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SF 2691

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/09/2023 09:58am

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - as introduced

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A bill for an act
relating to emergency medical services; modifying requirements for licensure and
license renewal of ambulance services; requiring permits from municipalities to
provide service in a primary service area; requiring rulemaking to modify primary
service areas; requiring the establishment of performance standards; amending
Minnesota Statutes 2022, sections 144E.001, subdivision 10, by adding a
subdivision; 144E.06; 144E.10; 144E.11, subdivisions 1, 2, 3, 4, 5, 6, 7; 144E.14;
144E.31, subdivision 3; proposing coding for new law in Minnesota Statutes,
chapter 144E; repealing Minnesota Statutes 2022, sections 144E.07; 144E.11,
subdivision 9.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2022, section 144E.001, subdivision 10, is amended to read:


Subd. 10.

Primary service area.

"Primary service area" means the geographic area deleted text beginthat
can reasonably be served by
deleted text endnew text begin with the boundaries established by the board under section
144E.06, in which
new text end an ambulance servicenew text begin provides servicesnew text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 2.

Minnesota Statutes 2022, section 144E.001, is amended by adding a subdivision
to read:


new text begin Subd. 12a. new text end

new text begin Response time. new text end

new text begin "Response time" means the period from the time a public
safety answering point receives a call for emergency services to the time the ambulance,
staffed according to the applicable requirements in section 144E.101 for the type of
ambulance service being provided, arrives at the patient's location to provide emergency
services.
new text end

Sec. 3.

Minnesota Statutes 2022, section 144E.06, is amended to read:


144E.06 PRIMARY SERVICE AREAS.

new text begin Subdivision 1. new text end

new text begin Modifications to boundaries. new text end

The board shall adopt rules deleted text begindefiningdeleted text endnew text begin
modifying the boundaries of the
new text end primary service areas deleted text beginunder which the board shall designate
each licensed ambulance service as serving a primary service area or areas.
deleted text endnew text begin in effect as of
the effective date of this subdivision so that the boundaries of each primary service area
correspond with:
new text end

new text begin (1) the boundaries of a special taxing district established according to section 144F.01
to provide emergency medical services; or
new text end

new text begin (2) for an area without a special taxing district described in clause (1), the boundaries
of one or more municipalities.
new text end

new text begin Subd. 2. new text end

new text begin Reporting changes. new text end

new text begin The board must notify the applicable local public safety
answering point coordinators of changes in primary service area boundaries.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin Subdivision 1 is effective the day following final enactment.
new text end

Sec. 4.

new text begin [144E.065] PRIMARY SERVICE AREA PERMIT.
new text end

new text begin Subdivision 1. new text end

new text begin Permit required. new text end

new text begin Except as provided in section 144E.101, subdivision
12 or 13, an ambulance service must not provide services in a primary service area unless
the ambulance service has a permit issued under this section.
new text end

new text begin Subd. 2. new text end

new text begin Local permit. new text end

new text begin (a) Each municipality may issue a permit to one ambulance
service to authorize the ambulance service to provide services in the primary service area
in which the municipality is located.
new text end

new text begin (b) One or more municipalities may enter into an agreement to issue a joint permit to
one ambulance service to provide services in the primary service areas in which the
municipalities that entered into the joint agreement are located.
new text end

new text begin (c) The municipality or municipalities must establish requirements for the following:
new text end

new text begin (1) procedures for issuing a permit;
new text end

new text begin (2) criteria to be used when considering whether to issue a permit;
new text end

new text begin (3) circumstances under which a permit may be revoked; and
new text end

new text begin (4) procedures for renewing a permit and for revoking a permit.
new text end

new text begin (d) The municipality or municipalities may charge a fee for permit applications, issuance
of a permit, and renewal of a permit.
new text end

new text begin Subd. 3. new text end

new text begin Expiration; renewal. new text end

new text begin Unless a permit issued under this section is revoked, the
permit is valid for the licensure period of the ambulance service that received the permit.
At least 90 days before a permit expires, an ambulance service that wishes to renew its
permit must apply for renewal according to procedures established by the issuing municipality
or municipalities. An ambulance service that does not wish to renew its permit must notify
the issuing municipality or municipalities at least 90 days before its permit expires.
new text end

new text begin Subd. 4. new text end

new text begin Reports. new text end

new text begin (a) An ambulance service must notify the board when the ambulance
service obtains a permit under subdivision 2 and when the permit expires, is renewed, or is
revoked. This notice must be provided in a time and manner specified by the board.
new text end

new text begin (b) The board must notify the applicable local public safety answering point coordinator
of the ambulance service that obtains a permit under this section and when the permit expires,
is renewed, or is revoked.
new text end

new text begin Subd. 5. new text end

new text begin Date certain; board issuance of permit. new text end

new text begin (a) By ..... and on an ongoing basis
thereafter, the board shall ensure that each primary service area in the state is receiving
services from one ambulance service under a permit.
new text end

new text begin (b) The board shall issue a permit to one ambulance service to provide services in a
primary service area for which a permit has not been issued by a municipality or
municipalities, as determined by the board. The board may revoke a permit issued under
this subdivision according to procedures established by the board. Before the board renews
a permit issued under this subdivision, the ambulance service that obtained a permit under
this subdivision must apply to the applicable municipality or municipalities for a permit
under subdivision 2. The board shall renew a permit issued under this subdivision only if
necessary to prevent a primary service area from being without services.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 5.

Minnesota Statutes 2022, section 144E.10, is amended to read:


144E.10 AMBULANCE SERVICE LICENSING.

Subdivision 1.

License required.

No natural person, partnership, association, corporation,
or unit of government may operate an ambulance service within this state unless it possesses
a valid license to do so issued by the board. The license shall specify the base of operations,
the primary service areanew text begin or areas for which the licensee holds a permit to provide servicesnew text end,
and the type or types of ambulance service for which the licensee is licensed. The licensee
shall obtain a new license if it wishes deleted text beginto expand its primary service area, ordeleted text end to provide a
new type or types of service.

Subd. 2.

Requirements for new licenses.

The board shall not issue a license authorizing
the operation of a new ambulance servicedeleted text begin,deleted text endnew text begin ornew text end provision of a new type or types of ambulance
service by an existing servicedeleted text begin, or an expanded primary service area for an existing servicedeleted text end
unless the requirements of this section and sections 144E.101 to 144E.127 and 144E.18 are
met.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 6.

Minnesota Statutes 2022, section 144E.11, subdivision 1, is amended to read:


Subdivision 1.

Written application.

Each prospective licensee and each present licensee
wishing to offer a new type or types of ambulance service deleted text beginor to expand a primary service
area
deleted text end shall make written application for a license to the board on a form provided by the
board.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 7.

Minnesota Statutes 2022, section 144E.11, subdivision 2, is amended to read:


Subd. 2.

Application notice.

The board shall promptly send notice of the completed
application to each county boarddeleted text begin, community health board, governing body of a regional
emergency medical services system designated under section 144E.50, ambulance service,
deleted text end
and municipality in the area in which deleted text beginambulance service would be provided by the applicantdeleted text endnew text begin
the applicant plans to apply for a permit under section 144E.065 to provide services
new text end. The
board shall publish the notice, at the applicant's expense, in the State Register and in a
newspaper in the municipality in which the base of operation is or will be located, or if no
newspaper is published in the municipality or if the service is or would be provided in more
than one municipality, in a newspaper published at the county seat of the county or counties
in which the service would be provided.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 8.

Minnesota Statutes 2022, section 144E.11, subdivision 3, is amended to read:


Subd. 3.

Comments.

Each municipality, county, deleted text begincommunity health board, governing
body of a regional emergency medical services system,
deleted text end ambulance service, and other person
wishing to make recommendations concerning the disposition of the application shall make
written recommendations or comments opposing the application to the board within 30 days
of the publication of notice of the application in the State Register.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 9.

Minnesota Statutes 2022, section 144E.11, subdivision 4, is amended to read:


Subd. 4.

Contested case exemption; procedure.

(a) If no more than five written
comments opposing the application have been received by the board under subdivision 3,
and the board has determined, after considering the deleted text beginfactors listeddeleted text endnew text begin requirements establishednew text end
under subdivision 6, that the proposed service deleted text beginor expansion of primary service areadeleted text end is needed,
the applicant shall be exempt from the contested case hearing process under subdivision 5.

(b) An applicant exempted from a contested case hearing under this subdivision shall
furnish additional information, as requested by the board, to support its application. The
board shall approve the application and grant a license to the applicant within 30 days after
final submission of requested information to the board, and upon a determination by the
board that the applicant is in compliance with the rules adopted by the board and with the
inspection requirements of section 144E.18.

(c) If an applicant does not comply with the inspection requirements under section
144E.18 within one year of the board's approval of its application, the license shall be denied.
The one-year time limit applies to any licensing decision made by the board or to any prior
licensing decision made by the commissioner of health or an administrative law judge.

(d) If, after considering the deleted text beginfactorsdeleted text endnew text begin requirements establishednew text end under subdivision 6, the
board determines that the proposed service deleted text beginor expansion of primary service areadeleted text end is not
needed, the case shall be treated as a contested case under subdivision 5, paragraphs (c) to
(g).

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 10.

Minnesota Statutes 2022, section 144E.11, subdivision 5, is amended to read:


Subd. 5.

Contested case; procedure.

(a) If more than five written comments opposing
the application are received by the board as specified under subdivision 3, the board shall
give the applicant the option of immediately proceeding to a contested case hearing or trying
to resolve the objections within 30 days.

(b) If, after considering the deleted text beginfactorsdeleted text endnew text begin requirements establishednew text end under subdivision 6, the
board determines that the proposed service deleted text beginor expansion of primary service areadeleted text end is not
needed, the board shall give the applicant the option of immediately proceeding to a contested
case hearing or using up to 30 days to satisfy the board that the proposed service deleted text beginor expansion
of primary service area
deleted text end is needed.

(c) The board shall request that the chief administrative law judge appoint an
administrative law judge to hold a public hearing in the municipality in which the applicant's
base of operation is or will be located:

(1) if more than five opposing comments remain after 30 days;

(2) if, after considering the deleted text beginfactorsdeleted text endnew text begin requirements establishednew text end under subdivision 6, the
board determines that the proposed service deleted text beginor expansion of primary service areadeleted text end is not
needed after 30 days; or

(3) at the applicant's initial request.

(d) If the applicant's base of operation is located outside of Minnesota, the hearing shall
be held at a location within the area in which service would be provided in Minnesota. The
public hearing shall be conducted as a contested case hearing under chapter 14. The board
shall pay the expenses for the hearing location and the administrative law judge.

(e) The board shall provide notice of the public hearing, at the applicant's expense, in
the State Register and in the newspaper or newspapers in which the notice was published
under subdivision 2 for two successive weeks at least ten days before the date of the hearing.

(f) The administrative law judge shall:

(1) hold a public hearing as specified in paragraphs (c) and (d);

(2) allow any interested person the opportunity to be heard, to be represented by counsel,
and to present oral and written evidence at the public hearing; and

(3) provide a transcript of the hearing at the expense of any individual requesting it.

(g) The administrative law judge shall review and comment upon the application and
make written recommendations as to its disposition to the board within 90 days of publication
of notice of the hearing in the State Register. In making the recommendations, the
administrative law judge shall consider and make written comments as to whether the
proposed service deleted text beginor expansion in primary service areadeleted text end is needed, based on consideration of
the deleted text beginfactors specified indeleted text endnew text begin requirements established undernew text end subdivision 6.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 11.

Minnesota Statutes 2022, section 144E.11, subdivision 6, is amended to read:


Subd. 6.

deleted text beginReview criteriadeleted text endnew text begin Requirementsnew text end.

When reviewing an application for licensure,
the board and administrative law judge shall consider deleted text beginthe following factors:deleted text endnew text begin the extent to
which the applicant meets requirements for licensure established by the board and
municipalities.
new text end

deleted text begin (1) the recommendations or comments of the governing bodies of the counties,
municipalities, community health boards, and regional emergency medical services system
designated under section 144E.50 in which the service would be provided;
deleted text end

deleted text begin (2) the deleterious effects on the public health from duplication, if any, of ambulance
services that would result from granting the license;
deleted text end

deleted text begin (3) the estimated effect of the proposed service or expansion in primary service area on
the public health; and
deleted text end

deleted text begin (4) whether any benefit accruing to the public health would outweigh the costs associated
with the proposed service or expansion in primary service area.
deleted text end The administrative law
judge shall recommend that the board either grant or deny a license or recommend that a
modified license be granted. The reasons for the recommendation shall be set forth in detail.
The administrative law judge shall make the recommendations and reasons available to any
individual requesting them.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 12.

Minnesota Statutes 2022, section 144E.11, subdivision 7, is amended to read:


Subd. 7.

Licensing decision.

new text begin(a) new text endAfter receiving the administrative law judge's report,
the board shall approve or deny the application and grant the license within 60 days if the
application is approved, and upon determination by the board, that the applicant is in
compliance with the rules adopted by the board and with the inspection requirements of
section 144E.18.

new text begin (b)new text end In approving or denying an application, the board shall consider the administrative
law judge's report, the evidence contained in the application, and any hearing record and
other applicable evidence. The board's decision shall be based on deleted text begina consideration of the
factors contained in
deleted text end new text beginthe requirements established under new text endsubdivision 6.

new text begin (c)new text end If the board determines to grant the applicant a license, the applicant must comply
with the inspection requirements under 144E.18 within one year of the board's approval of
the application or the license will be denied. This one-year time limit applies to any licensing
decision by the board or to any prior licensing decision made by the commissioner of health
or an administrative law judge.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 13.

new text begin [144E.115] RENEWAL OF AMBULANCE SERVICE LICENSE.
new text end

new text begin Subdivision 1. new text end

new text begin Expiration of license; license renewal. new text end

new text begin An ambulance service license
expires two years after the date of issuance. An ambulance service that wishes to renew its
license must submit the following to the board at least 90 days before the license expires:
new text end

new text begin (1) an application for license renewal;
new text end

new text begin (2) the report on performance standards required under section 144E.124, subdivision
5;
new text end

new text begin (3) any supporting materials required by the board; and
new text end

new text begin (4) the fee for license renewal required under section 144E.29.
new text end

new text begin Subd. 2. new text end

new text begin Renewal application notice. new text end

new text begin Upon receiving an application for license renewal,
the board shall promptly send notice of the application to the county board of each county
that partially or wholly includes the primary service area of the ambulance service seeking
license renewal, and to the governing body of each municipality in a primary service area
served by the ambulance service seeking license renewal.
new text end

new text begin Subd. 3. new text end

new text begin Review of performance standards; recommendation to board. new text end

new text begin (a) Each
county board and municipality that receives notice under subdivision 2 may:
new text end

new text begin (1) review the performance standards report submitted by the applicant for the current
licensure period; and
new text end

new text begin (2) submit to the board, at a time and in a manner specified by the board, a
recommendation or comment as to whether the board should renew or not renew the
ambulance service's license.
new text end

new text begin (b) An ambulance service or other person may submit to the board, at a time and in a
manner specified by the board, a recommendation or comment as to whether the board
should renew or not renew the ambulance service's license.
new text end

new text begin Subd. 4. new text end

new text begin Review by board. new text end

new text begin Before approving or denying an application for license
renewal, the board must review:
new text end

new text begin (1) the information in the renewal application and any supporting materials provided;
new text end

new text begin (2) the results of the most recent on-site inspection of the ambulance service conducted
by the board;
new text end

new text begin (3) the ambulance service's performance in serving its primary service area, as measured
by performance standards;
new text end

new text begin (4) recommendations or comments provided under subdivision 3; and
new text end

new text begin (5) other information identified by the board regarding whether the ambulance service
is operating in substantial compliance with sections 144E.001 to 144E.33 and rules adopted
under those sections.
new text end

new text begin Subd. 5. new text end

new text begin Decision. new text end

new text begin The board may renew an ambulance service's license if the board
determines, based on a review of the information in subdivision 4, that the ambulance service
is operating in substantial compliance with sections 144E.001 to 144E.33 and rules adopted
under those sections, is meeting the needs of patients in the ambulance service's primary
service area, and is providing care of acceptable quality as measured by performance
standards. The board's decision under this subdivision shall be the final administrative
decision. Any person aggrieved by the board's decision is entitled to judicial review as
provided in sections 14.63 to 14.69.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 14.

new text begin [144E.124] PERFORMANCE STANDARDS.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment of performance standards. new text end

new text begin The board shall adopt rules
establishing performance standards for ambulance services. The performance standards
must include quality assurance metrics.
new text end

new text begin Subd. 2. new text end

new text begin Collection and maintenance of data on performance standards. new text end

new text begin A licensee
must collect and maintain, in a manner specified by the board, data on performance standards
established by the board.
new text end

new text begin Subd. 3. new text end

new text begin Quarterly reports to municipalities. new text end

new text begin (a) Each quarter, a licensee must report
to each municipality in a primary service area served by the licensee and to the county board
for each county in which a primary service area served by the licensee is located, on the
licensee's compliance with performance standards established by the board. The quarterly
report must be filed at a time and in a manner specified by the board and must include at
least the following data for the reporting period, broken out by municipality from which
the call originated:
new text end

new text begin (1) the number of calls;
new text end

new text begin (2) an ambulance's response mode as emergency response or nonemergency response
for each call;
new text end

new text begin (3) the response time for each call;
new text end

new text begin (4) the percentage of calls in which the patient was transported to an emergency
department or health care facility; and
new text end

new text begin (5) the destinations to which patients were transported.
new text end

new text begin (b) The quarterly report must also include the following information for the reporting
period:
new text end

new text begin (1) the fee schedule for services provided by the licensee;
new text end

new text begin (2) the number of ambulances staffed by time of day and day of the week, broken out
by municipality in which the ambulance was stationed during the reporting period;
new text end

new text begin (3) mutual aid provided by the licensee and mutual aid provided to the licensee; and
new text end

new text begin (4) performance as measured by quality assurance metrics.
new text end

new text begin Subd. 4. new text end

new text begin Public posting of fee schedule. new text end

new text begin A municipality must post or make available
the fee schedule received from a licensee under subdivision 3, in a manner that allows the
public to review the fee schedule.
new text end

new text begin Subd. 5. new text end

new text begin Biennial report. new text end

new text begin As part of a licensee's application for license renewal, a
licensee must submit to the board a report on the licensee's compliance with performance
standards established by the board. This report must be filed in a format specified by the
board and must include at least the data specified in subdivision 3.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin Subdivision 1 is effective the day following final enactment.
Subdivisions 2 to 5 are effective July 1, 2025.
new text end

Sec. 15.

Minnesota Statutes 2022, section 144E.14, is amended to read:


144E.14 TRANSFER OF LICENSE OR new text beginBASE OF OPERATIONS; CHANGE OF
new text end OWNERSHIPnew text begin OR PROVIDERnew text end.

new text begin Subdivision 1. new text end

new text begin Transfer of license prohibited. new text end

deleted text beginAdeleted text endnew text begin An ambulance servicenew text end licensedeleted text begin, or the
ownership of a licensed ambulance service, may
deleted text endnew text begin must notnew text end be transferred deleted text beginonly upon approval
of the board, based upon a finding that the proposed licensee or proposed new owner of a
licensed ambulance service meets or will meet the requirements of sections 144E.101 to
144E.127. If the proposed transfer would result in an addition of a new base of operations,
expansion of the service's primary service area, or provision of a new type or types of
ambulance service, the board shall require the prospective licensee or owner to comply with
section 144E.11. The board may approve the license or ownership transfer prior to completion
of the application process described in section 144E.11 upon obtaining written assurances
from the proposed licensee or proposed new owner that no expansion of the service's primary
service area or provision of a new type or types of ambulance service will occur during the
processing of the application. If requesting a transfer of its base of operations, an applicant
must comply with the requirements of section 144E.15.
deleted text endnew text begin to another party.
new text end

new text begin Subd. 2. new text end

new text begin Transfer of base of operations. new text end

new text begin A licensee requesting to transfer its base of
operations must comply with section 144E.15.
new text end

new text begin Subd. 3. new text end

new text begin License renewal; change of ownership. new text end

new text begin A prospective licensee must apply
for renewal of an ambulance service license prior to operating a currently licensed ambulance
service. The licensee must change whenever one of the following events occurs:
new text end

new text begin (1) the form of the licensee's legal entity structure is converted or changed to a different
type of legal entity structure;
new text end

new text begin (2) the licensee dissolves, consolidates, or merges with another legal organization and
the licensee's legal organization does not survive;
new text end

new text begin (3) within the previous 24 months, 50 percent or more of the licensee is transferred, by
one or more transactions, to a different person, or to a person who had less than a five percent
ownership interest in the licensee at the time of the first transaction; or
new text end

new text begin (4) any other event or combination of events that results in a substitution, elimination,
or withdrawal of the licensee's responsibility for operating the ambulance service.
new text end

new text begin Subd. 4. new text end

new text begin License renewal; change of provider. new text end

new text begin A licensee must apply for renewal of
an ambulance service license if the licensee:
new text end

new text begin (1) discontinues providing services in a primary service area and instead contracts with
another entity for the provision of services in a primary service area; or
new text end

new text begin (2) changes the entity with which the licensee contracts for the provision of services in
a primary service area.
new text end

Sec. 16.

Minnesota Statutes 2022, section 144E.31, subdivision 3, is amended to read:


Subd. 3.

Fine.

(a) The board may order a fine concurrently with the issuance of a
correction order, or after the licensee or education program has not corrected the violation
within the time specified in the correction order.

(b) A licensee or education program that is ordered to pay a fine shall be notified of the
order by certified mail. The notice shall be mailed to the address shown on the application
or the last known address of the licensee or education program. The notice shall state the
reasons the fine was ordered and shall inform the licensee or training program of the right
to a contested case hearing under chapter 14.

(c) A licensee or education program may appeal the order to pay a fine by notifying the
board by certified mail within 15 calendar days after receiving the order. A timely appeal
shall stay payment of the fine until the board issues a final order.

(d) A licensee or education program shall pay the fine assessed on or before the payment
date specified in the board's order. If a licensee or education program fails to fully comply
with the order, the board shall suspend the license or cancel approval until there is full
compliance with the order.

(e) Fines shall be assessed as follows:

(1) $150 for violation of section 144E.123;

(2) $400 for violation of sections 144E.06, deleted text begin144E.07,deleted text end 144E.101, 144E.103, 144E.121,
144E.125, 144E.265, 144E.285, and 144E.305;

(3) $750 for violation of rules adopted under section 144E.16, subdivision 4, clause (8);
and

(4) $50 for violation of all other sections under this chapter or rules adopted under this
chapter that are not specifically enumerated in clauses (1) to (3).

(f) Fines collected by the board shall be deposited as nondedicated receipts in the general
fund.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

Sec. 17. new text beginTRANSITION TO NEW PRIMARY SERVICE AREAS.
new text end

new text begin Upon the adoption of rules under Minnesota Statutes, section 144E.06, to modify the
boundaries of primary service areas, an existing ambulance service licensee providing
service in the area that constitutes the modified primary service area or areas may continue
to provide service in the area or areas through the remainder of the licensee's licensure
period. At least 90 days before the end of that licensure period and notwithstanding Minnesota
Statutes, section 144E.115, the existing licensee must apply for licensure under Minnesota
Statutes, section 144E.11, and for a permit under Minnesota Statutes, section 144E.065, if
the licensee wishes to continue to provide service in the modified primary service area. At
that time, any other entity that wishes to provide service in that modified primary service
area may also apply for a permit to serve that primary service area. Such an entity must also
apply for licensure under Minnesota Statutes, section 144E.11, if the entity is not licensed
or was not issued a license under that section following the effective date of rules to modify
the boundaries of primary service areas.
new text end

Sec. 18. new text beginREPEALER.
new text end

new text begin (a) new text end new text begin Minnesota Statutes 2022, section 144E.07, new text end new text begin is repealed.
new text end

new text begin (b) new text end new text begin Minnesota Statutes 2022, section 144E.11, subdivision 9, new text end new text begin is repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
new text end

APPENDIX

Repealed Minnesota Statutes: 23-03823

144E.07 SUMMARY APPROVAL.

Subdivision 1.

Eliminating overlap; expansion.

An ambulance service may request a change in its primary service area, as established under section 144E.06, to eliminate any overlap in primary service areas or to expand its primary service area to provide service to a contiguous, but undesignated, primary service area. An ambulance service requesting a change in its primary service area must submit a written application to the board on a form provided by the board and must comply with the requirements of this section.

Subd. 2.

Retraction.

An applicant requesting to retract service from a geographic area within its designated primary service area must provide documentation showing that another licensed ambulance service is providing or will provide ambulance coverage within the proposed area of withdrawal.

Subd. 3.

Overlapping expansion.

An applicant requesting to provide service in a geographic area that is within the primary service area of another licensed ambulance service or services must submit documentation from the service or services whose primary service areas overlap the proposed expansion area, approving the expansion and agreeing to withdraw any service coverage from the proposed expanded area. The application may include documentation from the public safety answering point coordinator or coordinators endorsing the proposed change.

Subd. 4.

No primary service.

An applicant requesting to provide service in a geographic area where no primary ambulance service has been designated must submit documentation of approval from the ambulance service or services which are contiguous to the proposed expansion area. The application may include documentation from the public safety answering point coordinator or coordinators endorsing the proposed change. If a licensed ambulance service provides evidence of historically providing 911 ambulance coverage to the undesignated area, it is not necessary to provide documentation from the contiguous ambulance service or services approving the change. At a minimum, a 12-month history of primary ambulance coverage must be included with the application.

Subd. 5.

Reporting.

The board shall report any approved change to the local public safety answering point coordinator.

144E.11 AMBULANCE SERVICE APPLICATION PROCEDURE.

Subd. 9.

Renewal requirements.

An ambulance service license expires two years from the date of licensure. An ambulance service must apply to the board for license renewal at least one month prior to the expiration date of the license and must submit:

(1) an application prescribed by the board specifying any changes from the information provided for prior licensure and any other information requested by the board to clarify incomplete or ambiguous information presented in the application; and

(2) the appropriate fee as required under section 144E.29.