Minnesota Legislature
HF 189
as introduced - 89th Legislature (2015 - 2016) Posted on 02/26/2015 05:18pm
Bill Text Versions
| Engrossments | ||
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| Introduction | Posted on 01/15/2015 |
Current Version - as introduced
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A bill for an act
relating to health; transferring administration of regional emergency medical
services program grants to the commissioner of health; modifying grant
procedures; appropriating money; amending Minnesota Statutes 2014, sections
144E.50; 144F.01, subdivision 5; 169.686, subdivision 3; repealing Minnesota
Statutes 2014, section 144E.52.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2014, section 144E.50, is amended to read:
144E.50 EMERGENCY MEDICAL SERVICES FUND.
Subdivision 1.
Citation.
This section is the "Minnesota Emergency Medical
Services System Support Act."
Subd. 2.
Establishment and purpose.
In order to develop, maintain, and
improve regional emergency medical services systems, the deleted text begin Emergency Medical Services
Regulatory Boarddeleted text end new text begin commissionernew text end shall establish an emergency medical services system
fund. The fund shall be used for the general purposes of promoting systematic,
cost-effective delivery of emergency medicalnew text begin and traumanew text end care throughout the state;
identifying common local, regional, and state emergency medical system needs and
providing assistance in addressing those needs; providing discretionary grants for
emergency medical service projects with potential regionwide significance; providing for
public education about emergency medical care; promoting the exchange of emergency
medical care information; ensuring the ongoing coordination of regional emergency
medical services systems; and deleted text begin establishing and maintainingdeleted text end new text begin supportingnew text end training standards
to ensure consistent quality of emergency medical services throughout the state.
Subd. 3.
deleted text begin Definitiondeleted text end new text begin Definitionsnew text end .
For purposes of this section, deleted text begin "board" means the
Emergency Medical Services Regulatory Boarddeleted text end new text begin the following terms have the meanings
given themnew text end .
new text begin
(a) "Commissioner" means the commissioner of health.
new text end
new text begin
(b) "Grantee" means a public or private entity that receives a regional grant.
new text end
new text begin
(c) "Regional emergency medical services program grants" or "regional grants"
means grant funds overseen and distributed according to subdivisions 4 and 5, and section
169.686, subdivision 3.
new text end
new text begin
(d) "Time-sensitive syndromes" means medical conditions for which time is critical
to the patient's survival and health outcome.
new text end
Subd. 4.
Use and restrictions.
deleted text begin Designated regional emergency medical services
systemsdeleted text end new text begin (a) Granteesnew text end may usenew text begin regionalnew text end emergency medical services deleted text begin systemdeleted text end new text begin programnew text end
funds to support local and regional emergency medical services as determined within the
region, with particular emphasis given to supporting deleted text begin and improving emergency trauma
and cardiac care and trainingdeleted text end new text begin care of time-sensitive syndromesnew text end . No deleted text begin part of a region's
share of the funddeleted text end new text begin grant fundsnew text end may be used to directly subsidize any ambulance service
operations or rescue service operations or to purchase any vehicles or parts of vehicles for
an ambulance service or a rescue service.
new text begin
(b) Each grantee shall provide oversight of regional emergency medical services
programs by establishing an oversight committee consisting of representatives appointed
by each of the counties in the region and representatives appointed by local emergency
medical services organizations.
new text end
Subd. 5.
Distribution.
deleted text begin Money from the fund shall be distributed according to
this subdivision. Ninety-five percent of the fund shall be distributed annually on a
contract for services basis with each of the eight regional emergency medical services
systems designated by the board. The systems shall be governed by a body consisting of
appointed representatives from each of the counties in that region and shall also include
representatives from emergency medical services organizations. The board shall contract
with a regional entity only if the contract proposal satisfactorily addresses proposed
emergency medical services activities indeleted text end new text begin The commissioner may award up to eight
regional emergency medical services program grants. The commissioner shall offer grant
agreements to one applicant per region, following the review of grant applications and
approval of an acceptable grant application. Grant applications must satisfactorily addressnew text end
the following areas: personnel training, transportation coordination, public safety agency
cooperation, communications systems maintenance and development, public involvement,
health care facilities involvement, and system management. deleted text begin If each of the regional
emergency medical services systems submits a satisfactory contract proposal, then this part
of thedeleted text end new text begin Funds from the emergency medical servicesnew text end fund shall be distributed evenly among
the deleted text begin regionsdeleted text end new text begin granteesnew text end . If one or more of the deleted text begin regionsdeleted text end new text begin applicantsnew text end does not deleted text begin contractdeleted text end new text begin applynew text end for
the full amount of its even share or if its deleted text begin proposaldeleted text end new text begin applicationnew text end is unsatisfactory, then the
deleted text begin boarddeleted text end new text begin commissionernew text end may reallocate the unused funds to the remaining deleted text begin regionsdeleted text end new text begin granteesnew text end on
a pro rata basis. deleted text begin Five percent of the fund shall be used by the board to support regionwide
reporting systems and to provide other regional administration and technical assistance.
deleted text end
deleted text begin Subd. 6. deleted text end
deleted text begin Audits. deleted text end
deleted text begin
(a) Each regional emergency medical services board designated by
the board shall be audited either annually or biennially by an independent auditor who
is either a state or local government auditor or a certified public accountant who meets
the independence standards specified by the General Accounting Office for audits of
governmental organizations, programs, activities, and functions. The audit shall cover
all funds received by the regional board, including but not limited to, funds appropriated
under this section, section 144E.52, and section 169.686, subdivision 3. Expenses
associated with the audit are the responsibility of the regional board.
deleted text end
deleted text begin
(b) A biennial audit specified in paragraph (a) shall be performed within 60 days
following the close of the biennium. Copies of the audit and any accompanying materials
shall be filed by October 1 of each odd-numbered year, beginning in 1999, with the board,
the legislative auditor, and the state auditor.
deleted text end
deleted text begin
(c) An annual audit specified in paragraph (a) shall be performed within 120 days
following the close of the regional emergency medical services board's fiscal year. Copies
of the audit and any accompanying materials shall be filed within 150 days following the
close of the regional emergency medical services board's fiscal year, beginning in the year
2000, with the board, the legislative auditor, and the state auditor.
deleted text end
deleted text begin
(d) If the audit is not conducted as required in paragraph (a) or copies filed as
required in paragraph (b) or (c), or if the audit determines that funds were not spent in
accordance with this chapter, the board shall immediately reduce funding to the regional
emergency medical services board as follows:
deleted text end
deleted text begin
(1) if an audit was not conducted or if an audit was conducted but copies were not
provided as required, funding shall be reduced by up to 100 percent; and
deleted text end
deleted text begin
(2) if an audit was conducted and copies provided, and the audit identifies
expenditures made that are not in compliance with this chapter, funding shall be reduced
by the amount in question plus ten percent.
deleted text end
deleted text begin
A funding reduction under this paragraph is effective for the fiscal year in which the
reduction is taken and the following fiscal year.
deleted text end
deleted text begin
(e) The board shall distribute any funds withheld from a regional board under
paragraph (d) to the remaining regional boards on a pro rata basis.
deleted text end
Sec. 2.
Minnesota Statutes 2014, section 144F.01, subdivision 5, is amended to read:
Subd. 5.
Use of levy proceeds.
The proceeds of property taxes levied under this
section must be used to support the providing of out-of-hospital emergency medical
services including, but not limited to, first responder or rescue squads recognized by
the district, ambulance services licensed under chapter 144E and recognized by the
district, medical control functions set out in chapter 144E, communications equipment and
systems, and programs of regional emergency medical services deleted text begin authorized by regional
boards described in section 144E.52deleted text end .
Sec. 3.
Minnesota Statutes 2014, section 169.686, subdivision 3, is amended to read:
Subd. 3.
Appropriation; special account.
The fines collected for a violation of
subdivision 1 must be deposited in the state treasury and credited to a special account to
be known as the emergency medical services relief account. Ninety percent of the money
in the account shall be distributed deleted text begin todeleted text end new text begin evenly amongnew text end the deleted text begin eightdeleted text end regional emergency medical
services deleted text begin systems designated by the Emergency Medical Services Regulatory Board under
section 144E.50,deleted text end deleted text begin for personnel education and training, equipment and vehicle purchases,
and operational expenses of emergency life support transportation servicesdeleted text end new text begin program
grantees as specified in section 144E.50, subdivision 3, for the purposes specified in
section 144E.50, subdivision 4new text end . The board of directors of eachnew text begin entity receiving a regionalnew text end
emergency medical services deleted text begin regiondeleted text end new text begin program grantnew text end shall establish criteria for funding. Ten
percent of the money in the account shall be distributed to the commissioner of public safety
for the expenses of traffic safety educational programs conducted by State Patrol troopers.
Sec. 4. new text begin APPROPRIATIONS.
new text end
new text begin Subdivision 1. new text end
new text begin Emergency medical services funds. new text end
new text begin
$....... in fiscal year 2016 and
$....... in fiscal year 2017 are appropriated from the general fund to the commissioner
of health for regional emergency medical services program grants under Minnesota
Statutes, section 144E.50. Of these amounts, $....... each fiscal year is appropriated to the
commissioner of health for program operating expenses.
new text end
new text begin Subd. 2. new text end
new text begin Emergency medical services relief account. new text end
new text begin
Of the amount credited to
program grantees under section 144E.50 from the emergency medical services relief
account under Minnesota Statutes, section 169.686, subdivision 3, for the biennium
ending June 30, 2017, $....... each fiscal year is appropriated to the commissioner of health
for program operating expenses.
new text end
Sec. 5. new text begin REVISOR'S INSTRUCTION.
new text end
new text begin
The revisor of statutes shall recodify Minnesota Statutes, section 144E.50, as a
section in Minnesota Statutes, chapter 144, and make conforming changes consistent
with the renumbering.
new text end
Sec. 6. new text begin REPEALER.
new text end
new text begin
Minnesota Statutes 2014, section 144E.52,
new text end
new text begin
is repealed.
new text end