BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                    SB 57|
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                                 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  
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          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)







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          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  







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          diversion time and patient wait time, and improving  
          services overall.

          >

          RJG:do  5/27/05   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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