BILL ANALYSIS                                                                                                                                                                                                    



                                                                    AB 1223


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          Date of Hearing:  May 20, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          1223 (O'Donnell) - As Amended May 14, 2015


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill requires the Emergency Medical Services Authority  
          (EMSA) to adopt a statewide standard methodology for the  
          calculation and reporting by a local EMS agency of ambulance  
          patient offload time, as defined.  It also authorizes a local  
          EMS agency to  adopt policies and procedures for calculating and  







                                                                    AB 1223


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          reporting ambulance patient offload time, and requires the LEMSA  
          to use the standard definition if it chooses to adopt such  
          policies and procedures.


          FISCAL EFFECT:


          Minor and absorbable costs to EMSA (GF or federal grant funds).


          COMMENTS:


          1)Purpose. The author cites significant delays for first  
            responders delivering patients to emergency departments.   
            Collecting standardized data is an important step to  
            quantifying and addressing the program. 


          2)Support. The California Fire Chiefs Association (CFCA),  
            sponsor of this bill writes in support that current law  
            requires EMS providers, when responding to 9-1-1 calls, to  
            deliver their patients to licensed EDs.  CFCA states that  
            patients suffering from serious medical conditions and those  
            with only minor issues go through the same process and are  
            delivered to the same type of facility; at the same time EDs  
            are busier than ever, this means that EMS responders are  
            spending more time waiting to offload patients at EDs and this  
            bill seeks to help alleviate this problem by requiring the  
            adoption of a methodology to keep track of wait times.  


          3)Opposition. There was significant opposition to a prior  
            version of this bill, but entities opposed have almost  
            entirely removed their opposition with the latest set of  
            amendments.  No opposition is verified at this time, based on  
            recent amendments. 









                                                                    AB 1223


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          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081