Senate File 2236 - Introduced SENATE FILE BY BEALL, DANIELSON, HANCOCK, RAGAN, and STEWART Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act providing for expansion of the automated external 2 defibrillator grant program to include advanced=level external 3 defibrillators, and making an appropriation. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5628XS 81 6 rn/sh/8 PAG LIN 1 1 Section 1. Section 135.26, Code Supplement 2005, is 1 2 amended to read as follows: 1 3 135.26AUTOMATEDEXTERNAL DEFIBRILLATOR GRANT PROGRAM. 1 4 The department shall establish and implement anautomated1 5 external defibrillator grant programwhich provides matching 1 6 funds to local boards of health, community organizations, or 1 7 cities for the program after standards and requirements for 1 8 the utilization of automated external defibrillator equipment, 1 9 and training on the use of such equipment, are developed at 1 10 the local level.involving the distribution of both basic= 1 11 level and advanced=level external defibrillator equipment, as 1 12 follows: 1 13 1. For basic=level automated external defibrillator 1 14 equipment, for use primarily by emergency medical care 1 15 providers other than those referred to in subsection 2 and the 1 16 general public, the grant program shall provide matching funds 1 17 to local boards of health, community organizations, or cities 1 18 after standards and requirements for the utilization of basic= 1 19 level automated external defibrillator equipment, and training 1 20 on the use of such equipment, are developed at the local 1 21 level. The objective of the program shall be to enhance the 1 22 emergency response system in rural areas of the state where 1 23 access to health care providers is often limited by providing 1 24 increased access to basic=level automated external 1 25 defibrillator equipment by rural emergency and community 1 26 personnel. A local board of health, community organization, 1 27 or city may submit an application to the department for 1 28 review. The department shall establish criteria for the 1 29 review and approval of grant applications by rule, and may 1 30 accept gifts, grants, bequests, and other private 1 31 contributions, as well as state or federal funds, for purposes 1 32 of the program. The amount of a grant shall not exceed fifty 1 33 percent of the cost of the basic=level automated external 1 34 defibrillator equipment to be distributed to the applicant and 1 35 the training program to be administered by the applicant at 2 1 the local level. Each application shall include information 2 2 demonstrating that the applicant will provide matching funds 2 3 of fifty percent of the cost of the program. Grant recipients 2 4 shall submit an annual report to the department indicating 2 5 automated external defibrillator equipment usage levels, 2 6 patient outcomes, and number of individuals trained. 2 7 2. For advanced=level external defibrillator equipment, 2 8 for use primarily by emergency medical care providers trained 2 9 at the EMT=paramedic or higher certification level, as 2 10 referred to in section 147A.1, subsection 4, the grant program 2 11 shall provide matching funds to municipal fire departments and 2 12 ambulance, rescue, or first response services after standards 2 13 and requirements for the utilization of advanced=level 2 14 external defibrillator equipment, and training on the use of 2 15 such equipment, are developed at the local level. The 2 16 objective of the program shall be to enhance the availability 2 17 of advanced=level external defibrillators for use in advanced 2 18 life support applications by trained EMT=paramedics. A 2 19 municipal fire department or ambulance, rescue, or first 2 20 response service may submit an application to the department 2 21 for review. The department shall establish criteria for the 2 22 review and approval of grant applications by rule, and may 2 23 accept gifts, grants, bequests, and other private 2 24 contributions, as well as state or federal funds, for purposes 2 25 of the program. In determining approval criteria, the 2 26 department shall award a preference for applicants 2 27 demonstrating the possession of comparatively outdated 2 28 equipment and limited financial resources. The amount of a 2 29 grant shall not exceed seventy=five percent of the cost of the 2 30 advanced=level external defibrillator equipment to be 2 31 distributed to the applicant and the training program to be 2 32 administered by the applicant at the local level. Each 2 33 application shall include information demonstrating that the 2 34 applicant will provide matching funds of twenty=five percent 2 35 of the cost of the program. Grant recipients shall submit an 3 1 annual report to the department indicating external 3 2 defibrillator equipment usage levels, patient outcomes, and 3 3 number of individuals trained. 3 4 Sec. 2. EXTERNAL DEFIBRILLATOR GRANT PROGRAM == 3 5 APPROPRIATIONS. There is appropriated from the healthy Iowans 3 6 tobacco trust created in section 12.65 to the Iowa department 3 7 of public health for the fiscal year beginning July 1, 2006, 3 8 and ending June 30, 2007, the following amounts, or so much 3 9 thereof as is necessary, to be used for the purposes 3 10 designated: 3 11 1. For the external defibrillator grant program 3 12 established pursuant to section 135.26, subsection 1, for 3 13 administering grants for basic=level automated external 3 14 defibrillator equipment: 3 15 .................................................. $ 250,000 3 16 2. For the external defibrillator grant program 3 17 established pursuant to section 135.26, subsection 2, for 3 18 administering grants for advanced=level external defibrillator 3 19 equipment: 3 20 .................................................. $ 250,000 3 21 Notwithstanding section 8.33, moneys appropriated in this 3 22 section that remain unencumbered or unobligated at the close 3 23 of the fiscal year shall not revert but shall remain available 3 24 for expenditure for the purposes designated until the close of 3 25 the succeeding fiscal year. 3 26 EXPLANATION 3 27 This bill modifies the existing automated external 3 28 defibrillator grant program established in Code section 135.26 3 29 to provide for a two=tiered external defibrillator grant 3 30 program. 3 31 In addition to the existing program, the bill adds a second 3 32 grant program for advanced=level external defibrillator 3 33 equipment intended for use by emergency medical care providers 3 34 trained at the EMT=paramedic or higher certification level, as 3 35 defined in Code section 147A.1, subsection 4. The bill 4 1 provides that the new grant program shall provide matching 4 2 funds to municipal fire departments and ambulance, rescue, or 4 3 first response services after standards and requirements for 4 4 the utilization of advanced=level external defibrillator 4 5 equipment, and training on the use of such equipment, are 4 6 developed. The bill states that the objective of the program 4 7 is to enhance the availability of advanced=level external 4 8 defibrillators for use in advanced life support applications 4 9 by trained EMT=paramedics. 4 10 The bill provides that a municipal fire department, or 4 11 ambulance, rescue, or first response service, may submit an 4 12 application to the department for review. The department 4 13 shall establish criteria for the review and approval of grant 4 14 applications by rule, and may accept gifts, grants, bequests, 4 15 and other private contributions, as well as state or federal 4 16 funds, for purposes of the program. In determining approval 4 17 criteria, the bill provides that the department shall award a 4 18 preference for applicants demonstrating the possession of 4 19 comparatively outdated equipment and limited financial 4 20 resources. The bill provides that a grant shall be awarded on 4 21 a 75 percent grant, 25 percent local match, basis with regard 4 22 to the cost of the equipment and the training program to be 4 23 administered by the applicant. Additionally, as with the 4 24 current program, grant recipients shall submit an annual 4 25 report to the department indicating external defibrillator 4 26 equipment usage levels, patient outcomes, and number of 4 27 individuals trained. 4 28 With the addition of the advanced=level grant program, the 4 29 bill modifies provisions of the existing program to clarify 4 30 that it relates to basic=level automated equipment. 4 31 The bill makes an appropriation from the healthy Iowans 4 32 tobacco trust created in Code section 12.65 to the Iowa 4 33 department of public health for the 2006=2007 fiscal year of a 4 34 total of $500,000. The bill allocates $250,000 of the 4 35 appropriation to each of the two external defibrillator grant 5 1 programs. 5 2 LSB 5628XS 81 5 3 rn:rj/sh/8.2