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Prepared by the North Dakota Legislative Council
staff for the Insurance and Health Care Committee |
EMERGENCY MEDICAL SERVICES MAGAZINE - 1996 SUMMARY OF UNIQUE FUNDING METHODS
ALABAMA
Regional lead agencies are supported predominantly by Special Education Trust Funds.
ALASKA
Some regional offices receive project income by contracting with other agencies to provide training or continuing education, and some receive project income from published materials.
ARIZONA
Funding of $2.7 million from assessment on civil, criminal, and local ordinance violations.
ARKANSAS
One county has a voluntary tax that supports the volunteer rescue squad; several subscription services.
CALIFORNIA
State General Fund appropriation of $1,435,000 for high tourist impact in rural areas; $1 million for poison control centers.
GEORGIA
Preventive Health Services Block Grant, EMS-C Grant, Governor's Office of Highway Safety First Responder Grant.
IDAHO
The Idaho State Legislature enacted a $1.25 fee for each motor vehicle registration ($1 going to the state EMS program and 25¢ being retained for EMS in the county of origin), and a $2 EMS fee on drivers' licenses, which are renewed every 4 years. These funds are used for EMS Bureau operations, EMS training, community grants, extrication and communications equipment.
KENTUCKY
Ambulance taxing districts authorized by KRS Chapter 108. Prepaid subscriptions.
MINNESOTA
Seat-belt violation fine of $25; violation is a secondary offense. 90% of proceeds are dedicated funds distributed to the eight regional EMS systems.
MISSISSIPPI
Special state grant programs--the Emergency Medical Services Operating Fund--$5 added to each moving traffic violation fine collected. This money is placed in a special fund and grants are made to local governments for use in the provision of EMS.
MISSOURI
Ambulance districts up to 30 cents tax levy per $100 assessed property valuation.
NEBRASKA
Taxes, donations, subscription fees.
NEVADA
Local innovations, i.e., raffles, auctions, suppers, dances. No regional fund-raising. No special tax dedicated to EMS.
NEW MEXICO
Since 1978, New Mexico has had a State EMS Fund Act that is administered by the EMS Bureau and historically provided $500,000 annually. This money was distributed to local ambulance and rescue services based upon the relative size and population of each county and the relative number of runs for each service within each county. In 1987, the New Mexico legislature passed amendments to the EMS Fund Act, which created a permanent fund based upon a $1 assessment on every annual motor vehicle registration. This generated about $1.85 million annually. The amendments also allowed the funds to be used for the training and licensing of local EMS personnel. Also, up to 10% of the EMS Fund was used to support system improvement projects selected on a competitive basis. In early 1994, the Legislature again amended the EMS Fund Act and appropriated $2.97 million from the General Fund to support it, repealing the dedicated Dollar For Life assessment on motor vehicle registrations. They also approved significant changes to allow the funds to be utilized for all operational expenses, create a program for trauma systems support projects, vehicle purchase projects and local and state system enhancement projects. They also allowed up to 3% of the Fund for administration.
OKLAHOMA
Ad valorem taxes, earmarked sales tax, earmarked city utility assessments, trust funds, subscriptions and donations.
RHODE ISLAND
Division of EMS receives $1.00 from every moving violation fine (approximately $39,661 annually) and limited EMS licensure fees (approximately $78,775 annually).
UTAH
Certification, equipment rental/sale, $105,000; EMS Grants Program, $1,492,000 (14% of criminal surcharge).
WASHINGTON
Local general funds; one-year special levies; 1- to 6-year excess levies.
PUERTO RICO
N/A.
VIRGIN ISLANDS
We operate all territorial ambulance services. We are responsible for territorial planning, development and management of EMTs.
CANADA
OntarioAll programs are 100% funded by the province with the exception of one municipal service that cost-shares with the Ministry.
Prince Edward Island
The province negotiates funding levels for the ambulance subsidization program with the PEI Ambulance Operators and a contract is signed. There is a user fee charge of $100 per call.
Quebec
The cost of the program is supported by the province.
