COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 4845-01
Bill No.: HB 2000
Subject: Ambulance Districts: Staffing
Type: Original
Date: April 18, 2008
Bill Summary: Modifies provisions regarding minimum ambulance staffing in fourth class counties.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUND |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on General Revenue Fund |
$0 |
$0 |
$0 |
ESTIMATED NET EFFECT ON OTHER STATE FUNDS |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on Other State Funds |
$0 |
$0 |
$0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
ESTIMATED NET EFFECT ON FEDERAL FUNDS |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on All Federal Funds |
$0 |
$0 |
$0 |
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE) |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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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 |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
Local Government |
$0 or Unknown |
$0 or Unknown |
$0 or Unknown |
FISCAL ANALYSIS
ASSUMPTION
Officials of the Department of Health and Senior Services assume no fiscal impact to their department.
Officials of the Lafayette County Commission assume no fiscal impact.
Oversight assumes any ambulance district located within a fourth class county that currently is meeting state requirements of providing two licensed individuals when transporting a patient could realize some savings from being allowed to only have one licensed individual in attendance when transporting a patient. The decision to reduce staffing on ambulance trips would be discretionary and made by the ambulance district board.
Oversight will show fiscal impact to ambulance districts in fourth class counties to be either $0 or a positive unknown.
FISCAL IMPACT - State Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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$0 |
$0 |
$0 |
FISCAL IMPACT - Local Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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FOURTH CLASSIFICATION COUNTIES - AMBULANCE DISTRICTS |
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Savings - To Certain Ambulance Districts |
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For meeting staffing requirements. |
$0 or Unknown |
$0 or Unknown |
$0 or Unknown |
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ESTIMATED NET EFFECT TO LOCAL GOVERNMENT |
$0 or Unknown |
$0 or Unknown |
$0 or Unknown |
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FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
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 adds Saline and Lafayette counties to the list of counties that are allowed to have only one licensed individual in attendance.
This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Department of Health and Senior Services
Lafayette County Commission
NOT RESPONDING
Saline County Commission
Mickey Wilson, CPA
Director
April 18, 2008