Bills and Resolutions being monitored by NDEMSA

*For a complete description, please download the spreadsheet tracker below.

HB 1043
Relating to technical corrections and improper, inaccurate, redundant, missing, or obsolete references;    and to repeal section 54-03-01.11 of the North Dakota Century Code, relating to obsolete provisions

(EMS minimum county mill levy increased from 5 mills to 10 mills)

HB 1028 A BILL for an Act to amend and reenact section 15.1-18.2-04 of the North Dakota Century Code, relating to concussion management program requirements.

HB 1049
Relating to standards and guidelines for public safety answering points.

(Delay to 2015 of various PSAP standards)

HB 1071
Relating to licensing procedures to obtain a registration under the Uniform Controlled Substances Act; to amend and reenact sections 19-03.1-01, 19-03.1-16, and 19-03.1-17 of the North Dakota Century Code, relating to controlled substances; and to provide a penalty. (Controlled substances and requirements to register with the Board of Pharmacy, unclear if there is any EMS intent).

HB 1100
Relating to definitions of class C authorized emergency vehicles. (Amendement was added to Class A emergency vehicles to allow for blue lighting).

HB 1106
Section 23-27-04.7 relating to County reporting - Use of property tax levies and emergency medical services levy (EMS section found on page 2, line 5 through 14)  (Language cleanup on page 2 directing mill levy monies to go toward the EMS agency serving that particular township).

HB 1145
Relating to use of insurance premium tax collections for firefighting; and to provide a continuing appropriation.  (No affect on EMS as the EMS grant funds are derived from the general fund)

HB 1175
Relating to an acute cardiovascular emergency medical system.  (Development of a STEMI/Cardiac system of care model similar to stroke and trauma systems of care).

HB 1358 Relating to definitions under the oil and gas gross production tax; to amend and reenact sections 57-51-15 and 57-62-05 of the North Dakota Century Code, relating to oil and gas gross production tax allocation and the impact aid program; to provide a continuing appropriation; to provide appropriations; to provide a statement of legislative intent; to provide an effective date; and to declare an emergency. (would provide 2.5% of production tax for EMS in oil producing counties and $6.25 million for non-producing EMS counties)

SB 2004
A BILL for an Act to provide an appropriation for defraying the expenses of the state department of health; and to provide legislative intent.  (Department of Health Budget - EMS interest is in securing additional dollars for the Rural EMS Assistance Grants and supporting the Community Paramedic demonstration project.)

SB 2062
Relating to job protections of emergency responders. (Dept. of Emergency Services bill to protect individuals who are serving during declared disasters and emergencies...National Guardsmen added).

SB 2065
Relating to the health care record registry of health care directives; and to declare an emergency.  (Monitoring to determine benefit to EMS and current Health Information Technology initiatives).

SB 2113
Relating to confidentiality of emergency responder peer or group counseling session records relating to critical incident stress management. (We support keeping CISM and peer counseling confidential).

SB 2157
Relating to the emergency commitment of mentally ill individuals. (Allows a Physician, either in person or through EMS, to do an emergency committal).

SB 2226
A BILL for an Act to amend and reenact section 23-01.2-04 of the North Dakota Century Code, relating to a medical director; and to provide an appropriation for the North Dakota trauma system (supporting the state trauma bill)

SCR 4002

A concurrent resolution directing the Legislative Management to study the feasibility and desirability of community paramedics providing additional clinical and public health services, particularly in rural areas of the state.


The Rural EMS Assistance Grant Program

This grant program was born out of House Bill 1044 in the 2011 legislative session.  At the conclusion of the 2011 session $1.25 million was allocated to 39 services utilizing the previous staffing grants model that had been utilized since 2007.  This grant funding from July 1, 2011 to June 30, 2012 allowed time for the EMS Advisory Council to develop the criteria for the REMSAG.  On July 1, 2012 the REMSAG went into effect and 94 funding areas became eligible to apply for the $3 million funding.  As you will see below, the demand for assistance has dramatically increased with twice the number of applicants and requests that came in 254% above what was available.  For 2013-2015 biennium a total of $4.25 million will be available unless an additional allocation is received from the 63rd legislative assembly.

There are a total of 94 funding areas in North Dakota, of those 76 applied for a funding area request
76 applicants requested a total of $7,365,000 (254% above the funds that are available)
The demand for assistance has risen from a high of 39 applicants for the staffing grants (out of 108 eligible EMS agencies), to the present 76 applicants for the Rural EMS Assistance Grants.
The scoring areas stressed collaboration, leadership training, demonstrating a need, and unique projects
12 applicants either did not score high enough, or were deemed ineligible for various reasons
The requests came from a wide array of categories, but staffing once again came out as the top request (38%)

Past Advocacy Efforts by the ND EMS Association

Final 2011 Legislative Update

First, is the Final Legislative Update. This update summarizes the bills that passed the 62nd Legislative Assembly that impact EMS. It illustrates how things have moved through the session and changes that have come about. After reading this you will have a better understanding of the changes these pieces of legislation made.


The Journey of House Bill 1044

Second, The Journey of House Bill 1044. House Bill 1044 was the EMS funding bill. It has been on a long journey and has yet to reach its final destination, although it is drawing nearer and nearer. This is a journal of the process and evolution of the EMS funding plan. It is an extremely detailed account of how we have gotten to the point we are at now.

November 2011 Accomplishments: SPECIAL SESSION

  • The North Dakota EMS Association and Oil Impacted EMS Incorporated, identifying several immediate EMS needs in western North Dakota, presented a proposal to several legislators at an OIEMS meeting in Watford City in October of 2011.  Following the presentation and later discussions emergency services became a part of Senate Bill 2371, which was essentially a disaster relief bill addressing the flood impact.  While early on EMS was primarily the funding recipient in this bill, language was later modified to allocate $30 million from the oil impact funds for emergency services, which includes; licensed emergency medical services operations, fire districts and departments, sheriff offices, and police departments providing service in an area affected by oil and gas development. 

2011 Accomplishments: 62nd Assembly

  • $4.25 Million to assist with ambulance service staffing and operations
  • $940,000 for training grant funds
  • $600,000 for Mission Lifeline, STEMI Project
  • $50,000 to contract a state medical director
  • $30,000 for trauma designation site visits
  • $20,000 for ATLS training

2009 Accomplishments: 61st Assembly

  • $2 Million increase in Medicaid reimbursement
  • $1 Million increase in allotment for the Staffing Grant
  • Developed and championed a $500,000 allocation for EMS Improvement. This is a four part program that provides an assessment for the improvement of EMS systems, development of leadership classes, a recruitment drive, and a regional quality improvement program.

2007 Accomplishments: 60th Assembly

  • $300,000 increase in allotment for the Training Grant
  • $300,000 increase in Medicaid reimbursement
  • Eliminated the Excise and State Fuel Tax for ambulance services
  • Developed and lobbied to have $1.25 Million for the Staffing Grant

ND EMS Association Advocacy Committee Priorities for 2013

1.  Increased allocation for the Rural EMS Assistance Grant program.  Currently this program sits at $4.25 million for the next biennium and the Governor has proposed in his 2013-2015 budget a $6.6 million allocation.  We will be advocating for an allocation of $12 million for this program, as we did in the 2011 legislative session

2.  Continue our support for emergency service priority in the Energy Infrastructure and Impact Grant Program.  During the November 2011 special session $30 million was emphasized for emergency services (EMS, Fire, Police, Sheriff) and we hope to keep this emphasis a priority as well as build upon the allocation during the legislative session.

3.  Systems of Care:  Trauma, STEMI (cardiac), and Stroke.  NDEMSA will actively advocate and employ grassroots efforts to enhance the systems of care in North Dakota.  We will support and help sponsor bills for the North Dakota Trauma System, STEMI system and the Community Paramedic demonstration project, and appropriations for stroke systems of care funding.

4.  We will continue to support other bills that have a positive impact on the ND EMS system as well as work to defeat any bills that may present a greater challenge for our state's EMS providers and EMS agencies.

House and Senate Bills and Resolutions being monitored by NDEMSA

*For a complete description, please download the spreadsheet tracker below.

HB 1043

Relating to technical corrections and improper, inaccurate, redundant, missing, or obsolete references;                                         and to repeal section 54-03-01.11 of the North Dakota Century Code, relating to obsolete provisions

(EMS minimum county mill levy increased from 5 mills to 10 mills)

HB 1028 A BILL for an Act to amend and reenact section 15.1-18.2-04 of the North Dakota Century Code, relating to concussion management program requirements.

HB 1049

Relating to standards and guidelines for public safety answering points.

(Delay to 2015 of various PSAP standards)

HB 1071

Relating to licensing procedures to obtain a registration under the Uniform Controlled Substances Act; to amend and reenact sections 19-03.1-01, 19-03.1-16, and 19-03.1-17 of the North Dakota Century Code, relating to controlled substances; and to provide a penalty. (Controlled substances and requirements to register with the Board of Pharmacy, unclear if there is any EMS intent).

HB 1100

Relating to definitions of class C authorized emergency vehicles. (Amendement was added to Class A emergency vehicles to allow for blue lighting).

HB 1106

Section 23-27-04.7 relating to County reporting - Use of property tax levies and emergency medical services levy (EMS section found on page 2, line 5 through 14)  (Language cleanup on page 2 directing mill levy monies to go toward the EMS agency serving that particular township).

HB 1145

Relating to use of insurance premium tax collections for firefighting; and to provide a continuing appropriation.  (No affect on EMS as the EMS grant funds are derived from the general fund)

HB 1175

Relating to an acute cardiovascular emergency medical system.  (Development of a STEMI/Cardiac system of care model similar to stroke and trauma systems of care).

HB 1358 Relating to definitions under the oil and gas gross production tax; to amend and reenact sections 57-51-15 and 57-62-05 of the North Dakota Century Code, relating to oil and gas gross production tax allocation and the impact aid program; to provide a continuing appropriation; to provide appropriations; to provide a statement of legislative intent; to provide an effective date; and to declare an emergency.(would provide 2.5% of production tax for EMS in oil producing counties and $6.25 million for non-producing EMS counties)

SB 2004

A BILL for an Act to provide an appropriation for defraying the expenses of the state department of health; and to provide legislative intent.  (Department of Health Budget - EMS interest is in securing additional dollars for the Rural EMS Assistance Grants and supporting the Community Paramedic demonstration project.)

SB 2062

Relating to job protections of emergency responders. (Dept. of Emergency Services bill to protect individuals who are serving during declared disasters and emergencies...National Guardsmen added).

SB 2065

Relating to the health care record registry of health care directives; and to declare an emergency. (Monitoring to determine benefit to EMS and current Health Information Technology initiatives).

SB 2113

Relating to confidentiality of emergency responder peer or group counseling session records relating to critical incident stress management. (We support keeping CISM and peer counseling confidential).

SB 2157

Relating to the emergency commitment of mentally ill individuals. (Allows a Physician, either in person or through EMS, to do an emergency committal).

SB 2226 A BILL for an Act to amend and reenact section 23-01.2-04 of the North Dakota Century Code, relating to a medical director; and to provide an appropriation for the North Dakota trauma system (supporting the state trauma bill)

SCR 4002

A concurrent resolution directing the Legislative Management to study the feasibility and desirability of community paramedics providing additional clinical and public health services, particularly in rural areas of the state.

All EMS-Related Bills Legislative Tracker

Download the FINAL NDEMSA legislative tracker spreadsheet - May 2, 2013

Bill No. House Hearing Committee Action House Action Senate Hearing Committee Action Senate Action
HB 1043 1/14/2013 Do Pass 14-0 Passed 94-0 2/20/2013 Do Pass 7-0 Passed 46-0
HB 1049 1/17/2013 Do Pass 12-0-3 Passed 86-2 2/21/2013 Do Pass 6-0 Passed 46-0
HB 1071 1/28/2013 Do Not Pass 13-0 Failed 0-91 Failed in House Failed Failed
HB 1100 1/10/2013 Do Pass 15-0 Passed 93-0 2/21/2013 Do Pass 7-0 Passed 46-0
HB 1106 1/15/2013 Do Pass 13-0-1 Passed 86-0 3/11/2013 Do Pass 6-0-1 Passed 47-0
HB 1145 1/16/2013 Do Pass 12-0-3 Appropriations 3/11/2013 Do Pass 12-0 Passed 44-0
HB 1175 1/29/2013 Do Pass 12-0-3 Passed 93-0 3/6/2013 Do Pass 5-0 Passed 46-0
HB 1311 1/23/2013 Do Not Pass 11-3-0 Failed 20-66 Failed in House Failed Failed
HB 1358 2/4/2013 Do Pass 14-0 Passed 82-8 3/13/2013 Do Pass 13-0 Passed 46-0
HB 1374 1/30/2013 Do Not Pass 14-0-0 Failed 8-79 Failed in House Failed Failed
HB 1376 1/30/2013 Do Not Pass 13-1-1 Failed 20-71 Failed in House Failed Failed
HB 1380 1/29/2013 Do Pass 10-4 Failed 31-61 Failed in House Failed Failed
HB 1412 BILL FAILED Do Pass 14-0 Passed 89-0 3/13/2013 Do Pass 4-3 Passed 42-3
SB 2004 3/27/2013 Do Pass 19-3 Passed 69-24 1/22/2013 Do Pass 13-0 Passed 41-6
SB 2062 3/7/2013 Do Pass 12-0-2 Passed 93-0 1/11/2013 Do Pass 7-0 Passed 46-0
SB 2065 3/6/2013 Do Pass 11-0-2 Passed 92-0 1/10/2013 Do Pass 7-0 Passed 46-0
SB 2113 3/19/2013 Do Pass 14-0 Passed 94-0 1/14/2013 Do Pass 7-0 Passed 47-0
SB 2157 3/19/2013 Do Pass 13-0 Passed 92-0 1/21/2013 Do Pass 5-0 Passed 45-0
SB 2172 3/13/2013 Do Pass 12-0-1 Passed 69-23 2/4/2013 Do Pass 5-0 Passed 47-0
SB 2226 3/12/2013 Do Pass 19-3 Passed 82-11 1/30/2013 Apps. Do Pass 12-0-1 Passed 47-0
SB 2238 3/12/2013 Do Pass 13-0 Passed 91-2 1/29/2013 Apps. Do Pass 13-0 Passed 46-0
SB 2261 3/12/2013 Do Pass 11-0-3 Passed 78-15 1/30/2013 Appropriations Passed 47-0
SB 2262 Failed in Sen. Failed Failed 1/30/2013 Do Not Pass 5-2 Failed 20-27
SB 2321 3/20/2013 Do Not Pass 8-7 Failed 38-54 2/4/2013 Do Pass 7-0 Passed 47-0
SB 2327 Failed in Sen. Failed Failed 2/7/2013 Do Not Pass 6-0 Failed 6-41
SB 2353 3/15/2013 Do Pass 11-4 Passed 81-11 2/8/2013 Apps. Do Pass 12-0-1 Passed 47-0
SCR 4002 3/26/2013 Do Pass 13-0 Adopted 1/14/2013 Do Pass 5-0 Adopted



The Rural EMS Assistance Grant Program

This grant program was born out of House Bill 1044 in the 2011 legislative session.  At the conclusion of the 2011 session $1.25 million was allocated to 39 services utilizing the previous staffing grants model that had been utilized since 2007.  This grant funding from July 1, 2011 to June 30, 2012 allowed time for the EMS Advisory Council to develop the criteria for the REMSAG.  On July 1, 2012 the REMSAG went into effect and 94 funding areas became eligible to apply for the $3 million funding.  As you will see below, the demand for assistance has dramatically increased with twice the number of applicants and requests that came in 254% above what was available.  For 2013-2015 biennium a total of $4.25 million will be available unless an additional allocation is received from the 63rd legislative assembly.

  • There are a total of 94 funding areas in North Dakota, of those 76 applied for a funding area request
  • 76 applicants requested a total of $7,365,000 (254% above the funds that are available)
  • The demand for assistance has risen from a high of 39 applicants for the staffing grants (out of 108 eligible EMS agencies), to the present 76 applicants for the Rural EMS Assistance Grants.
  • The scoring areas stressed collaboration, leadership training, demonstrating a need, and unique projects
  • 12 applicants either did not score high enough, or were deemed ineligible for various reasons
  • The requests came from a wide array of categories, but staffing once again came out as the top request (38%)
  • The next grant round will open in the spring of 2013 with a continued emphasis on collaboration efforts and leadership training attendance

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