LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
FISCAL IMPACT STATEMENT
LS 7520 NOTE PREPARED: Apr 3, 2025
BILL NUMBER: SB 505 BILL AMENDED: Apr 3, 2025
SUBJECT: Emergency Transport to Appropriate Facility.
FIRST AUTHOR: Sen. Deery BILL STATUS: CR Adopted - 2
nd
House
FIRST SPONSOR: Rep. Goss-Reaves
FUNDS AFFECTED:XGENERAL IMPACT: State & Local
XDEDICATED
XFEDERAL
Summary of Legislation: (Amended) The bill allows, subject to a written agreement concerning the
transport of individuals, an emergency medical responder, an emergency medical technician, an advanced
emergency medical technician, or a paramedic (emergency medical services personnel) to transport an
individual to: (1) a health care facility; (2) a mental health facility; or (3) an urgent care facility; that can
provide the individual with appropriate and necessary treatment. The bill specifies information that must be
included in a written agreement.
It allows reimbursement for transporting the individual to the facility.
Effective Date: July 1, 2025.
Explanation of State Expenditures: (Revised) The bill allows reimbursement for emergency medical
services personnel to transport a patient to a location other than a hospital. However, the source of the
reimbursement will depend on the health care coverage of the patient and other arrangements the emergency
medical services personnel have with local units or groups. If additional reimbursement occurs, costs to the
state employees health plan and Medicaid could increase. Conversely, if the cost of care at one of the
facilities allowed by the bill is less than the cost of an emergency department or avoids further transportation
costs, cost savings may occur.
Explanation of State Revenues:
Explanation of Local Expenditures: (Revised) Local units providing insurance coverage could have
additional transportation costs or cost savings based on the location of care. (See Explanation of State
Expenditures.)
Explanation of Local Revenues: Locally owned entities employing emergency medical services personnel
could receive reimbursement depending on the health care coverage of the individual treated.
State Agencies Affected: Office of the Secretary of Family and Social Services; State Personnel
SB 505 1 Department.
Local Agencies Affected: Local units providing health care benefits; local entities employing emergency
medical services personnel.
Information Sources:
Fiscal Analyst: Karen Rossen, 317-234-2106.
SB 505 2