DATE: March 20, 2007
TO: Board of Supervisors
SUBJECT: SUPPORTING COMMUNITY TRAUMA AND EMERGENCY SERVICES THROUGH INCREASED PENALTY ASSESSMENT FUNDING
Emergency medical service is often the lifeline between county residents and medical attention. The Emergency Medical Services “Maddy” Fund was established in 1988 with a funding source in the form of penalty assessments which provides revenue to the EMS Fund. The “Maddy” funds are derived from additional penalties assessed on fines and bail forfeitures that courts collect for certain criminal offenses and motor vehicle violations. The funds go to hospitals and physicians providing uncompensated trauma care and are also used to maintain services including paramedic and an EMT database, ambulance service, and support for disaster preparedness such as the 800 MHz radio system.
New legislation signed into law by Governor Schwarzenegger permits a county board of supervisors to apply a levy of an additional two dollars for every ten dollars to provide added revenue to the “Maddy” Fund. This additional funding is needed to strengthen the County’s health care safety net for the public and enhance emergency medical services to ensure rapid response and quality care.
VICE CHAIRMAN COX AND SUPERVISOR SLATER-PRICE:
- Adopt the Resolution of the County of San Diego Board of Supervisors Establishing an Additional Two Dollar Penalty ($2) on Fines, Penalties and Forfeitures to Further Support the Maddy Emergency Medical Services Fund including funding for pediatric trauma care.
No General Fund impact. It is estimated that approval of this measure will result in the collection of approximately $3 million annually to be added to the Emergency Medical Services “Maddy” Fund for distribution.
The County of San Diego Board of Supervisors established the Emergency Medical Services “Maddy” Fund on November 22, 1988 with a funding source in the form of penalty assessments which provides revenue to the Maddy Fund. Penalty assessments are permitted on fines, penalties, and forfeitures for this revenue to be used for mandated services and projects.
Last year, Governor Schwarzenegger signed into law SB 1773, effective January 1, 2007. This bill permits a county board of supervisors to apply a levy of an additional penalty assessment, in the amount of two dollars for every ten dollars or fraction thereof, upon court imposed and collected fines, penalties and forfeitures that courts collect for certain criminal offenses and motor vehicle violations to be used to provide additional funds to the Maddy Fund.
The funds collected under SB 1773, reduced by up to ten percent for administration, are to be deposited into the Maddy Fund and, of this amount, 15% of the funds must be used to provide funding for pediatric trauma care throughout the County. The balance of the funds deposited would be distributed consistent with current statutory directives, that is, 25% to trauma care, 58% to physicians providing uncompensated emergency care, and 17% to the Health and Human Services Agency’s Emergency Medical Services.
Based on the amount collected by the courts for FY 2005-06, an estimated, additional $3 million per year would be collected. SB 1773 is in effect for two years, ending January 1, 2009, unless a later enacted statute deletes or extends the end date.
Additional funding will strengthen the County’s health care safety net and enhance EMS services. SB 1773, without raising taxes, provides a method to reduce the burden of health care costs in emergency settings.
Vice Chairman, First District
Supervisor, Third District