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 ambulance service as defined in 641—132.1(147A).
“CEHs” means CEH as defined in 641—131.1(147A).
“Continuing education” means continuing education as defined in 641—131.1(147A).
“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 provider” means emergency medical care provider as defined in 641—131.1(147A).
“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.
“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 nontransport service as defined in 641—132.1(147A).
“Regional EMS council” means a multicounty nonprofit corporation whose purpose is to facilitate EMS development on a regional basis.
“Service program” means service program as defined in 641—131.1(147A).
“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.
[ARC 0756C, IAB 5/29/13, effective 7/3/13]
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 grant process from the department to county boards of supervisors or local boards of health for equipment, training, and support of infrastructure needs as identified in the countywide EMS strategic plan and the department system standards. County boards of supervisors or local boards of health may not take any administrative fee from these funds to support their work under this rule. County recipients of funds may subcontract work under this agreement to a county EMS association. 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.
	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.
[ARC 0756C, IAB 5/29/13, effective 7/3/13]
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]
[Filed ARC 0756C (Notice ARC 0654C, IAB 3/20/13), IAB 5/29/13, effective 7/3/13]