FY 2016 Appropriation

The Bureau of Emergency Medical Services is a leadership team functioning as a resource and providing assurance of a quality emergency medical system in the State. The Bureau of Emergency Medical Services (EMS) has as its mission to promote a statewide system of emergency and trauma care to reduce morbidity and mortality, through prevention, awareness, and quality intervention.

Funding History
Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $4,349,000 from all sources for Emergency Medical Services. This is a 5.1 percent reduction from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $454,000 from the General/Education Funds, an increase of 3 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Automatic External Defibrillator Account$0$150,000
OngoingOne-TimeFinancing Source
$0$150,000GFR - Automatic External Defibrillator Account
Provide $150,000 in one-time spending authority to the Department of Health from the General Fund Restricted - Automatic External Defibrillator Account for FY 2015. The money is already in the account from the 2014 General Session.
Utah Emergency Medical Services System Act Amendments$11,100$57,600
OngoingOne-TimeFinancing Source
$11,100$57,600Dedicated Credits Revenue
The Department of Health will receive an ongoing increase in dedicated credits beginning in FY 2016 of $33,100 with additional one-time increases in FY 2016 and FY 2017 of $84,800. Enactment of this legislation may cost the Department of Public Safety $12,500 for 0.25 FTE from dedicated credits to process background check applications. The Department of Public Safety will have pass through costs from dedicated credits to the Federal Bureau of Investigation for fingerprint background checks of $9,500 ongoing beginning in FY 2016 and one-time costs in FY 2016 and FY 2017 of $27,200. The bill may cost the Department of Health $11,100 ongoing dedicated credits beginning in FY 2016 and one-time costs of $57,600 in FY 2016 and FY 2017 for FTE time to process background check applications and background computer system upgrades and maintenance.

National Emergency Medical Services Education Standards Credentialing Levels

National Emergency Medical Services Education Standards Credentialing Levels

Number of Functional Regions Statewide With Coordinators for Emergency Medical System of Pre-hospital Care

Number of Functional Regions Statewide With Coordinators for Emergency Medical System of Pre-hospital Care

Percentage of Ambulance Providers Receiving Enough But Not More Than 8% of Gross Revenue or 14% Return on Assets

Percentage of Ambulance Providers Receiving Enough But Not More Than 8% of Gross Revenue or 14% Return on Assets

Results of the Centers for Disease Control's State Readiness Score for Emergency Preparedness

Results of the Centers for Disease Control's State Readiness Score for Emergency Preparedness

The Bureau implements this mission by:

  • Providing customer service and establishing a teamwork model of services.
  • Providing information, technical assistance, and consultation to providers of emergency medical services.
  • Assuring compliance by emergency medical providers to rules and regulations.
  • Promoting the highest standards possible for the statewide provision of emergency medical services, taking into consideration available resources, and investigating alternative funding sources.
  • Establishing an infrastructure to provide administrative support that will continually seek to improve, streamline, and find the most cost-effective way to meet the needs throughout the State.
  • Encouraging EMS involvement and coordination with existing and new injury prevention and health promotion activities.
  • Promoting and supporting programs and activities that address the physical and mental health as well as the safety of EMS personnel.

Emergency Medical Services (EMS) Grants Program

The portion of the criminal fines and forfeitures surcharge that is allocated to EMS has restrictions on its usage established in UCA 26-8a-207. After funding staff support, administrative expenses, and trauma system development, the Bureau then allocates at least 25% (actual percentage determined by the Emergency Medical Services Committee) for per capita block grants for emergency medical services at the county level, determined by population and number of EMS employees. The remaining percentage is allocated as competitive grants distributed to applicants based on the guidelines approved by the Emergency Medical Services Committee.

Emergency Medical Services (EMS) Certification

There are statewide standards for emergency medical services. EMS personnel must obtain certification to prove their proficiency. The National Highway Traffic Safety Administration's standards and curricula provide the basis for Utah's statewide standards for training levels. The differences between levels of certification relate to the types and extent of procedures that EMS personnel may perform, such as starting IV fluids, administering medications, or placing tubes to open a patient's airway.

Intent Language

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $50,000 of Item 21 of Chapter 13, Laws of Utah 2014, funds appropriated for the Department of Health's Assistance for People with Bleeding Disorders Program shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to services to eligible clients.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $250,000 of Item 21 of Chapter 13, Laws of Utah 2014 for the Department of Health's Emergency Medical Services shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to testing, certifications, background screenings, replacement testing equipment and testing supplies.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that civil money penalties collected for the Department of Health's Child Care Licensing and Health Care Licensing in Item 21 of Chapter 13, Laws of Utah 2014 from childcare and health care provider violations shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to trainings for providers and staff, as well as upgrades to the Child Care Licensing database.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $245,000 of Item 21 of Chapter 13, Laws of Utah 2014 for the Department of Health's Family Health and Preparedness line item not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to health facility licensure and certification activities.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $210,000 of Item 21 of Chapter 13, Laws of Utah 2014 from fees collected for the purpose of plan reviews by the Department of Health's Bureau of Health Facility Licensure, Certification and Resident Assessment shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to plan review activities.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that criminal fines and forfeiture money collected for the Department of Health's Emergency Medical Services in Item 21 of Chapter 13, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to purposes outlined in Section 26-8a-207(2).

SB0003: Item 113

The $1,000,000 in federal funds appropriated for the Nurse Family Partnership in the Department of Health in the Family Health and Preparedness line item is dependent upon the availability of and qualification for the Nurse Family Partnership for Temporary Assistance for Needy Families federal funds.

SB0007S01: Item 1

The Legislature intends that the Department of Health report on the following performance measures for the Family Health and Preparedness line item: (1) The percent of children who demonstrated improvement in social-emotional skills, including social relationships (Goal = 70% or more), (2) The percent of children who demonstrated improvement in their rate of growth in acquisition and use of knowledge and skills, including early language/communication and early literacy (Goal = 75% or more), (3) The percent of children who demonstrated improvement in their rate of growth in the use of appropriate behaviors to meet their needs (Goal = 75% or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

SB0007S01: Item 11

The Legislature intends that the Department of Health report on the following performance measures for the Family Health and Preparedness line item: (1) The percent of children who demonstrated improvement in social-emotional skills, including social relationships (Goal = 70% or more), (2) The percent of children who demonstrated improvement in their rate of growth in acquisition and use of knowledge and skills, including early language/communication and early literacy (Goal = 75% or more), (3) The percent of children who demonstrated improvement in their rate of growth in the use of appropriate behaviors to meet their needs (Goal = 75% or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

The monthly caseload is the number of prehospital personnel certified and licensed.

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COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.