BILL ANALYSIS
AB 2248
Page 1
CONCURRENCE IN SENATE AMENDMENTS
AB 2248 (Hernandez)
As Amended August 17, 2010
Majority vote
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|ASSEMBLY: |74-0 |(April 29, |SENATE: |34-0 |(August 19, |
| | |2010) | | |2010) |
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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 :
1)Make technical clarifying changes.
2)Require each Maddy Fund to additionally include in its annual
report:
a) The total amounts for each penalty assessment listed
according to the authority for the penalty assessments;
b) The amount of money dispersed for actual administrative
cost;
c) The amount of penalty assessments that are used for
pediatric trauma centers;
d) A description of the process used to obtain input from
physicians and surgeons and hospitals in order to review the
payment distribution methodologies;
e) An identification of the fee schedule used by the county
for reimbursable services from the county's Maddy Fund;
f) A description of the methodology used to disperse moneys
to hospitals providing disproportionate trauma services and
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EMS;
g) The amount of moneys available to be dispersed to
hospitals;
h) The name and contact information of the entity responsible
for each of the following:
i) Collection of fines, forfeitures, and penalties;
ii) Distribution of penalty assessments into each Maddy
Fund; and,
iii) Distribution of moneys to physicians and surgeons.
i) 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.
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
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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 Senate.
FISCAL EFFECT : According to the Senate Appropriations 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: 0005846