BILL ANALYSIS Ó
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|SENATE RULES COMMITTEE | SB 867|
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THIRD READING
Bill No: SB 867
Author: Roth (D)
Amended: 4/12/16
Vote: 21
SENATE PUBLIC SAFETY COMMITTEE: 7-0, 4/5/16
AYES: Hancock, Anderson, Glazer, Leno, Liu, Monning, Stone
SUBJECT: Emergency medical services
SOURCE: The California Chapter of the American College of
Emergency Physicians
DIGEST: This bill extends the sunset date on the Maddy
Emergency Medical Services Fund.
ANALYSIS:
Existing law:
1)Provides that for the purpose of supporting emergency medical
services, a county board of supervisors may elect to levy an
additional penalty of $2 on every $10, or fraction thereof,
upon every fine, penalty or forfeiture imposed and collected
by the courts for criminal offenses including Vehicle Code
offenses, violations of the Alcoholic Beverage Control Act and
local ordinances but not including parking violations.
(Government Code § 76000.5.)
2)Provides the assessment sunsets on January 1, 2017.
(Government Code § 7600.5.)
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3)Authorizes a county to establish a Maddy 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.)
4)Provides, as part of the Maddy Emergency Medical Services
Fund, that of the money deposited into the EMS Fund pursuant
to this section, 15% shall be utilized to provide funding for
pediatric trauma centers. (Health and Safety Code §
1797.98a(e).)
5)Provides that expenditure of money deposited in a Maddy Fund
pursuant to Government Code Section 7600.5 shall be limited to
reimbursement to physicians and surgeons, and hospitals for
patients who do not make payment for services, or to hospitals
for expanding the services provided at pediatric trauma
centers, including the purchase of equipment. (Health and
Safety Code § 1797.98a(e).)
6)Provides that counties that do not maintain a pediatric trauma
center shall utilize the money deposited under Government Code
Section 7600.5 to improve access to pediatric trauma emergency
services in the county with a preference for funding given to
hospitals that specialize in services to children, and
physicians and surgeons who provide care for children.
(Health and Safety Code § 1797.98a(e).)
7)Sunsets on January 1, 2017, the provisions regarding the use
of money deposited pursuant to Government Code §7600.5.
This bill extends the sunsets in existing law to January 1,
2027.
Background
The Emergency Medical Services fund was created (SB 12, Maddy,
1987) to provide supplemental financing for local emergency
services. The law permits, but does not require, each county to
levy a $2 penalty assessment to each $10 of traffic fines, with
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Page 3
the sums raised to be deposited in the EMS fund. Ten percent of
the total revenue is annually deducted for administration; and
the remaining EMS revenues are divided 58% to physicians for
uncompensated ER costs, 25% to trauma centers and hospitals, and
17% for county emergency medical services.
SB 623 (Speier, Chapter 679, Statutes of 1999), additionally
requires that in those counties that have established a Maddy
Fund, an amount equal to a specified sum is to be deposited by
the county treasurer in the Maddy Fund.
Existing law, which sunsets on January 1, 2017, provides that a
county board of supervisors may elect to levy an additional
penalty of $2 for every $10 on every fine, penalty, forfeiture
for criminal offenses including those relating to the Alcoholic
Beverage Control Act and all offenses dealing with the Vehicle
Code except parking offenses. The additional assessment for
"the purposes of supporting emergency medical services" is in
addition to the existing 20% penalty assessment for these
purposes.
Money collected under the statute to be continued under this
bill shall be deposited with the County Treasurer. Of the money
deposited into the EMS fund under this statute, 15% shall be
utilized to provide funding for pediatric trauma centers,
although in another section of the bill it refers to trauma care
facilities providing trauma care. The statute provides that
expenditures 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.
Counties that do not maintain a pediatric trauma center shall
utilize the money deposited pursuant to this provision to
improve access to pediatric trauma centers with a preference for
funding given to hospitals that specialize in services to
children, and physicians and surgeons who provide care to
children.
FISCAL EFFECT: Appropriation: No Fiscal
Com.:NoLocal: No
SUPPORT: (Verified 4/12/16)
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Page 4
The California Chapter of the American College of Emergency
Physicians (source)
American Academy of Pediatrics
California Ambulance Association
California Hospital Association
California Children's Hospital Association
California Fire Chiefs Association
California School Nurses Organization
California State Association of Counties
Emergency Medical Services Administrators Association
Emergency Nurses Association; Fire Districts Association of
California
Los Angeles County Board of Supervisors
The Osteopathic Physicians and Surgeons
Private Essential Access Community Hospitals
Providence Health and Services
Rural County Representatives of California
San Diego County
Urban Counties of California
OPPOSITION: (Verified 4/12/16)
None received
Prepared by:Mary Kennedy / PUB. S. /
4/13/16 16:03:15
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