WV HB3473

Removes the provision allowing county commissions to avoid providing emergency ambulance service when funds are not available, making the duty to provide ambulance service to all county residents mandatory

Requires county commissions to submit an annual report to the Office of Emergency Medical Services by September 1st each year

Annual reports must detail how emergency ambulance service is made available in the county and the total county funds expended on emergency ambulance services during the prior fiscal year

County commissions retain flexibility in how they provide ambulance service: directly through employees, through private enterprise, by contract, or through a public authority