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HF 19

A bill for an act modifying the costs eligible for emergency medical services fund expenditures, and including effective date provisions.

2025-2026 Regular Session Introduced by Taylor Collins

Expands the EMS trust fund to cover salaries and wages of emergency medical care providers delivering EMS, taking effect immediately upon enactment.

Withdrawn.
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Bill Summary · HF 19

HF 19 — Summary

A bill to modify the costs eligible for emergency medical services fund expenditures and to set an immediate effective date. The bill was introduced January 14, 2025, sponsored by Collins (primary), referred to Local Government, and ultimately withdrawn on March 14, 2025. During its progression, it was renumbered as HF 307 in committee before withdrawal.

Overview

  • Purpose: Expand the range of costs that may be covered by an emergency medical services (EMS) trust fund to include the salaries or wages of emergency medical care providers who deliver EMS.
  • Immediate effect: If enacted, the act would take effect upon enactment.

Key Provisions

  • Section 422D.6(3) is amended by adding a new paragraph i.
    • (i)(1) The salaries or wages of emergency medical care providers providing emergency medical services may be paid from the EMS trust fund.
    • (i)(2) For purposes of this paragraph, “emergency medical care provider” and “emergency medical services” have the same meaning as defined in section 147A.1.
  • Definitions: The bill explicitly ties the definition of EMS provider and EMS services to the definitions in section 147A.1.
  • Effective date: The act takes effect immediately upon enactment.

Background and Context

  • Current framework (prior to the bill): When a county declares emergency medical services an essential county service, the county board may place a local option sales tax or property tax question before voters. Proceeds are deposited into the emergency medical services trust fund to finance eligible EMS activities and costs.
  • Proposed change: Add salaries or wages of EMS providers delivering EMS to the list of costs eligible for trust fund expenditures, expanding the fund’s use beyond other previously eligible costs.

Fiscal and Financial Implications

  • The bill creates a broader eligible-use category for the EMS trust fund by including personnel costs (salaries/wages) of EMS providers.
  • No specific dollar amounts or funding cap changes are stated in the introduced text; the fiscal impact would depend on county-level staffing and revenue from local option taxes or property taxes dedicated to the EMS fund.

Affected Parties

  • Emergency medical care providers (EMS personnel) who could be funded through the EMS trust fund.
  • Counties and county EMS systems that have or would declare EMS as an essential service and establish EMS trust funds.
  • Local taxpayers whose taxes fund the EMS trust accounts.

Procedural History and Status

  • 2025-01-14: Introduced and referred to Local Government.
  • 2025-01-23 / 2025-01-28: Subcommittee meetings and passage recommendations.
  • 2025-02-06: Committee report recommending passage; committee vote approved (Yeas 18, Nays 0; Excused 2).
  • 2025-02-10: Committee approved and renumbered as HF 307.
  • 2025-03-14: Withdrawn from consideration (no enactment).

Notes for Readers

  • Although advanced through committee and renumbered, HF 19 did not become law due to withdrawal. If reintroduced, the bill could be amended, re-referred, and potentially advance with similar changes to EMS funding and provider compensation.

Compiled from official sources — confirm details with the bill’s official record.

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