Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF1080 Compare Versions

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11 1.1 A bill for an act​
22 1.2 relating to health; establishing an ambulance operating deficit grant program;​
33 1.3 establishing an account; requiring reports; proposing coding for new law in​
44 1.4 Minnesota Statutes, chapter 144E.​
55 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​
66 1.6 Section 1. [144E.54] AMBULANCE OPERATING DEFICIT GRANT PROGRAM.​
77 1.7 Subdivision 1.Definitions.(a) For the purposes of this section, the terms defined in this​
88 1.8subdivision have the meanings given.​
99 1.9 (b) "Capital expenses" means expenses incurred by a licensee for the purchase,​
1010 1.10improvement, or maintenance of assets with an expected useful life of greater than five​
1111 1.11years that improve the efficiency of provided ambulance services or the capabilities of the​
1212 1.12licensee.​
1313 1.13 (c) "EMS response" means the number of responses provided within a primary service​
1414 1.14area during the most recently completed calendar year by the licensed ambulance service​
1515 1.15provider designated to serve the primary service area as reported by the provider to the​
1616 1.16board via the Minnesota state ambulance reporting system.​
1717 1.17 (d) "Government licensee" means any government entity, as defined in section 118A.01,​
1818 1.18subdivision 2, including a Tribe, that is a licensee.​
1919 1.19 (e) "Insurance revenue" means revenue from Medicare, medical assistance, private health​
2020 1.20insurance, third-party liability insurance, and payments from individuals.​
2121 1.21 (f) "Operating deficit" means the sum of insurance revenue and other revenue is less​
2222 1.22than the sum of operational expenses and capital expenses.​
2323 1​Section 1.​
2424 25-02432 as introduced​02/03/25 REVISOR AGW/ES​
2525 SENATE​
2626 STATE OF MINNESOTA​
2727 S.F. No. 1080​NINETY-FOURTH SESSION​
2828 (SENATE AUTHORS: HAUSCHILD)​
2929 OFFICIAL STATUS​D-PG​DATE​
3030 Introduction and first reading​02/06/2025​
3131 Referred to Health and Human Services​ 2.1 (g) "Operational expenses" means costs related to the day-to-day operations of an​
3232 2.2ambulance service, including but not limited to costs related to personnel, supplies and​
3333 2.3equipment, fuel, vehicle maintenance, travel, education, and fundraising.​
3434 2.4 (h) "Other revenue" means revenue from any revenue that is not insurance revenue,​
3535 2.5including but not limited to grants, tax revenue, donations, fundraisers, or standby fees.​
3636 2.6 (i) "Response density" means the quotient of EMS responses divided by the square​
3737 2.7mileage of the primary service area.​
3838 2.8 Subd. 2.Program establishment.An ambulance operating deficit grant program is​
3939 2.9established to award grants to applicants to address revenue shortfalls creating operating​
4040 2.10deficits among eligible applicants.​
4141 2.11 Subd. 3.Account established.An ambulance operating deficit account is created in the​
4242 2.12special revenue fund in the state treasury. The director shall credit the account appropriations​
4343 2.13and transfers to the account. Earnings, including interest, dividends, and any other earnings​
4444 2.14arising from assets of the account, must be credited to the account. The director shall manage​
4545 2.15the account.​
4646 2.16 Subd. 4.Eligible applicants.For the purposes of this section "eligible applicant" means​
4747 2.17any licensee who possessed a license not excluded under subdivision 5 or 6 in the last​
4848 2.18completed state fiscal year for which data was provided to the director, as provided in section​
4949 2.1962J.49, who continues to operate that same nonexcluded license at the time of application,​
5050 2.20and who provides verifiable evidence of an operating deficit in the state fiscal year prior to​
5151 2.21submitting an application.​
5252 2.22 Subd. 5.Licensee providing specialized life support services excluded.Licensees​
5353 2.23providing specialized life support services as described in section 144E.101, subdivision 9,​
5454 2.24are ineligible for grants under this section.​
5555 2.25 Subd. 6.Certain single license holders excluded.Licensees who possess only one​
5656 2.26license are not eligible for grants under this section if the licensed primary service area has​
5757 2.27a response density greater than 30.​
5858 2.28 Subd. 7.Certain multiple license holders excluded.(a) Except as provided under​
5959 2.29paragraph (b), all licenses held by a multiple license holder are ineligible for grants under​
6060 2.30this section if any license held by a multiple license holder is designated to serve a primary​
6161 2.31service area, any portion of which is located within the cities of Duluth, Mankato, Rochester,​
6262 2.32or St. Cloud, or a metropolitan county.​
6363 2​Section 1.​
6464 25-02432 as introduced​02/03/25 REVISOR AGW/ES​ 3.1 (b) For a multiple license holder affiliated with a private nonprofit adult hospital that is​
6565 3.2located in Hennepin County and designated by the commissioner of health as a level I trauma​
6666 3.3hospital, only the licenses held by the multiple license holder and located entirely within​
6767 3.4one or more metropolitan counties are ineligible for grants under this section.​
6868 3.5 Subd. 8.Application process.(a) An eligible licensee may apply to the director, in the​
6969 3.6form and manner determined by the director, for a grant under this section.​
7070 3.7 (b) A grant application made by a government licensee must be accompanied by a​
7171 3.8resolution of support from the governing body.​
7272 3.9 Subd. 9.Director calculations.The director shall award grants only to applicants who​
7373 3.10provide verifiable evidence of an operating deficit in the last completed state fiscal year for​
7474 3.11which data were provided to the director. A grant awarded must not be more than five​
7575 3.12percent more than any previous grant without special permission from the director.​
7676 3.13 Subd. 10.Grant awards; limitations.(a) Grants awarded under this section to eligible​
7777 3.14applicants may be proportionally distributed based on money available. Total amounts​
7878 3.15awarded must not exceed the amount in the ambulance operating deficit account.​
7979 3.16 (b) The director shall award grants annually.​
8080 3.17 (c) The director must not award individual grants that exceed the amount of the grantee's​
8181 3.18most recent verified operating deficit as reported to the director.​
8282 3.19 Subd. 11.Eligible expenditures.A grantee must spend grant money received under​
8383 3.20this section on operational expenses and capital expenses incurred to provide ambulance​
8484 3.21services.​
8585 3.22 Subd. 12.Report.By February 15, 2026, and annually thereafter, the director must​
8686 3.23submit a report to the chairs and ranking minority members of the legislative committees​
8787 3.24with jurisdiction over health finance and policy. The report must describe the number and​
8888 3.25amount of grants awarded under this section and the uses made of grant money by grantees.​
8989 3​Section 1.​
9090 25-02432 as introduced​02/03/25 REVISOR AGW/ES​