BILL ANALYSIS ------------------------------------------------------------ |SENATE RULES COMMITTEE | SB 57| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 445-6614 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ THIRD READING Bill No: SB 57 Author: Alarcon (D), et al Amended: 5/27/05 Vote: 21 SENATE PUBLIC SAFETY COMMITTEE : 4-1, 5/3/05 AYES: Alquist, Cedillo, Migden, Perata NOES: Poochigian NO VOTE RECORDED: Margett, Romero SENATE APPROPRIATIONS COMMITTEE : 8-5, 5/26/05 AYES: Migden, Alarcon, Alquist, Escutia, Florez, Murray, Ortiz, Romero NOES: Aanestad, Ashburn, Battin, Dutton, Poochigian SUBJECT : Fines and forfeitures SOURCE : California Medical Association DIGEST : This bill amends the Maddy Emergency Medical Services Fund to earmark funds for pediatric trauma centers, as specified. ANALYSIS : The bill requires that funds collected under the provisions of this bill be deposited into the Maddy Emergency Medical Services Fund, as specified. Existing law authorizes a county to establish a Maddy CONTINUED SB 57 Page 2 Emergency Medical Services Fund (EMS Fund) to be used to reimburse physicians and hospitals for patients who do not make payment for emergency medical services and for other emergency medical services purposes as determined by each county. Existing law requires each county establishing the fund to report to the Legislature annually on the implementation and status of the fund. (Health and Safety Code 1797.98a et seq.; Government Code 76104.) This bill amends the Maddy Emergency Medical Services Fund to provide that of the money deposited into the EMS Fund pursuant to this bill, 15 percent shall be utilized to provide funding for pediatric trauma centers. This bill further provides that expenditure of money deposited in a Maddy Fund pursuant to this bill shall be limited to reimbursement to physicians and surgeons, and hospitals for patients who do not make payment for services, or for expanding the services provided at pediatric trauma centers, including the purchase of equipment. This bill provides that the costs of administering money deposited in a Maddy Fund under this bill should not exceed ten percent. FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes Local: No Fiscal Impact (in thousands) Major Provisions 2005-06 2006-07 2007-08 Fund Assessments Potentially significant revenues; Special* Court programming costs $184** Special* (first assessment) Court programming costs Up to $1,425** Special* (second assessment) SB 57 Page 3 Manual processing (statewide) $180 $180 $180 Special* Manual notices (Fresno) $150*** $300*** $300*** Special* ________________ Maddy Emergency Medical Services Fund; 15% of total slated for counties' pediatric trauma units **Based on number of counties that participate; cost of $25,000 per county ***If Fresno County elects to assess $2 additional assessment on specific offenses. SUPPORT : (Verified 5/17/05) (Unable to reverify at time of writing) California Medical Association (source) California Ambulance Association California Hospital Association California Nurses Association California Professional Firefighters Association County Health Executive Association of California (if amended) Los Angeles Free Clinic Pacifica Hospital of the Valley University of California ARGUMENTS IN SUPPORT : According to the author's office, this bill seeks to increase revenues to the local Emergency Medical Services Funds (Maddy Funds) and establish Pediatric Trauma Dollars for reimbursements and expansion of services. This bill increases funding for Emergency and Trauma Care by $60-$100 million per year, but more importantly, this increase will help the states economy by helping protect the existence of businesses and jobs that currently offer emergency and trauma care throughout California. This bill allows counties to increase the average total fine of $320 per violation by $20-$40 dollars. These additional funds will also be instrumental in maintaining the financial stability of the emergency and trauma centers, decreasing the SB 57 Page 4 diversion time and patient wait time, and improving services overall. > RJG:do 5/27/05 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END ****