Special Funding for Uncompensated Emergency Care Maddy EMS Fund Special Funding for Uncompensated Emergency Care

Background In 1987, SB 12 authorized counties to create an Emergency Medical Services Fund Enrolled as Health & Safety Code, Division 2.5, 1797.98 Officially known as “Maddy Emergency Medical Services Fund” after the bill’s author, Ken Maddy Pays up to 50% reimbursement to physicians and hospitals for emergency medical services provided to patients who do not pay for medical care Provides limited funding for local EMS activities Implemented locally by Board of Supervisors

Revenue Sources Penalty assessments are collected by the courts via: Charges on fines, penalties and forfeitures for certain criminal offenses and motor vehicle violations A portion of fees collected from violators attending traffic school A charge of $2 per $10 is levied on applicable fines, penalties and forfeitures If a fine for a moving violation is $100, an additional $20 would also be collected by the court for the EMS Fund Collectively known as “Maddy Revenues”

Original Maddy Fund Distribution Formula

SB 1773 (Alarcon) Became state law as of January 1, 2007 Allows local option to assess up to an additional $2 per $10 from fines, penalties and forfeitures Requires a NEW 15% allocation be set aside for pediatric trauma care Also known as “Richie’s Fund” Remaining revenues are distributed: 58% to physicians 25% to hospitals 17% to EMS

Revised Maddy Fund Distribution Formula

SB 1236 (Padilla) Original legislation (SB 1773) was to sunset January 1, 2009 SB 1236 extended the sunset date to January 1, 2014