BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2406
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2406 (Rodriguez)
          As Amended May 23, 2014
          Majority vote 

           HEALTH              13-0        APPROPRIATIONS      12-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Pan, Ammiano, Atkins,     |Ayes:|Gatto, Bocanegra,         |
          |     |Bonilla, Chesbro, Gomez,  |     |Bradford,                 |
          |     |Gonzalez,                 |     |Ian Calderon, Campos,     |
          |     |Roger Hernández,          |     |Eggman, Gomez, Holden,    |
          |     |Nazarian, Patterson,      |     |Pan, Quirk,               |
          |     |Ridley-Thomas,            |     |Ridley-Thomas, Weber      |
          |     |Wieckowski, Bocanegra     |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Emergency Medical Services Authority  
          (EMSA) to prepare and submit a report to the Legislature, no  
          later than December 1, 2015, identifying programs that have been  
          implemented in the state by local emergency medical services  
          agencies that address the misuse of the emergency medical  
          services (EMS) system in California.  Allows EMSA, in lieu of a  
          report, to provide for a discussion of innovative programs  
          before LEMSAs and private agencies that address the misuse of  
          EMS.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, up to $135,000 General Fund to EMSA in staff costs in  
          order to produce the required report.

           COMMENTS  :  According to the author, several counties and  
          agencies in California have adopted programs that have greatly  
          reduced nonessential use of EMS transportation and emergency  
          department visits.  The author further states that these  
          programs not only save scarce health care resources, but also  
          provide humanitarian outreach to a largely vulnerable population  
          of patients by directing them to appropriate services at proper  
          levels of care.  Requiring EMSA to identify programs that have  
          been implemented throughout the state to address EMS frequent  
          users and to prepare and submit a report to the Legislature will  
          provide program information and a format to other counties and  
          agencies to assist them in implementing their own programs to  








                                                                  AB 2406
                                                                  Page  2


          rein in unnecessary medical costs.  The author argues that the  
          misuse of ambulance transportation and EMS services in  
          California, by those commonly referred to as "frequent flyers"  
          cost taxpayers millions of dollars annually and stress already  
          overloaded hospital emergency departments by unnecessarily  
          transporting non-acutely ill or injured patients when more  
          appropriate and less costly transport and care settings may be  
          available. 

           
          Analysis Prepared by  :    Patty Rodgers / HEALTH / (916) 319-2097  



                                                                FN: 0003750