CHAPTER 140
EMERGENCY MEDICAL SERVICES SYSTEM DEVELOPMENT GRANTS FUND
641—140.1(135) Definitions. For the purpose of these rules, the following definitions shall apply:
“Ambulance service” means any privately or publicly owned service program which utilizes ambulances in order to provide patient transportation and emergency medical services.
“Applicant” means a county EMS association or regional EMS council that has submitted an application for an emergency medical services system development grant.
“CEHs” means continuing education hours which are based upon a minimum of 50 minutes of training per hour.
“Continuing education” means training approved by the department which is obtained by a certified emergency medical care provider to maintain, improve, or expand relevant skills and knowledge and to satisfy renewal of certification requirements.
“County EMS association” means a countywide group of EMS providers and various agency and organization representatives and consumers who provide leadership for the local EMS system on needs and objectives. The county EMS association should also include representatives of services located in a neighboring county if service is provided on a regular basis to residents of the county receiving funding.
“Department” means the Iowa department of public health.
“Director” means the director of the Iowa department of public health.
“Emergency medical care personnel” or “provider” means any individual currently certified by the department pursuant to Iowa Code section 147A.6.
“Emergency medical services” or “EMS” means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.
“EMS course” means a course for emergency medical care personnel pursuant to Iowa Code section 147A.4, subsection 2.
“EMS medical care provider” means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.
“Fiscal year” means the 12-month period beginning July 1 and ending June 30.
“Infrastructure” means those elements that make up an EMS system.
“Nontransport service” means any privately or publicly owned rescue or first response service program which does not provide patient transportation (except when no ambulance is available or in a disaster situation) and utilizes only first response vehicles to provide emergency medical care at the scene of an emergency.
“Regional EMS council” means a multicounty nonprofit corporation whose purpose is to facilitate EMS development on a regional basis.
“Service program” means any 24-hour emergency medical care ambulance service or nontransport service that has received authorization by the department.
“Strategic plan” means a document produced via a multiagency effort to evaluate and define needs and goals to improve the local EMS system.
“Training” means EMS-related courses designed and intended for EMS providers and includes any item used in training including, but not limited to, slides, films, mannequins, emergency care devices, books and other items pertinent and necessary for training purposes.
641—140.2(135) Purpose. The EMS system development grant is intended to supplement EMS funds at the regional, county or local level to promote EMS system development.
641—140.3(135) County EMS associations. Each county shall have a county EMS association, council or board to develop and maintain the countywide EMS system strategic plan and to provide leadership on related EMS system development funding needs and objectives.
641—140.4(135) County EMS system development grants. Grants for EMS system development proposals at the regional, county, and local level are available through a competitive selection process from the department for equipment, training, and support of infrastructure needs as identified in the countywide EMS strategic plan. Funds for training will be used to train members of a service program that provides service on a regular basis to residents of the county being funded. Funds for equipment require a $1 match of regional, county, or local funds for each $1 of EMS system development grant funds.
	140.4(1) Eligible costs. Costs which are eligible for EMS system development grant expenditures as defined in the request for proposal (RFP) include:
	a. 	Training.
	(1)	Reimbursement for initial training tuition, fees and materials up to an amount that is the lowest fee charged by the training entity following successful completion of an EMS course. Practical and written examination fees may also be included.
	(2)	Payment of continuing education tuition, fees and materials. Education provided by an EMS service program for the general public is an allowable expense.
	(3)	Payment for EMS training aids.
	b. 	Other equipment as defined by the RFP.
	c. 	Infrastructure support.
	(1)	Development and enhancement of EMS systems.
	(2)	Office equipment and supplies necessary to coordinate a countywide EMS system.
	(3)	Personnel services for staffing to provide countywide continuous quality improvement and medical direction.
The title to any EMS equipment purchased with these funds shall not lie with the department, but shall be determined by the county EMS association.
	140.4(2) Ineligible costs. Costs which are not eligible for funding include, but are not limited to, the following:
	a. 	Certification/recertification fees.
	b. 	Building and construction costs.
	c. 	Debt amortization.
	d. 	Land.
	e. 	Rent.
	f. 	Utilities.
	g. 	Vehicles including, but not limited to, ambulances, fire apparatus, boats, rescue/first response vehicles, snowmobiles and vehicle parts.
641—140.5(135) Disbursement of funds. Rescinded IAB 2/2/05, effective 3/9/05.
641—140.6(135) Application denial or partial denial—appeal. Rescinded IAB 2/2/05, effective 3/9/05.
These rules are intended to implement Iowa Code section 135.25.
[Filed 2/26/98, Notice 9/10/97—published 3/25/98, effective 4/29/98]
[Filed emergency 5/8/02—published 5/29/02, effective 5/8/02]
[Filed 7/18/02, Notice 5/29/02—published 8/7/02, effective 9/11/02]
[Filed 1/13/05, Notice 11/24/04—published 2/2/05, effective 3/9/05]