BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 355
                                                                  Page  1

          Date of Hearing:   May 8, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 355 (Cooley) - As Amended:  April 18, 2013 

          Policy Committee:                              Governmental  
          Organization Vote:                            16 - 1 

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill reverses an on-going budget action by the Legislature  
          and governor by appropriating $1.7 million GF to the Emergency  
          medical Services Authority (EMSA) for the Mobile Field Hospital  
          (MFH) program. 

           FISCAL EFFECT  

          This bill contains a $1.7 million GF appropriation for EMSA.

           COMMENTS  

           1)Purpose  . The author states that AB 355 will strengthen  
            California's preparedness for natural disasters and  
            catastrophic emergencies by restoring $1.7 million in funding  
            to continue to maintain three rapid deployment mobile field  
            hospitals.  In addition, the author argues, if funding for the  
            program is not restored, the state may be forced to sell the  
            MFHs and related equipment at a fraction of the cost of their  
            initial investment.

           2)Mobile Field Hospital Program  . The MFH Program was established  
            in 2006 with funding provided by the General Fund and federal  
            funds from the Department of Homeland Security and the  
            Hospital Preparedness Program.  The three hospitals, capable  
            of deploying 200-beds each, were located in Sacramento, the  
            Bay Area, and Southern California to allow for transportation,  
            set-up and patient treatment within 72 hours or less anywhere  
            in the state after a disaster. 

            The MFHs have been deployed twice for exercises and have been  








                                                                  AB 355
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            placed on alert four times for potential deployment in the  
            state in response to wildfires and H1N1.  To date, they have  
            not been deployed for an actual emergency in the last four  
            years. 

            The MFHs were fully maintained until the 2011-12 budget year,  
            when the Legislature and Governor Brown eliminated the MFH  
            program's funding due to budget constraints.  Faced with the  
            elimination, the EMSA struck a one-year deal with  
            manufacturer, Blu-Med, which the state previously paid $1  
            million a year to handle maintenance and subcontractors.   
            Blu-Med agreed to waive its annual fee in exchange for being  
            able to lease out two of California's three MFHs to other  
            governments.  The EMSA found other agency funds to pay the  
            remaining costs for storage.  It is unclear if Blu-Med, which  
            expires in June 2013, will again be willing to forgo its $1  
            million annual fee in exchange for leasing out two of the  
            MFHs.

           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916)  
          319-2081