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SB 2100

AN ACT to amend and reenact section 23-27-04.3 of the North Dakota Century Code, relating to emergency medical services personnel training.

69th Legislative Assembly (2025-26) Introduced by Todd Beard and 2 co-sponsors

Establishes statewide minimum standards and oversight for EMS training, certification, and quality review, while allowing some direct-entry training outside licensed institutes.

Filed with Secretary Of State 03/18
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Bill Summary · SB 2100

SB 2100 — Summary (North Dakota): Emergency Medical Services Personnel Training

Status: Enacted — Filed with Secretary of State 03/18/2025 (Signed by Governor 03/18/2025)
Origin: Introduced by Senator Beard; Representatives Fegley and Richter. Passed Senate 44–1; House 91–0. Amends NDCC § 23‑27‑04.3.

Purpose / Intent

To establish statewide minimum standards and a regulatory framework for training, testing, certification, licensure, and quality review of emergency medical services (EMS) personnel in North Dakota — including community EMS personnel, instructors, and training institutions — and to provide related legal protections and penalties.

Key provisions

  • Directs the Department of Health and Human Services (DHHS) to adopt rules that set minimum standards for:
    • Training, testing, certification, and licensure of EMS personnel;
    • Quality review processes for EMS care;
    • Minimum standards for EMS training institutions.
  • Requires rules to include:
    • Definitions of “minimum applicable standards” and “emergency medical services personnel”;
    • Mechanisms to certify or license persons who meet the standards;
    • A mechanism to review and improve the quality of care delivered by EMS personnel.
  • Allows EMS instructors, under DHHS oversight, to provide direct entry‑level certification training for:
    • Emergency Medical Responder (EMR) and
    • Emergency Medical Technician (EMT), without requiring use of a licensed EMS training institute.
  • Makes licensing as an EMS training institution optional (i.e., institutions may choose whether to seek that license).
  • Establishes a criminal penalty: willfully misrepresenting one’s EMS certification or licensing status is a class B misdemeanor.
  • Protects quality‑review materials: quality review and improvement information, data, records, and proceedings are immune from subpoena or discovery and may not be introduced into evidence in civil actions.

Who is affected

  • EMS providers across North Dakota (paid and community/volunteer personnel);
  • EMS instructors and training institutions (both those that choose licensing and those that provide training without institute status);
  • Patients and communities served by EMS through potential changes in training quality and oversight;
  • Courts and civil litigants (through evidentiary limitations on quality‑review materials).

Implementation & Impact considerations

  • DHHS must promulgate implementing rules; effectiveness depends on the content and timing of that rulemaking.
  • Allowing instructors to certify EMR/EMT entry‑level candidates outside of licensed institutes may expand local training capacity, particularly for rural/community EMS programs.
  • Optional institutional licensing reduces mandatory administrative burdens but may create variation in training settings.
  • Criminalizing fraudulent claims about credentials strengthens enforcement against misrepresentation.
  • Shielding quality‑review materials may encourage candid internal assessment and improvement but limits access to those records in civil litigation.

Compiled from official sources — confirm details with the bill’s official record.

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