Upon petition of ten percent of the number of qualified electors of the county voting
in the last election for governor or upon its own motion, the board of county commissioners
of each county shall levy annually a tax not exceeding the limitation in subsection 10 of section 57-15-06.7, for the purpose of subsidizing county emergency medical services; provided, that
this tax must be approved by a majority of the qualified electors of the county voting
on the question at a regular or special countywide election. The county may budget, in addition to its annual operating budget for subsidizing
emergency medical service, no more than ten percent of its annual operating budget
as a depreciation expense to be set aside in a dedicated emergency medical services
sinking fund deposited with the treasurer for the replacement of equipment and ambulances. The ten percent emergency medical services sinking fund must be in addition to the
annual operating budget for subsidization, but the total of the annual operating budget
and the annual ten percent emergency medical services sinking fund may not exceed
the approved mill levy. If the county contains a rural ambulance service district or rural fire protection
district that levies for and provides emergency medical service, the property within
that district is exempt from the county tax levy under this section upon notice from
the governing body of the district to the board of county commissioners of the existence
of the district.
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