2:44 Hawaiʻi is the only state in the country that regulates and funds the EMS systems of its counties. Paramedic services are generally the responsibility of local municipalities, and can be part of a county's fire department. However, the state legislature is aiming to transfer the responsibility under House Bill 1281. It proposes a four-year transfer of Oʻahu's EMS system starting as soon as July. Under the measure, the state would give the City and County of Honolulu $46 million in operational expenses for the first year, and reduce that amount over the next three -- until the city is solely responsible for the system.