BILL ANALYSIS
AB 2248
Page 1
CONCURRENCE IN SENATE AMENDMENTS
AB 2248 (Hernandez)
As Amended July 15, 2010
Majority vote
-----------------------------------------------------------------
|ASSEMBLY: |74-0 |(April 29, |SENATE: |33-0 |(August 5, |
| | |2010) | | |2010) |
-----------------------------------------------------------------
Original Committee Reference: HEALTH
SUMMARY : Requires each county establishing a Maddy Emergency
Medical Services Fund (Maddy Fund) to include in its annual
report to the Legislature a description of each disbursement for
"other emergency medical services (EMS)," if funds were
disbursed for this service and other additional information
regarding the moneys collected and disbursed. Requires the
annual report to include the reason or reasons if no moneys were
deposited into the Maddy Fund.
The Senate amendments require each Maddy Fund to additionally
include in its annual report:
1)The total amounts for each penalty assessment listed according
to the authority for the penalty assessments;
2)A description of the process used to obtain input from
physicians and surgeons and hospitals in order to create the
claims payment methodologies;
3)An identification of the fee schedule used by the county for
reimbursable services from the county's Maddy Fund;
4)A description of the methodology used to disperse moneys to
hospitals providing disproportionate trauma services and EMS;
5)The amount of moneys available to be dispersed to hospitals;
and,
6)The dollar amount of the total allowable claims submitted and
the percentage at which those claims were reimbursed to
hospitals if moneys are disbursed to hospitals on a claim
basis.
AB 2248
Page 2
EXISTING LAW :
1)Authorizes each county to establish a Maddy Fund for
reimbursement of EMS-related costs.
2)Authorizes, until January 1, 2014, counties to levy an
additional penalty in the amount of $2 for every $10 upon
fines, penalties, and forfeitures collected for criminal
offenses for deposit into the Maddy Fund.
3)Requires each county establishing a Maddy Fund to report
annually to the Legislature on the implementation and status
of the fund by April 15 of every year. Specifies the report
to include, but not be limited to:
a) The total amount of fines and forfeitures collected and
the amount of penalty assessments deposited into the Maddy
Fund;
b) The fund balance and the amount of moneys disbursed
under the program to physicians and surgeons, for
hospitals, and for other EMS purposes;
c) The number of claims paid to physicians and surgeons,
and the percentage of claims paid, based on the uniform fee
schedule adopted by each county;
d) The amount of moneys available to be disbursed to
physicians and surgeons, descriptions of the physician and
surgeon and hospital claims payment methodologies, the
dollar amount of the total allowable claims submitted, and
the percentage at which those claims were reimbursed;
e) A statement of the policies, procedures, and regulatory
action taken to implement and run the Maddy Fund; and,
f) The name of the physician and surgeon and hospital
administrator organization, or names of specific physicians
and surgeons and hospital administrators, contacted to
review claims payment methodologies.
AS PASSED BY THE ASSEMBLY , this bill was substantially similar
to the bill as passed by the Assembly.
FISCAL EFFECT : According to the Senate Appropriations
AB 2248
Page 3
Committee, pursuant to Senate Rule 28.8, negligible state costs.
COMMENTS : According to the author, the annual reports on Maddy
Funds submitted to the Legislature by counties include money
dispersed to physicians and hospitals. However, the report does
not give specific details regarding how other EMS funds are
appropriated and dispersed. The author claims that there have
been complaints from some physicians in some counties that the
Maddy Fund reports do not contain sufficient information to
determine if the Maddy Fund is being properly administered.
Analysis Prepared by : Patty Rodgers / HEALTH / (916) 319-2097
FN: 0005397