Emergency Medical Services Structure and Financing of Ambulance Services– IS Mark Newman Oklahoma State Department of Health

House Bill 1888 Summary Title HB 1888 amended existing statutes. The act, cited as the Ambulance Service Districts Act allows for the creation of an EMS District that is not based on the Emergency Medical Service Districts found in Article X Section 9 C of the Constitution. (This section allows for the formation of an district that is funded by a ad volorem of up to 3 mills)

House Bill 1888 Summary Title Also amended another statute: 63 O.S. § A. There is a required duty to act within the licensed area upon the acceptance of an ambulance service license. All licensed ambulance services shall respond appropriately, consistent with the level of licensure, when called for emergency service regardless of the patients ability to pay. This eliminated the requirement for an ambulance service to respond when they are the closest agency.

House Bill 1888 affects Altered the existing statute regarding how an EMS District is formed under Title 19. County Commissions are required to submit a plan to OSDH. Should have started a positive dialogue between cities, agencies, and county officials

House Bill 1888 affects O.A.C. 310: (c) The current standard is: 63 O.S. § There is a required duty to act within the licensed area upon the acceptance of an ambulance service license. All licensed ambulance services shall respond appropriately, consistent with the level of licensure, when called for emergency service regardless of the patients ability to pay.

The current standard allows services to: Alter their current licensed service area Allows the service to refrain from responding to requests for service beyond their licensed service area, even when miles closer. House Bill 1888 affects O.A.C. 310: (c)

One agency has formally altered its Licensed Service Area- City of Coweta-Wagoner County One agency has made the decision to adhere to its licensed service area-Okmulgee Co. EMS Other Cities and Agencies continue to discuss altering their service areas House Bill 1888 affects O.A.C. 310: (c)

HB 1888 By April 1, 2011 each county with a population <500,000 shall present to OSDH an EMS Plan that Shall: Address funding issues; Ensure countywide EMS coverage; Address county boundaries related to response

Counties that have submitted plans AdairAlfalfaBeckhamClevelandComanche CreekGarfieldGradyHarperHaskell JeffersonJohnstonMayesMcClainMcCurtain McIntoshMurrayNobleOkmulgeeOsage OttawaSeminoleSequoyahStephensWashington Washita 26 of the 75 plans have been submitted

Funding for EMS Funding Options Resources

Statewide Funding Districts

Cigarette Tax (39.2%) $10,208,891 Tobacco Products (4.2%) $1,104,342 All Tribal Tobacco (10.1%) $2,622,262 Vehicle Collections (13.3%) $3,459,716 County Fine & Fees (33.2%) $8,657,889 Annual Average Total$26,053,100 Annual Collections - 5 Year Average Annual Distributions – 5 Year Average OSDH $2,605,310 (10.0%) EMS Agencies $1,641,345(6.3%) Hospitals$19,461,666 (74.7%) Physicians$2,344,779 (9.0%) Cumulative Distribution Totals to date. EMS distribution$10,726, Hospital distribution$132,248, Physician Distribution$14,921, Total Distribution$157,896, Trauma Care Assistance Revolving Fund

5 Year Annual Average – 10% Expenses

State FY 2009$38,190 State FY 2010$41,215 State FY 2011$26,091 State FY 2012 $4,834 (thru SFY 2012 Q ) Fund Balance $90,330 Annual CollectionsAnnual Distributions State FY 2009 $10,000 State FY 2010$5,000 State FY 2011$- 0 - State FY 2012$5,000 Claims Paid to Date$20,000 EMT Death Benefit Revolving Fund

Why is EMS Coverage So Important in Oklahoma? Some reasons.... Oklahoma Data Rural State Large uninsured population. Time/distance = Life

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