COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 0879-04
Bill No.: Perfected SCS #2 for SB 303
Subject: Ambulances and Ambulance Districts; Emergencies; Health Care; Health Department; Health, Public; Hospitals; Medical Procedures and Personnel; Saint Louis
Type: Original
Date: March 11, 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 3 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.
Officials from St. Louis County state this proposal would not impact their county.
St. Louis City 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 City may provide transport patients from a licensed hospital or a hospital within a 130 mile radius of the address listed on the ambulance's license to a licensed hospital within their ambulance service area.
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
St. Louis County
NOT RESPONDING: St. Louis City
Mickey Wilson, CPA
Director
March 11, 2003