1.1 A bill for an act 1.2 relating to health; providing aid to certain licensed ambulance services; requiring 1.3 reports; appropriating money. 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.5 Section 1. AID TO AMBULANCE SERVICES. 1.6 Subdivision 1.Definitions.(a) For purposes of this section, the definitions in Minnesota 1.7Statutes, section 144E.001, apply and the terms in this subdivision have the meanings given. 1.8 (b) "EMS responses" means the number of responses reported to the director by a licensee 1.9via the Minnesota state ambulance reporting system during the previous calendar year. 1.10 (c) "Response density" means the quotient of a licensee's EMS responses divided by the 1.11square mileage of the licensee's primary service area. 1.12 Subd. 2.Excluded services.The director shall exclude EMS responses by specialized 1.13life support as described under Minnesota Statutes, section 144E.101, subdivision 9, when 1.14calculating EMS responses, response density, or aid payments under this section. 1.15 Subd. 3.Multiple licenses.When a licensee, a licensee's parent company, a subsidiary 1.16of the licensee, or a subsidiary of the licensee's parent company collectively hold one or 1.17more licenses, the director must treat all such related licensees as a single licensee and the 1.18sum of the square mileages of the primary service areas as a single primary service area for 1.19the purposes of calculating EMS responses, response density, and aid payments under this 1.20section. 1Section 1. 25-03990 as introduced03/05/25 REVISOR AGW/DD SENATE STATE OF MINNESOTA S.F. No. 2538NINETY-FOURTH SESSION (SENATE AUTHORS: RASMUSSON, Farnsworth and Lang) OFFICIAL STATUSD-PGDATE Introduction and first reading03/13/2025 Referred to Health and Human Services 2.1 Subd. 4.Eligible licensees; application process.(a) Only licensees with a response 2.2density of 30 responses per square mile or fewer are eligible for aid payments under this 2.3section. 2.4 (b) An eligible licensee may apply to the director, in the form and manner determined 2.5by the director, for aid payments under this section. 2.6 Subd. 5.Director calculations.(a) Prior to determining an aid payment amount for 2.7eligible applicants, the director must make the calculations in paragraphs (b) to (d). 2.8 (b) For each eligible applicant, the director shall determine the amount equal to dividing 2.920 percent of the amount appropriated for aid payments under this section equally among 2.10all eligible applicants. 2.11 (c) For each eligible applicant, the director shall determine the amount equal to dividing 2.1240 percent of the amount appropriated for aid payments under this section by each eligible 2.13applicant's share of the total square mileage of all eligible applicants' primary service areas. 2.14For the purposes of both calculating the total square mileage of the primary service areas 2.15of all eligible applicants and for calculating each eligible applicant's share of the total, the 2.16square mileage of each eligible applicant's primary service area is capped at 1,200 square 2.17miles. 2.18 (d) For each eligible applicant, the director shall determine the amount equal to dividing 2.1940 percent of the amount appropriated for aid payments under this section by each eligible 2.20applicant's share of the total EMS response points awarded according to clauses (1) to (4): 2.21 (1) for EMS response 1 to EMS response 500, a licensee is awarded ten points for each 2.22EMS response; 2.23 (2) for EMS response 501 to EMS response 1,500, a licensee is awarded five points for 2.24each EMS response; 2.25 (3) for EMS response 1,501 to EMS response 2,500, a licensee is awarded zero points 2.26for each EMS response; and 2.27 (4) for EMS response 2,501 and each subsequent EMS response, a licensee's points are 2.28reduced by two points for each EMS response, except a licensee's total awarded points must 2.29not be reduced below zero. 2.30 Subd. 6.Aid amount.The director must make an aid payment to an eligible applicant 2.31in the amount equal to the sum of the amounts calculated in subdivision 5, paragraphs (b) 2.32to (d). 2Section 1. 25-03990 as introduced03/05/25 REVISOR AGW/DD 3.1 Subd. 7.Eligible uses.A recipient of an aid payment under this section must spend the 3.2money only on expenses incurred in the provision of licensed ambulance services within 3.3the recipient's primary service area or areas. A recipient of an aid payment under this section 3.4must spend the entire amount within two calendar years after receiving the aid. Any unspent 3.5aid must be returned to the director. 3.6 Subd. 8.Payment date.The director must certify the aid payment amount for each 3.7eligible applicant and must make the full aid payment by December 31 of each calendar 3.8year. 3.9 Subd. 9.Report.(a) By December 31 of each year following the receipt of an aid payment 3.10under this section, a recipient of an aid payment must submit to the director a report 3.11summarizing how the recipient used the revenue from the aid payment made in the preceding 3.12year. 3.13 (b) By March 31 of each year following the reporting required under paragraph (a), the 3.14director must submit to the chairs and ranking minority members of the legislative committees 3.15with jurisdiction over the Office of Emergency Medical Services a report summarizing the 3.16information provided by aid recipients under paragraph (a). 3.17 Subd. 10.Appropriation.$15,000,000 in fiscal year 2026 and $15,000,000 in fiscal 3.18year 2027 are appropriated from the general fund to the Office of Emergency Medical 3.19Services for aid payments to eligible applicants under this section. 3Section 1. 25-03990 as introduced03/05/25 REVISOR AGW/DD