1. Special Funding for Uncompensated Emergency Care
Maddy EMS Fund
Special Funding for Uncompensated Emergency Care

2. Background
In 1987, SB 12 authorized counties to create an Emergency Medical Services Fund
Enrolled as Health & Safety Code, Division 2.5,
Officially known as “Maddy Emergency Medical Services Fund” after the bill’s author, Ken Maddy
Pays up to 50% reimbursement to physicians and hospitals for emergency medical services provided to patients who do not pay for medical care
Provides limited funding for local EMS activities
Implemented locally by Board of Supervisors

3. Revenue Sources Penalty assessments are collected by the courts via:
Charges on fines, penalties and forfeitures for certain criminal offenses and motor vehicle violations
A portion of fees collected from violators attending traffic school
A charge of $2 per $10 is levied on applicable fines, penalties and forfeitures
If a fine for a moving violation is $100, an additional $20 would also be collected by the court for the EMS Fund
Collectively known as “Maddy Revenues”

4. Original Maddy Fund Distribution Formula

5. SB 1773 (Alarcon) Became state law as of January 1, 2007
Allows local option to assess up to an additional $2 per $10 from fines, penalties and forfeitures
Requires a NEW 15% allocation be set aside for pediatric trauma care
Also known as “Richie’s Fund”
Remaining revenues are distributed:
58% to physicians
25% to hospitals
17% to EMS

6. Revised Maddy Fund Distribution Formula

7. SB 1236 (Padilla)
Original legislation (SB 1773) was to sunset January 1, 2009
SB 1236 extended the sunset date to January 1, 2014