[1] The association's focus was negotiating with the Government of Nova Scotia over funding and private ownership of ambulance services.

The funeral homes had been the only service available twenty-four hours day with vehicles capable of transporting patients in a horizontal position.

In 1968, eight Nova Scotia funeral homes decided to remove ambulances from their list of services provided to their community.

In June 1971, due to public apathy and lack of government funding, AOANS voted to withdraw services.

This contract did not specify standards for response times nor establish levels of medical care to be provided, rather it primarily specified claim evaluation and payment.

[5][6] In 1993, Cape Breton Island native Dr. Ron Stewart, who had been instrumental in organizing emergency medical services in southern California earlier in his career during the 1970s, was elected to the Nova Scotia House of Assembly and was appointed the Minister of Health.

The training department closed in 1996 following the start of the inaugural PCP class at the School of Allied Health, now defunct.

Medavie subsidiary Emergency Medical Care has been contracted to provide ambulance services in Nova Scotia.