1.1 	A bill for an act
1.2 	relating to health; modifying requirements for ambulance service mutual aid 
1.3 	agreements;amending Minnesota Statutes 2022, section 144E.101, subdivision 
1.4 	12.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2022, section 144E.101, subdivision 12, is amended to read:
1.7 		Subd. 12.Mutual aid agreement. (a) A licensee shall have a written agreement with 
1.8 	at least one neighboring licensed ambulance service for the preplanned and organized 
1.9 	response of emergency medical services, and other emergency personnel and equipment, 
1.10 	to a request for assistance in an emergency when local ambulance transport resources have 
1.11 	been expended. The response is predicated upon formal agreements among participating 
1.12 	ambulance services. A copy of each mutual aid agreement shall be maintained in the files 
1.13 	of the licensee.
1.14 	(b) A licensee may have a written agreement with a neighboring licensed ambulance 
1.15 	service, including a licensed ambulance service from a neighboring state if that service is 
1.16 	currently and remains in compliance with its home state licensing requirements, to provide 
1.17 	part-time support to the primary service area of the licensee upon the licensee's request. The 
1.18 	agreement may allow the licensee to suspend ambulance services in its primary service area 
1.19 	during the times the neighboring licensed ambulance service has agreed to provide all 
1.20 	emergency services to the licensee's primary service area. The agreement may not permit 
1.21 	the neighboring licensed ambulance service to serve the licensee's primary service area for 
1.22 	more than 12 up to 24 hours per day. This paragraph applies only to an ambulance service 
1.23 	whose primary service area is mainly located outside the metropolitan counties listed in 
2.1 	section 473.121, subdivision 4, and outside the cities of Duluth, Mankato, Moorhead, 
2.2 	Rochester, and St. Cloud, or an ambulance based in a community with a population of less 
2.3 	than 2,500 persons.