Maddy EMS FundMaddy EMS FundSpecial Funding for Special Funding for

Uncompensated Emergency CareUncompensated Emergency Care

2

BackgroundBackground

► In 1987, SB 12 authorized counties to create an In 1987, SB 12 authorized counties to create an Emergency Medical Services FundEmergency Medical Services Fund Enrolled as Health & Safety Code, Division 2.5, 1797.98 Enrolled as Health & Safety Code, Division 2.5, 1797.98 Officially known as “Maddy Emergency Medical Services Officially known as “Maddy Emergency Medical Services

Fund” after the bill’s author, Ken MaddyFund” after the bill’s author, Ken Maddy

► Pays up to 50% reimbursement to physicians and Pays up to 50% reimbursement to physicians and hospitals hospitals for emergency medical servicesfor emergency medical services provided provided to patients who do not pay for medical careto patients who do not pay for medical care

► Provides limited funding for local EMS activitiesProvides limited funding for local EMS activities► Implemented locally by Board of SupervisorsImplemented locally by Board of Supervisors

3

Revenue SourcesRevenue Sources

► Penalty assessments are collected by the courts Penalty assessments are collected by the courts via:via: Charges on fines, penalties and forfeitures for certain Charges on fines, penalties and forfeitures for certain

criminal offenses and motor vehicle violationscriminal offenses and motor vehicle violations A portion of fees collected from violators attending traffic A portion of fees collected from violators attending traffic

schoolschool

► A charge of $2 per $10 is levied on applicable fines, A charge of $2 per $10 is levied on applicable fines, penalties and forfeiturespenalties and forfeitures If a fine for a moving violation is $100, an additional $20 If a fine for a moving violation is $100, an additional $20

would also be collected by the court for the EMS Fund would also be collected by the court for the EMS Fund

► Collectively known as “Maddy Revenues”Collectively known as “Maddy Revenues”

4

Original Maddy Fund Original Maddy Fund Distribution FormulaDistribution Formula

Courts collect penalty assessments or surchargesand forward them to County

90% remaining balancedistributed as follows:

58% allocated to Physician Services

25% allocated to Hospital Services

17% allocated to Discretionary EMS

10% allocated to County for EMS Fund administration

5

SB 1773 (Alarcon)SB 1773 (Alarcon)

► Became state law as of January 1, 2007Became state law as of January 1, 2007► Allows local option to assess up to an Allows local option to assess up to an additionaladditional $2 $2

per $10 from fines, penalties and forfeituresper $10 from fines, penalties and forfeitures► Requires a Requires a NEWNEW 15% allocation be set aside for 15% allocation be set aside for

pediatric trauma care pediatric trauma care Also known as “Richie’s Fund”Also known as “Richie’s Fund”

► Remaining revenues are distributed:Remaining revenues are distributed: 58% to physicians58% to physicians 25% to hospitals25% to hospitals 17% to EMS17% to EMS

6

Revised Maddy FundRevised Maddy FundDistribution Formula Distribution Formula

New revenue increment authorized by SB 1773

75% remaining balancedistributed as follows:

58% allocated to Physician Services

25% allocated to Hospital Services

17% allocated to Discretionary EMS

10% allocated to County for Fund administration

15% allocated to Pediatric Trauma Care

7

SB 1236 (Padilla)SB 1236 (Padilla)

► Original legislation (SB 1773) was to sunset January Original legislation (SB 1773) was to sunset January 1, 20091, 2009

► SB 1236 extended the sunset date to SB 1236 extended the sunset date to January 1, January 1, 20142014