North Carolina 2025 Session Status: In Committee 1 R cosponsors

HB 219 — Counties/Franchise Ambulance Service.

Last action — Withdrawn From Com

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced February 25, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 16% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    0 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

23 added · 27 removed

Plain-language change summary

The updates to House Bill 219 include changes to the bill's introduction section, specifically the removal of a code designation and a revised date for its introduction. This creates a clearer and more straightforward presentation of the bill, making it easier for legislators and the public to understand its current status. These types of amendments are important as they help ensure transparency and clarity in the legislative process.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 219 Committee Substitute Favorable 4/9/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 219 Short Title:
Representative Pless.
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
February 27, 2025 A BILL TO BE ENTITLED 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 INTHELEVELOFCAREPROVIDEDBYEMSPROVIDERSTHATARENOTOWNED OR OPERATED BY A CITY IN THE COUNTY OR THE COUNTY RESPONSIBLE FOR THE EMERGENCY MANAGEMENT SYSTEM.
Emergency Management and Disaster Recovery, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House February 27, 2025 A BILL TO BE ENTITLED 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.
Article 13 of Chapter 153A of the General Statutes is amended by adding a new section to read:
Notwithstanding any provision of or any rule or regulation adopted pursuant to the authority granted in G.S.
"§ 153A-251.
143-508(b), Article 7 of Chapter 131E of the General Statutes, or any other provision of law, a county manager or EMS administrator delegated the authority to act on behalf of the county shall not be required to sign a document or otherwise approve of a modification in the level of care being provided by a provider within the county's emergency management system.
Level of care modifications.
Notwithstanding any other provision of law, a county manager or EMS administrator delegated the authority to act on behalf of the county shall not be required to sign a document or otherwise approve of a modification in the level of care being provided by a provider within the county's emergency management system.
The provisions of this section do not apply if the provider is a city located within the county or the county responsible for the emergency management system." SECTION 3.
The provisions of this section do not apply if the provider is a city located within the county or the county responsible for the emergency management system.
SECTION 3.
Section 1 of this act applies to any franchise agreements or contracts for ambulance service initiated or renewed on or after that date.
A cityor county with an existingfranchise agreement or contract for ambulance service in effect on the date this act becomes law shall not renew that agreement or contract.
*H219-v-2*
*H219-v-1*
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Action History

  1. Withdrawn From Com

  2. Re-ref Com On Rules, Calendar, and Operations of the House

  3. Reptd Fav Com Substitute

  4. Re-ref Com On State and Local Government

  5. Passed 1st Reading

  6. Ref to the Com on Emergency Management and Disaster Recovery, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House

  7. Filed

Sponsors

Sponsorship breakdown

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0 sponsors · 1 co-sponsors · 178 not signed on

Sponsors (0)

None.

Co-sponsors (1)

Not signed on (178)

178 members have not signed on to this bill.

Show all 178 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 219?
HB 219 is sponsored by Mark Pless (Republican).
What is the current status of HB 219?
This bill is in committee in the House. Introduced February 25, 2025. It must pass committee before a floor vote.
Where can I track HB 219?
Track HB 219 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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