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Maddy EMS Fund

Maddy EMS Fund. Special Funding for Uncompensated Emergency Care. Background. In 1987, SB 12 authorized counties to create an Emergency Medical Services Fund Enrolled as Health & Safety Code, Division 2.5, 1797.98

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Maddy EMS Fund

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  1. Maddy EMS Fund Special Funding for Uncompensated Emergency Care

  2. Background • In 1987, SB 12 authorized counties to create an Emergency Medical Services Fund • Enrolled as Health & Safety Code, Division 2.5, 1797.98 • Officially known as “Maddy Emergency Medical Services Fund” after the bill’s author, Ken Maddy • Pays up to 50% reimbursement to physicians and hospitals for emergency medical services provided to patients who do not pay for medical care • Provides limited funding for local EMS activities • Implemented locally by Board of Supervisors Maddy EMS Fund

  3. Revenue Sources • Penalty assessments are collected by the courts via: • Charges on fines, penalties and forfeitures for certain criminal offenses and motor vehicle violations • A portion of fees collected from violators attending traffic school • A charge of $2 per $10 is levied on applicable fines, penalties and forfeitures • If a fine for a moving violation is $100, an additional $20 would also be collected by the court for the EMS Fund • Collectively known as “Maddy Revenues” Maddy EMS Fund

  4. Original Maddy Fund Distribution Formula Maddy EMS Fund

  5. SB 1773 (Alarcon) • Became state law as of January 1, 2007 • Allows local option to assess up to an additional $2 per $10 from fines, penalties and forfeitures • Requires a NEW 15% allocation be set aside for pediatric trauma care • Also known as “Richie’s Fund” • Remaining revenues are distributed: • 58% to physicians • 25% to hospitals • 17% to EMS Maddy EMS Fund

  6. Revised Maddy FundDistribution Formula Maddy EMS Fund

  7. SB 1236 (Padilla) • Original legislation (SB 1773) was to sunset January 1, 2009 • SB 1236 extended the sunset date to January 1, 2014 Maddy EMS Fund

  8. SB 92 • Bill sponsored by CMA and Cal-ACEP: • Sunsets current Maddy funding (both SB 12/612 & SB 1773) • Creates new $4 per $10 collected by courts • Counties would keep 7.5% for pediatric trauma and 7% for local EMS • 85.5% to be transferred monthly to new State Maddy Fund • State Maddy Fund to be distributed: • 53% up to $55M for Medi-Cal match • Remaining balance distributed: • 10% up to $10M for administration • 90% to physician claims for emergency services Maddy EMS Fund

  9. Proposed New Maddy Fund Distribution under SB 92 Maddy EMS Fund

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