HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 1 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S A bill to be entitled 1 An act relating to first responders; amending s. 2 401.113, F.S.; providing that funds in the First 3 Responders Trust Fund may be used for grants to 4 support first responder mental health; amending s. 5 401.345, F.S.; renaming the Emergency Medical Services 6 Trust Fund as the First Responders Trust Fund; 7 amending ss. 316.0083, 316.061, 316.192, and 318.18, 8 F.S.; revising the amount of fines for certain traffic 9 violations to increase the amount of funding for the 10 First Responders Trust Fund; amending ss. 20.435, 11 316.306, 318.14, 318.21, 320.0801, 320.08058, 395.401, 12 395.403, 395.4036, 401.2715, 401.34, 401.411, 401.421, 13 401.465, and 938.07, F.S.; conforming provisions to 14 changes made by the act; providing an effective date. 15 16 Be It Enacted by the Legislature of t he State of Florida: 17 18 Section 1. Section 401.113, Florida Statutes, is amended 19 to read: 20 401.113 Department; powers and duties. — 21 (1) Funds deposited into the First Responders Emergency 22 Medical Services Trust Fund as provided by ss. 316.061, 316.192, 23 318.21, and 938.07 must be used solely to improve and expand 24 prehospital emergency medical services in the state. 25 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 2 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (2) The department shall annually dispense funds contained 26 in the First Responders Emergency Medical Services Trust Fund as 27 follows: 28 (a) Forty-five percent of such moneys must be divided 29 among the counties according to the proportion of the combined 30 amount deposited in the trust fund from the county. These funds 31 may not be used to match grant funds as identified in paragraph 32 (b). An individual board of county commissioners may distribute 33 these funds to emergency medical services organizations and 34 youth athletic organizations within the county, as it deems 35 appropriate. 36 (b) Forty percent of such moneys must be used by the 37 department for making matching grants to local agencies, 38 municipalities, emergency medical services organizations, and 39 youth athletic organizations for the purpose of conducting 40 research, increasing existing levels of emergency medical 41 services, evaluation, community educati on, injury-prevention 42 programs, and training in cardiopulmonary resuscitation and 43 other lifesaving and first aid techniques , and first responder 44 mental health. 45 1. At least 90 percent of these moneys must be made 46 available on a cash matching basis. A gran t made under this 47 subparagraph must be contingent upon the recipient providing a 48 cash sum equal to 25 percent of the total department -approved 49 grant amount. 50 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 3 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 2. No more than 10 percent of these moneys must be made 51 available to rural emergency medical serv ices, and 52 notwithstanding the restrictions specified in subsection (1), 53 these moneys may be used for improvement, expansion, or 54 continuation of services provided. A grant made under this 55 subparagraph must be contingent upon the recipient providing a 56 cash sum equal to no more than 10 percent of the total 57 department-approved grant amount. 58 59 The department shall develop procedures and standards for grant 60 disbursement under this paragraph based on the need for 61 emergency medical services, the requirements of the population 62 to be served, and the objectives of the state emergency medical 63 services plan. 64 (c) Fifteen percent of such moneys must be used by the 65 department for capital equipment outlay, personnel, community 66 education, evaluation, and other costs associat ed with the 67 administration of this chapter. Any moneys not annually used for 68 this purpose must be used for making additional rural grant 69 funds available. 70 Section 2. Section 401.345, Florida Statutes, is amended 71 to read: 72 401.345 First Responders Emergency Medical Services Trust 73 Fund.— 74 (1) There is created the First Responders Emergency 75 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 4 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Medical Services Trust Fund in the State Treasury, which shall 76 be used exclusively for those purposes provided by law. 77 (2) Any funds appropriated in the General Appropriations 78 Act for functions related to emergency medical services, and any 79 other funds that become available for functions related to 80 emergency medical services, must be deposited in the First 81 Responders Emergency Medical Services Trust Fund. 82 Section 3. Paragraph (b) of subsection (1) of section 83 316.0083, Florida Statutes, is amended to read: 84 316.0083 Mark Wandall Traffic Safety Program; 85 administration; report. — 86 (1) 87 (b)1.a. Within 30 days after a viol ation, notification 88 must be sent to the registered owner of the motor vehicle 89 involved in the violation specifying the remedies available 90 under s. 318.14 and that the violator must pay the penalty of 91 $158 to the department, county, or municipality, or furn ish an 92 affidavit in accordance with paragraph (d), or request a hearing 93 within 60 days following the date of the notification in order 94 to avoid the issuance of a traffic citation. The notification 95 must be sent by first -class mail. The mailing of the notice of 96 violation constitutes notification. 97 b. Included with the notification to the registered owner 98 of the motor vehicle involved in the infraction must be a notice 99 that the owner has the right to review the photographic or 100 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 5 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S electronic images or the streami ng video evidence that 101 constitutes a rebuttable presumption against the owner of the 102 vehicle. The notice must state the time and place or Internet 103 location where the evidence may be examined and observed. 104 c. Notwithstanding any other provision of law, a person 105 who receives a notice of violation under this section may 106 request a hearing within 60 days following the notification of 107 violation or pay the penalty pursuant to the notice of 108 violation, but a payment or fee may not be required before the 109 hearing requested by the person. The notice of violation must be 110 accompanied by, or direct the person to a website that provides, 111 information on the person's right to request a hearing and on 112 all court costs related thereto and a form to request a hearing. 113 As used in this sub-subparagraph, the term "person" includes a 114 natural person, registered owner or co -owner of a motor vehicle, 115 or person identified on an affidavit as having care, custody, or 116 control of the motor vehicle at the time of the violation. 117 d. If the registered owner or co -owner of the motor 118 vehicle, or the person designated as having care, custody, or 119 control of the motor vehicle at the time of the violation, or an 120 authorized representative of the owner, co -owner, or designated 121 person, initiates a proc eeding to challenge the violation 122 pursuant to this paragraph, such person waives any challenge or 123 dispute as to the delivery of the notice of violation. 124 2. Penalties assessed and collected by the department, 125 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 6 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S county, or municipality authorized to collect the funds provided 126 for in this paragraph, less the amount retained by the county or 127 municipality pursuant to subparagraph 3., shall be paid to the 128 Department of Revenue weekly. Payment by the department, county, 129 or municipality to the state shall be made b y means of 130 electronic funds transfers. In addition to the payment, summary 131 detail of the penalties remitted shall be reported to the 132 Department of Revenue. 133 3. Penalties to be assessed and collected by the 134 department, county, or municipality are as follow s: 135 a. One hundred sixty-eight fifty-eight dollars for a 136 violation of s. 316.074(1) or s. 316.075(1)(c)1. when a driver 137 failed to stop at a traffic signal if enforcement is by the 138 department's traffic infraction enforcement officer. One hundred 139 dollars shall be remitted to the Department of Revenue for 140 deposit into the General Revenue Fund, $20 $10 shall be remitted 141 to the Department of Revenue for deposit into the Department of 142 Health First Responders Emergency Medical Services Trust Fund, 143 $3 shall be remitted to the Department of Revenue for deposit 144 into the Brain and Spinal Cord Injury Trust Fund, and $45 shall 145 be distributed to the municipality in which the violation 146 occurred, or, if the violation occurred in an unincorporated 147 area, to the county in whi ch the violation occurred. Funds 148 deposited into the Department of Health First Responders 149 Emergency Medical Services Trust Fund under this sub -150 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 7 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S subparagraph shall be distributed as provided in s. 395.4036(1). 151 Proceeds of the infractions in the Brain and Spi nal Cord Injury 152 Trust Fund shall be distributed quarterly to the Miami Project 153 to Cure Paralysis and used for brain and spinal cord research. 154 b. One hundred sixty-eight fifty-eight dollars for a 155 violation of s. 316.074(1) or s. 316.075(1)(c)1. when a dri ver 156 failed to stop at a traffic signal if enforcement is by a county 157 or municipal traffic infraction enforcement officer. Seventy 158 dollars shall be remitted by the county or municipality to the 159 Department of Revenue for deposit into the General Revenue Fund , 160 $20 $10 shall be remitted to the Department of Revenue for 161 deposit into the Department of Health First Responders Emergency 162 Medical Services Trust Fund, $3 shall be remitted to the 163 Department of Revenue for deposit into the Brain and Spinal Cord 164 Injury Trust Fund, and $75 shall be retained by the county or 165 municipality enforcing the ordinance enacted pursuant to this 166 section. Funds deposited into the Department of Health First 167 Responders Emergency Medical Services Trust Fund under this sub -168 subparagraph shall be distributed as provided in s. 395.4036(1). 169 Proceeds of the infractions in the Brain and Spinal Cord Injury 170 Trust Fund shall be distributed quarterly to the Miami Project 171 to Cure Paralysis and used for brain and spinal cord research. 172 4. An individual may not receive a commission from any 173 revenue collected from violations detected through the use of a 174 traffic infraction detector. A manufacturer or vendor may not 175 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 8 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S receive a fee or remuneration based upon the number of 176 violations detected through the us e of a traffic infraction 177 detector. 178 Section 4. Subsection (1) of section 316.061, Florida 179 Statutes, is amended to read: 180 316.061 Crashes involving damage to vehicle or property. — 181 (1) The driver of any vehicle involved in a crash 182 resulting only in da mage to a vehicle or other property which is 183 driven or attended by any person shall immediately stop such 184 vehicle at the scene of such crash or as close thereto as 185 possible, and shall forthwith return to, and in every event 186 shall remain at, the scene of th e crash until he or she has 187 fulfilled the requirements of s. 316.062. A person who violates 188 this subsection commits a misdemeanor of the second degree, 189 punishable as provided in s. 775.082 or s. 775.083. 190 Notwithstanding any other provision of this section, $10 $5 191 shall be added to a fine imposed pursuant to this section, which 192 $10 $5 shall be deposited in the First Responders Emergency 193 Medical Services Trust Fund. 194 Section 5. Subsection (4) of section 316.192, Florida 195 Statutes, is amended to read: 196 316.192 Reckless driving. — 197 (4) Notwithstanding any other provision of this section, 198 $10 $5 shall be added to a fine imposed pursuant to this 199 section. The clerk shall remit the $10 $5 to the Department of 200 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 9 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Revenue for deposit in the First Responders Emergency Medical 201 Services Trust Fund. 202 Section 6. Paragraph (i) of subsection (3), paragraph (c) 203 of subsection (5), paragraphs (a) and (e) of subsection (16), 204 and subsection (21) of section 318.18, Florida Statutes, are 205 amended to read: 206 318.18 Amount of penalties.—The penalties required for a 207 noncriminal disposition pursuant to s. 318.14 or a criminal 208 offense listed in s. 318.17 are as follows: 209 (3) 210 (i) A person cited for a second or subsequent conviction 211 of speed exceeding the limit by 30 miles per hour and above 212 within a 12-month period shall pay a fine that is double the 213 amount listed in paragraph (b). For purposes of this paragraph, 214 the term "conviction" means a finding of guilt as a result of a 215 jury verdict, nonjury trial, or entry of a plea of guilt y. 216 Moneys received from the increased fine imposed by this 217 paragraph shall be remitted to the Department of Revenue and 218 deposited into the Department of Health First Responders 219 Emergency Medical Services Trust Fund to provide financial 220 support to certified trauma centers to assure the availability 221 and accessibility of trauma services throughout the state. Funds 222 deposited into the First Responders Emergency Medical Services 223 Trust Fund under this section shall be allocated as follows: 224 1. Fifty percent shall be allocated equally among all 225 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 10 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Level I, Level II, and pediatric trauma centers in recognition 226 of readiness costs for maintaining trauma services. 227 2. Fifty percent shall be allocated among Level I, Level 228 II, and pediatric trauma centers based on each cen ter's relative 229 volume of trauma cases as calculated using the hospital 230 discharge data collected pursuant to s. 408.061. 231 (5) 232 (c) In addition to the penalty under paragraph (a) or 233 paragraph (b), $130 $65 for a violation of s. 316.172(1)(a) or 234 (b). If the alleged offender is found to have committed the 235 offense, the court shall impose the civil penalty under 236 paragraph (a) or paragraph (b) plus an additional $130 $65. The 237 additional $130 $65 collected under this paragraph shall be 238 remitted to the Department o f Revenue for deposit into the First 239 Responders Emergency Medical Services Trust Fund of the 240 Department of Health to be used as provided in s. 395.4036. If a 241 violation of s. 316.172(1)(a) or (b) is enforced by a school bus 242 infraction detection system pursu ant to s. 316.173, the 243 additional amount imposed on a notice of violation, on a uniform 244 traffic citation, or by the court under this paragraph must be 245 $25, in lieu of the additional $130 $65, and must be remitted to 246 the participating school district and us ed pursuant to s. 247 316.173(7). 248 (16)(a)1. One hundred and ninety-three fifty-eight dollars 249 for a violation of s. 316.074(1) or s. 316.075(1)(c)1. when a 250 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 11 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S driver has failed to stop at a traffic signal and when enforced 251 by a law enforcement officer. Sixty dol lars shall be distributed 252 as provided in s. 318.21, $30 shall be distributed to the 253 General Revenue Fund, $3 shall be remitted to the Department of 254 Revenue for deposit into the Brain and Spinal Cord Injury Trust 255 Fund, and the remaining $130 $65 shall be remitted to the 256 Department of Revenue for deposit into the First Responders 257 Emergency Medical Services Trust Fund of the Department of 258 Health. 259 2. One hundred and sixty-eight fifty-eight dollars for a 260 violation of s. 316.074(1) or s. 316.075(1)(c)1. when a driver 261 has failed to stop at a traffic signal and when enforced by the 262 department's traffic infraction enforcement officer. One hundred 263 dollars shall be remitted to the Department of Re venue for 264 deposit into the General Revenue Fund, $45 shall be distributed 265 to the county for any violations occurring in any unincorporated 266 areas of the county or to the municipality for any violations 267 occurring in the incorporated boundaries of the municip ality in 268 which the infraction occurred, $20 $10 shall be remitted to the 269 Department of Revenue for deposit into the Department of Health 270 First Responders Emergency Medical Services Trust Fund for 271 distribution as provided in s. 395.4036(1), and $3 shall be 272 remitted to the Department of Revenue for deposit into the Brain 273 and Spinal Cord Injury Trust Fund. 274 3. One hundred and sixty-eight fifty-eight dollars for a 275 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 12 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S violation of s. 316.074(1) or s. 316.075(1)(c)1. when a driver 276 has failed to stop at a traffic signal and when enforced by a 277 county's or municipality's traffic infraction enforcement 278 officer. Seventy-five dollars shall be distributed to the county 279 or municipality issuing the traffic citation, $70 shall be 280 remitted to the Department of Revenue for deposit into the 281 General Revenue Fund, $20 $10 shall be remitted to the 282 Department of Revenue for deposit into the Department of Health 283 First Responders Emergency Medical Services Trust Fund for 284 distribution as provided in s. 395.4036(1), and $3 shall be 285 remitted to the Department of Revenue for deposit into the Brain 286 and Spinal Cord Injury Trust Fund. 287 (e) Funds deposited into the Department of Health First 288 Responders Emergency Medical Services Trust Fund under this 289 subsection shall be distributed as provided in s. 395.4036(1). 290 (21) In addition to any other penalty, $130 $65 for a 291 violation of s. 316.191, prohibiting racing on highways, street 292 takeovers, and stunt driving, or s. 316.192, prohibiting 293 reckless driving. The additional $130 $65 collected under this 294 subsection shall be remitted to the Department of Revenue for 295 deposit into the First Responders Emergency Medical Services 296 Trust Fund of the Department of Health to be used as provided in 297 s. 395.4036. 298 Section 7. Subsection (11) of section 20.435, Florida 299 Statutes, is amended to read: 300 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 13 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 20.435 Department of Health; trust funds. —The following 301 trust funds shall be administered by the Department of Health: 302 (11) FIRST RESPONDERS EMERGENCY MEDICAL SERVICES TRUST 303 FUND.— 304 (a) Funds to be credited to and uses of the trust fund 305 shall be administered in accordance with ss. 318.14, 318.18, 306 318.21, 395.403, and 395.4036 and parts I and II of chapter 401. 307 (b) Notwithstanding the provisions of s. 216.301 and 308 pursuant to s. 216.351, any balance in the trust fund at the end 309 of any fiscal year shall remain in the trust fund at the end of 310 the year and shall be available for carrying out the purposes of 311 the trust fund. 312 Section 8. Subsection (5) of section 316.306, Florida 313 Statutes, is amended to read: 314 316.306 School and work zones; prohibition on the use of a 315 wireless communications device in a handheld manner. — 316 (5) Notwithstanding s. 318.21, all proceeds collecte d 317 pursuant to s. 318.18 for violations of this section must be 318 remitted to the Department of Revenue for deposit into the First 319 Responders Emergency Medical Services Trust Fund of the 320 Department of Health. 321 Section 9. Subsection (5) of section 318.14, F lorida 322 Statutes, is amended to read: 323 318.14 Noncriminal traffic infractions; exception; 324 procedures.— 325 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 14 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (5) Any person electing to appear before the designated 326 official or who is required to appear shall be deemed to have 327 waived his or her right to the ci vil penalty provisions of s. 328 318.18. The official, after a hearing, shall make a 329 determination as to whether an infraction has been committed. If 330 the commission of an infraction has been proven, the official 331 may impose a civil penalty not to exceed $500, e xcept that in 332 cases involving unlawful speed in a school zone or involving 333 unlawful speed in a construction zone, the civil penalty may not 334 exceed $1,000; or require attendance at a driver improvement 335 school, or both. If the person is required to appear be fore the 336 designated official pursuant to s. 318.19(1) and is found to 337 have committed the infraction, the designated official shall 338 impose a civil penalty of $1,000 in addition to any other 339 penalties and the person's driver license shall be suspended for 340 6 months. If the person is required to appear before the 341 designated official pursuant to s. 318.19(1) and is found to 342 have committed the infraction against a vulnerable road user as 343 defined in s. 316.027(1), the designated official shall impose a 344 civil penalty of not less than $5,000 in addition to any other 345 penalties, the person's driver license shall be suspended for 1 346 year, and the person shall be required to attend a department -347 approved driver improvement course relating to the rights of 348 vulnerable road users relative to vehicles on the roadway as 349 provided in s. 322.0261(2). If the person is required to appear 350 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 15 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S before the designated official pursuant to s. 318.19(2) and is 351 found to have committed the infraction, the designated official 352 shall impose a civil penalty of $500 in addition to any other 353 penalties and the person's driver license shall be suspended for 354 3 months. If the person is required to appear before the 355 designated official pursuant to s. 318.19(2) and is found to 356 have committed the infraction ag ainst a vulnerable road user as 357 defined in s. 316.027(1), the designated official shall impose a 358 civil penalty of not less than $1,500 in addition to any other 359 penalties, the person's driver license shall be suspended for 3 360 months, and the person shall be required to attend a department -361 approved driver improvement course relating to the rights of 362 vulnerable road users relative to vehicles on the roadway as 363 provided in s. 322.0261(2). If the official determines that no 364 infraction has been committed, no costs or penalties shall be 365 imposed and any costs or penalties that have been paid shall be 366 returned. Moneys received from the mandatory civil penalties 367 imposed pursuant to this subsection upon persons required to 368 appear before a designated official pursuant to s. 318.19(1) or 369 (2) shall be remitted to the Department of Revenue and deposited 370 into the Department of Health First Responders Emergency Medical 371 Services Trust Fund to provide financial support to certified 372 trauma centers to assure the availability and a ccessibility of 373 trauma services throughout the state. Funds deposited into the 374 First Responders Emergency Medical Services Trust Fund under 375 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 16 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S this section shall be allocated as follows: 376 (a) Fifty percent shall be allocated equally among all 377 Level I, Level II, and pediatric trauma centers in recognition 378 of readiness costs for maintaining trauma services. 379 (b) Fifty percent shall be allocated among Level I, Level 380 II, and pediatric trauma centers based on each center's relative 381 volume of trauma cases as calcu lated using the hospital 382 discharge data collected pursuant to s. 408.061. 383 Section 10. Paragraph (b) of subsection (2) and subsection 384 (15) of section 318.21, Florida Statutes, are amended to read: 385 318.21 Disposition of civil penalties by county courts .—386 All civil penalties received by a county court pursuant to the 387 provisions of this chapter shall be distributed and paid monthly 388 as follows: 389 (2) Of the remainder: 390 (b) Seven and two-tenths percent shall be remitted to the 391 Department of Revenue for depo sit in the First Responders 392 Emergency Medical Services Trust Fund for the purposes set forth 393 in s. 401.113. 394 (15) Of the additional fine assessed under s. 318.18(3)(f) 395 for a violation of s. 316.1893, 50 percent of the moneys 396 received from the fines shall be appropriated to the Agency for 397 Health Care Administration as general revenue to provide an 398 enhanced Medicaid payment to nursing homes that serve Medicaid 399 recipients with brain and spinal cord injuries. The remaining 50 400 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 17 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S percent of the moneys received fro m the enhanced fine imposed 401 under s. 318.18(3)(f) shall be remitted to the Department of 402 Revenue and deposited into the Department of Health First 403 Responders Emergency Medical Services Trust Fund to provide 404 financial support to certified trauma centers in the counties 405 where enhanced penalty zones are established to ensure the 406 availability and accessibility of trauma services. Funds 407 deposited into the First Responders Emergency Medical Services 408 Trust Fund under this subsection shall be allocated as follows: 409 (a) Fifty percent shall be allocated equally among all 410 Level I, Level II, and pediatric trauma centers in recognition 411 of readiness costs for maintaining trauma services. 412 (b) Fifty percent shall be allocated among Level I, Level 413 II, and pediatric trauma centers based on each center's relative 414 volume of trauma cases as calculated using the hospital 415 discharge data collected pursuant to s. 408.061. 416 Section 11. Subsection (1) of section 320.0801, Florida 417 Statutes, is amended to read: 418 320.0801 Additional license tax on certain vehicles. — 419 (1) In addition to the license taxes specified in s. 420 320.08 and in subsection (2), there is hereby levied and imposed 421 an annual license tax of 10 cents for the operation of a motor 422 vehicle, as defined in s. 320.01, and moped, as defined in s. 423 316.003, which tax shall be paid to the department or its agent 424 upon the registration or renewal of registration of the vehicle. 425 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 18 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Notwithstanding s. 320.20, revenues collected from the tax 426 imposed in this subsection shall be deposit ed in the First 427 Responders Emergency Medical Services Trust Fund and used solely 428 for the purpose of carrying out ss. 395.401, 395.4015, 395.404, 429 and 395.4045 and s. 11, chapter 87 -399, Laws of Florida. 430 Section 12. Paragraph (b) of subsection (118) of s ection 431 320.08058, Florida Statutes, is amended to read: 432 320.08058 Specialty license plates. — 433 (118) SUPPORT HEALTHCARE HEROES LICENSE PLATES. — 434 (b) The annual use fees from the sale of the plate shall 435 be distributed annually into the First Responders Emergency 436 Medical Services Trust Fund within the Department of Health to 437 provide financial support for prehospital emergency medical 438 services pursuant to s. 401.113. 439 Section 13. Subsection (3) of section 395.401, Florida 440 Statutes, is amended to read: 441 395.401 Trauma services system plans; approval of trauma 442 centers and pediatric trauma centers; procedures; renewal. — 443 (3) The department may withdraw local or regional agency 444 authority, prescribe corrective actions, or use the 445 administrative remedies as provided in s. 395.1065 for the 446 violation of any provision of this section and ss. 395.4015, 447 395.402, 395.4025, 395.403, 395.404, and 395.4045 or rules 448 adopted thereunder. All amounts collected pursuant to this 449 subsection shall be deposited into the First Responders 450 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 19 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Emergency Medical Services Trust Fund provided in s. 401.34. 451 Section 14. Subsections (1) and (2) of section 395.403, 452 Florida Statutes, are amended to read: 453 395.403 Reimbursement of trauma centers. — 454 (1) All verified trauma centers shall b e considered 455 eligible to receive state funding when state funds are 456 specifically appropriated for state -sponsored trauma centers in 457 the General Appropriations Act. Effective July 1, 2010, The 458 department shall make payments from the First Responders 459 Emergency Medical Services Trust Fund under s. 20.435 to the 460 trauma centers. Payments shall be in equal amounts for the 461 trauma centers approved by the department as of July 1 of the 462 fiscal year in which funding is appropriated. In the event a 463 trauma center does n ot maintain its status as a trauma center 464 for any state fiscal year in which such funding is appropriated, 465 the trauma center shall repay the state for the portion of the 466 year during which it was not a trauma center. 467 (2) Trauma centers eligible to receive distributions from 468 the First Responders Emergency Medical Services Trust Fund under 469 s. 20.435 in accordance with subsection (1) may request that 470 such funds be used as intergovernmental transfer funds in the 471 Medicaid program. 472 Section 15. Subsections (1 ) and (2) of section 395.4036, 473 Florida Statutes, are amended to read: 474 395.4036 Trauma payments. — 475 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 20 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (1) Recognizing the Legislature's stated intent to provide 476 financial support to the current verified trauma centers and to 477 provide incentives for the estab lishment of additional trauma 478 centers as part of a system of state -sponsored trauma centers, 479 the department shall utilize funds collected under s. 318.18 and 480 deposited into the First Responders Emergency Medical Services 481 Trust Fund of the department to ens ure the availability and 482 accessibility of trauma services throughout the state as 483 provided in this subsection. 484 (a) Funds collected under s. 318.18(16) shall be 485 distributed as follows: 486 1. Twenty percent of the total funds collected during the 487 state fiscal year shall be distributed to verified trauma 488 centers that have a local funding contribution as of December 489 31. Distribution of funds under this subparagraph shall be based 490 on trauma caseload volume for the most recent calendar year 491 available. 492 2. Forty percent of the total funds collected shall be 493 distributed to verified trauma centers based on trauma caseload 494 volume for the most recent calendar year available. The 495 determination of caseload volume for distribution of funds under 496 this subparagraph shall be based on the hospital discharge data 497 for patients who meet the criteria for classification as a 498 trauma patient reported by each trauma center pursuant to s. 499 408.061. 500 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 21 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 3. Forty percent of the total funds collected shall be 501 distributed to verified trauma centers based on severity of 502 trauma patients for the most recent calendar year available. The 503 determination of severity for distribution of funds under this 504 subparagraph shall be based on the department's International 505 Classification Injury Severity Score s or another statistically 506 valid and scientifically accepted method of stratifying a trauma 507 patient's severity of injury, risk of mortality, and resource 508 consumption as adopted by the department by rule, weighted based 509 on the costs associated with and incu rred by the trauma center 510 in treating trauma patients. The weighting of scores shall be 511 established by the department by rule. 512 (b) Funds collected under s. 318.18(5)(c) and (21) shall 513 be distributed as follows: 514 1. Thirty percent of the total funds coll ected shall be 515 distributed to Level II trauma centers operated by a public 516 hospital governed by an elected board of directors as of 517 December 31, 2008. 518 2. Thirty-five percent of the total funds collected shall 519 be distributed to verified trauma centers bas ed on trauma 520 caseload volume for the most recent calendar year available. The 521 determination of caseload volume for distribution of funds under 522 this subparagraph shall be based on the hospital discharge data 523 for patients who meet the criteria for classifica tion as a 524 trauma patient reported by each trauma center pursuant to s. 525 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 22 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 408.061. 526 3. Thirty-five percent of the total funds collected shall 527 be distributed to verified trauma centers based on severity of 528 trauma patients for the most recent calendar year ava ilable. The 529 determination of severity for distribution of funds under this 530 subparagraph shall be based on the department's International 531 Classification Injury Severity Scores or another statistically 532 valid and scientifically accepted method of stratifying a trauma 533 patient's severity of injury, risk of mortality, and resource 534 consumption as adopted by the department by rule, weighted based 535 on the costs associated with and incurred by the trauma center 536 in treating trauma patients. The weighting of scores shal l be 537 established by the department by rule. 538 (2) Funds deposited in the department's First Responders 539 Emergency Medical Services Trust Fund for verified trauma 540 centers may be used to maximize the receipt of federal funds 541 that may be available for such tra uma centers. Notwithstanding 542 this section and s. 318.14, distributions to trauma centers may 543 be adjusted in a manner to ensure that total payments to trauma 544 centers represent the same proportional allocation as set forth 545 in this section and s. 318.14. For purposes of this section and 546 s. 318.14, total funds distributed to trauma centers may include 547 revenue from the First Responders Emergency Medical Services 548 Trust Fund and federal funds for which revenue from the 549 Administrative Trust Fund is used to meet sta te or local 550 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 23 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S matching requirements. Funds collected under ss. 318.14 and 551 318.18 and deposited in the First Responders Emergency Medical 552 Services Trust Fund of the department shall be distributed to 553 trauma centers on a quarterly basis using the most recent 554 calendar year data available. Such data shall not be used for 555 more than four quarterly distributions unless there are 556 extenuating circumstances as determined by the department, in 557 which case the most recent calendar year data available shall 558 continue to be used and appropriate adjustments shall be made as 559 soon as the more recent data becomes available. 560 Section 16. Subsection (2) of section 401.2715, Florida 561 Statutes, is amended to read: 562 401.2715 Recertification training of emergency medical 563 technicians and paramedics.— 564 (2) Any individual, institution, school, corporation, or 565 governmental entity may conduct emergency medical technician or 566 paramedic recertification training upon application to the 567 department and payment of a nonrefundable fee to be depo sited 568 into the First Responders Emergency Medical Services Trust Fund. 569 Institutions conducting department -approved educational programs 570 as provided in this chapter and licensed ambulance services are 571 exempt from the application process and payment of fees. The 572 department shall adopt rules for the application and payment of 573 a fee not to exceed the actual cost of administering this 574 approval process. 575 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 24 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Section 17. Subsection (1) of section 401.34, Florida 576 Statutes, is amended to read: 577 401.34 Fees.— 578 (1) Each organization subject to this part must pay to the 579 department the following nonrefundable fees, and these fees must 580 be deposited into the First Responders Emergency Medical 581 Services Trust Fund to be applied solely for salaries and 582 expenses of the depart ment incurred in implementing and 583 enforcing this part: 584 (a) Basic life support service license application: $660, 585 to be paid biennially. 586 (b) Advanced life support service license application: 587 $1,375, to be paid biennially. 588 (c) Original or renewal vehicle permit application for 589 basic or advanced life support: $25, to be paid biennially. 590 (d) Air ambulance service application: $1,375, to be paid 591 biennially. 592 (e) Original or renewal aircraft permit application for 593 air ambulance: $25, to be paid bien nially. 594 Section 18. Subsection (8) of section 401.411, Florida 595 Statutes, is amended to read: 596 401.411 Disciplinary action; penalties. — 597 (8) All amounts collected under this section must be 598 deposited into the First Responders Emergency Medical Service s 599 Trust Fund. 600 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 25 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Section 19. Paragraph (b) of subsection (2) of section 601 401.421, Florida Statutes, is amended to read: 602 401.421 Injunctive relief; cease and desist notice; civil 603 penalty; enforcement. — 604 (2) 605 (b) In addition to or in lieu of any remedy pr ovided in 606 paragraph (a), the department may seek the imposition of a civil 607 penalty by the circuit court for any violation for which the 608 department may issue a notice to cease and desist under 609 paragraph (a). The civil penalty must be no less than $500 and 610 no more than $5,000 for each offense. The court may, in addition 611 to any other remedy it finds appropriate, award to the 612 prevailing party court costs and a reasonable attorney's fee, 613 and, if the department prevails, the court may also award 614 reasonable costs of investigation. All amounts collected by the 615 department under this paragraph must be deposited into the First 616 Responders Emergency Medical Services Trust Fund. 617 Section 20. Paragraph (e) of subsection (4) of section 618 401.465, Florida Statutes, is amend ed to read: 619 401.465 911 public safety telecommunicator certification. — 620 (4) FEES.— 621 (e) Fees collected under this section shall be deposited 622 into the First Responders Emergency Medical Services Trust Fund 623 and used solely for salaries and expenses of th e department 624 incurred in administering this section. 625 HB 1591 2025 CODING: Words stricken are deletions; words underlined are additions. hb1591-00 Page 26 of 26 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Section 21. Section 938.07, Florida Statutes, is amended 626 to read: 627 938.07 Driving or boating under the influence. —628 Notwithstanding any other provision of s. 316.193 or s. 327.35, 629 a court cost of $135 shall be added to any fine imposed pursuant 630 to s. 316.193 or s. 327.35. The clerks shall remit the funds to 631 the Department of Revenue, $25 of which shall be deposited in 632 the First Responders Emergency Medical Services Trust Fund, $50 633 shall be deposited in the Operating Trust Fund of the Department 634 of Law Enforcement to be used for operational expenses in 635 conducting the statewide criminal analysis laboratory system 636 established in s. 943.32, and $60 shall be deposited in the 637 Brain and Spinal Cord Injury Program Trust Fund created in s. 638 381.79. 639 Section 22. This act shall take effect October 1, 2025. 640