STROKE, STEMI ADVISORY SUBCOMMITTEES                                                   S.B. 521:

                                                                                                    SUMMARY OF BILL

                                                                                     REPORTED FROM COMMITTEE

Senate Bill 521 (as reported without amendment)

Sponsor:  Senator John Bizon, MD

Committee:  Health Policy and Human Services

CONTENT

The bill would amend the Public Health Code to do the following:

-- Establish the stroke and STEMI advisory subcommittees under the Emergency Medical Services Coordination Committee to assist the Department of Health and Human Services (DHHS) on all matters concerning the development, implementation, and continuing operation of a statewide system of care for time-sensitive emergencies.

-- Require the DHHS, in consultation with the subcommittees, to develop, implement, and promulgate rules for the implementation and operation of a statewide system of care for time-sensitive emergencies within one year after the bill's effective date.

-- Require the promulgated rules to ensure that the statewide system of care for time-sensitive emergencies was integrated into the statewide trauma care system within the emergency medical services system and require the rules to include certain requirements.

MCL 333.20904 et al.                                              Legislative Analyst:  Stephen Jackson

FISCAL IMPACT

The bill would have an indeterminate negative fiscal impact on the DHHS and no fiscal impact on local units of government. The DHHS would incur costs for staff or support provided to the advisory subcommittees. Members of the subcommittees would serve without compensation; however, they could be reimbursed for necessary travel and expenses consistent with current law, rules, and procedures subject to available funding. The typical annual costs to support an advisory subcommittee can range from $10,000 to $200,000 depending on travel expenses and staff demands. As mentioned, the costs would be determined by demand and available funding within the DHHS; thus, there would be no anticipated need for additional funding.

The bill also would have an indeterminate negative fiscal impact on the DHHS associated with the development of rules for the implementation and operation of a proposed statewide system of care for time-sensitive emergencies. An explanation of the types of cost associated with the implementation process can be found in a white paper submitted to the State by the Bureau of EMS, Trauma & Preparedness in October 2020.[1] The fiscal year 2021-2022 Senate-passed DHHS budget included $3.0 million for the implementation of a statewide system of care for time-sensitive emergencies. The $3.0 million General Fund/General Purpose (GF/GP) appropriation consisted of $1.5 million GF/GP for a stroke system of care and $1.5 million GF/GP for a STEMI system of care.

Date Completed:  6-22-21                                               Fiscal Analyst:  Ellyn Ackerman

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.

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[1] Bureau of EMS, Trauma & Preparedness, "A Statewide System of Care for Time Sensitive Emergencies: The Integration of Stroke and STEMI Care into the Regional Trauma System", 10-7-2020, available at www.michigan.gov/documents/mdhhs/SOC_Whitepaper_Final_AB_10-7-20_EW_JS_704662_7.pdf.