COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 0879-03
Bill No.: SCS for SB 303
Subject: Ambulances and Ambulance Districts; Emergencies; Saint Louis County; Licenses-Miscellaneous; Health Care Professionals; Nurses; Public Health
Type: Original
Date: February 19, 2003
FISCAL SUMMARY
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on General Revenue Fund |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on Other State Funds |
$0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Local Government | $0 | $0 | $0 |
ASSUMPTION
Officials from the Department of Economic Development - Division of Professional Registration assume this proposal would not fiscally impact their agency.
St. Louis County did not respond to this fiscal note request. Oversight assumes this is permissive legislation and would have no fiscal impact unless the board of the ambulance district would choose to use the authority granted by this proposal. Therefore, as this proposal is written, Oversight assumes that there would be no local fiscal impact.
Officials from the Department of Health and Senior Services (DOH) state ambulance services wanting to provide critical care services would already be licensed by the Bureau of Emergency Medical Services (BEMS). The ambulance service would have to provide documentation to the BEMS that the ambulance is adequately staffed to be considered a critical care ambulance service. This documentation could be provided by mail or fax. DOH assumes this proposal would not have a fiscal impact.
| FISCAL IMPACT - State Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| $0 | $0 | $0 |
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
DESCRIPTION
This proposal provides that a licensed ground ambulance service located within Saint Louis County may provide critical care ground ambulance service. Critical care ground ambulance service is defined as the ground transport of a patient who requires a level of care which is within the scope of training and qualifications of a critical care nurse.
Such critical care transport may only occur between two licensed hospitals. The transport shall be done in an ambulance designed and equipped for such purpose and must include certain personnel trained in critical care. An ambulance service providing critical care ground ambulance service must maintain at least 120% of the insurance required in regulation for a licensed ambulance service. The ambulance service may only provide such critical care ground ambulance service within its service area and no more than 125 miles away from its address of record.
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 Economic Development -
Division of Professional Registration
Department of Health and Senior Services
NOT RESPONDING: St. Louis County
Mickey Wilson, CPA
Director
February 19, 2003