ND SB2133

Expands the definition of "emergency medical services" to explicitly include interfacility transportation and services to patients in real or perceived acute medical conditions, with assessment, stabilization, and treatment of both life-threatening and non-life-threatening conditions.

Allows emergency medical services personnel to refuse transport for individuals when transport is not medically necessary if protocols with direct medical control are in place, and permits recommendation of alternative courses of action.

Establishes that willfully misrepresenting certification or licensing status as emergency medical services personnel is a class B misdemeanor, and makes quality review information protected from subpoena and discovery in civil actions.

Permits licensed or certified emergency medical services personnel to administer vaccinations to individuals 18 years or older and perform laboratory testing authorized by health council rule, with required physician oversight and training documentation.

Requires medical assistance to cover services provided by community emergency medical services personnel licensed under state standards, including health assessment, disease monitoring, immunizations, specimen collection, wound management, and other interventions within their scope of practice under physician or advanced practice provider supervision.