Bill Summary: This bill modifies provisions regarding minimum ambulance staffing for ambulances staffed with volunteers, and requires Christian County Commission to appoint an emergency services board.

ESTIMATED NET EFFECT ON GENERAL REVENUE FUND
FUND AFFECTED	FY 2009	FY 2010	FY 2011


Total Estimated Net Effect on General Revenue Fund	$0	$0	$0

ESTIMATED NET EFFECT ON OTHER STATE FUNDS
FUND AFFECTED	FY 2009	FY 2010	FY 2011


Total Estimated Net Effect on Other State Funds	$0	$0	$0

ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED	FY 2009	FY 2010	FY 2011


Total Estimated Net Effect on All Federal Funds	$0	$0	$0

ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)
FUND AFFECTED	FY 2009	FY 2010	FY 2011


Total Estimated Net Effect on FTE	0	0	0

☐ Estimated Total Net Effect on All funds expected to exceed $100,000 savings or (cost).

☐ Estimated Net Effect on General Revenue Fund expected to exceed $100,000 (cost).

ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED	FY 2009	FY 2010	FY 2011
Local Government	Unknown to (Unknown)	Unknown to (Unknown)	Unknown to (Unknown)

Oversight sent response request to several ambulance districts, but due to timing, none have responded.

Officials of the Department of Health and Senior Services assume no fiscal impact.

Oversight assumes there could be some costs to ambulance districts whose boards would elect to establish requirements that the other attendant meet certain qualifications allowed by this proposal and will show fiscal impact as either a $0 for those districts that currently exceed state requirements, to a negative unknown for those districts that elect to increase staffing with advanced qualifications. Annual costs to ambulance districts, on a statewide basis, is indeterminable and unknown.

Officials of the Department of Health and Senior Services assume no fiscal impact to their department.

Officials of the Christian County Sheriff’s Office assume no fiscal impact to their office unless a sales tax were approved by the voters of Christian County.

Officials of the Nixa Fire Protection District assume this proposal would unify Christian County under one 911 emergency system. Officials stated that there is the Nixa 911 system and the Christian County 911 system. Officials stated that this proposal if adopted would allow for a sales tax to be adopted, which under their present system of donating funds for operation of emergency services, would save the fire district at least $85,000 or more annually. Officials stated that under this proposal the County Commission appoints the initial board which would have seven members, of which at least one member would be the head of any one of the county’s

fire protection districts, one would be the head of the county’s ambulance district, one would be the County Sheriff, one would be the head of anyone of the county’s police departments, and the head of any of the county’s emergency management organizations. These members would automatically be the board regardless of who holds the position listed. Under the current system the board would be elected from various areas of the county. Officials assume this would save some cost of holding elections for board members.

Oversight assumes Section 190.335 of this proposal allows for an alternative way of establishing a 911 emergency services system. This proposal as written does not require a sales tax to be established for operation of the system; however, it does allow the people of Christian County to vote for a sales tax for the operation of the system. Based on statements from officials of the Nixa Fire Protection District, this proposal would provide savings to their district but only if the sales tax were adopted by the voters. Oversight assumes current law provides for a sales tax.

Oversight will show savings due to the elimination of board member elections if this proposal were adopted. Current law provides that once the initial board has been appointed by the County Commission, the appointment would be good for a length of time, then elections would be required.

* Based on statements from the Nixa Fire Protection District, there could be additional fiscal impact; however, a sales tax would have to be approved by the voters. Oversight is not able to determine if a sales tax would be adopted.

** Costs would depend upon actions of the Ambulance Board of Directors who would determine the qualifications of volunteer staff. Oversight assumes this Section is permissive.

Oversight assumes if a 911 emergency services sales tax were adopted by the voters of Christian County, small business would be expected to collect, disburse, account for, and pay the sales tax. Current law provides for a voter approved sales tax.

Section 190.094 -This act requires the county commission of Christian County, upon voter approval of a county sales tax for central dispatching of emergency services, to appoint a seven-member board to administer the funds and oversee the provision of emergency services. The board shall include the head of any of the county's fire protection or ambulance districts, the county sheriff, the head of any police departments in the county, and the head of the county's emergency management organizations.

Under current law, each ground ambulance is required to be staffed with at least two licensed individuals when transporting a patient, except for certain counties which are allowed to have only one licensed emergency medical technician, registered nurse or physician in attendance.

This act amends current law to allow this exception for any ambulance licensed in the state staffed with volunteers. A volunteer is defined as an individual who performs hours of service without promise, expectation or receipt of compensation for services rendered, except for a nominal stipend per call to compensate for fuel, uniforms, and training.

This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.

FISCAL IMPACT - Local Government	FY 2009 (10 Mo.)	FY 2010	FY 2011

CHRISTIAN COUNTY 911 EMERGENCY SERVICES BOARD

Savings - To Christian County 911 Emergency Services Board
from election costs. (Section 190.335)	Unknown	Unknown	Unknown

FISCAL IMPACT - Local Government (continued)	FY 2009 (10 Mo.)	FY 2010	FY 2011

COUNTY OR CITY AMBULANCE DISTRICTS

Costs - To Ambulance Districts From staffing qualifications. (Section 190.094) **	$0 or (Unknown)	$0 or (Unknown)	$0 or (Unknown)

ESTIMATED NET EFFECT TO LOCAL GOVERNMENT	Unknown to (Unknown)	Unknown to (Unknown)	Unknown to (Unknown)