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SF 42

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2025 Regular Session Introduced by Eric Barlow and 3 co-sponsors

SF 42 expands county EMS trust fund uses to pay salaries of emergency medical care providers, effective immediately.

Assigned Chapter Number 37
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WeVote Research Nonpartisan
Bill Summary · SF 42

Summary — SF 42 (2025)

Title: An act modifying the costs eligible for emergency medical services fund expenditures, and including effective date provisions.
Bill number: SF 42 — Enacted (signed by Governor March 28, 2025).
Effective date: Upon enactment (March 28, 2025).

Purpose

To expand what county emergency medical services trust funds may be spent on by explicitly authorizing the payment of salaries or wages for emergency medical care providers who deliver emergency medical services.

Key provisions

  • Amends Iowa Code §422D.6(3) by adding a new paragraph (i) that:
    • Authorizes trust fund expenditures for "the salaries or wages of emergency medical care providers providing emergency medical services."
    • Specifies that the terms “emergency medical care provider” and “emergency medical services” have the meanings given in Iowa Code §147A.1.
  • Retains existing framework under which counties, after adopting a resolution declaring EMS an essential county service, may seek voter approval to impose a local option income surtax or an ad valorem property tax; proceeds are deposited into a county emergency medical services trust fund.
  • Effective immediately upon enactment.

Who is affected

  • Counties that have established (or may establish) an emergency medical services trust fund funded by local option surtax or property tax: they may now use trust fund proceeds to pay compensation to EMS personnel.
  • Emergency medical care providers (as defined in §147A.1): salaries and wages for these individuals become an explicitly eligible expense.
  • Local taxpayers: funds raised by approved local option taxes may be directed toward EMS personnel compensation rather than limited to other allowable EMS expenditures.

Potential impacts

  • Operational: Gives counties clearer authority to use trust fund revenues for staff compensation, which may aid hiring, retention, and service continuity.
  • Budgetary: May shift how counties allocate trust fund dollars (more toward personnel costs); the bill does not appropriate new state funding.
  • Local control: Counties with voter-approved taxes retain discretion to direct funds within the expanded allowable uses.

Legislative and procedural history

  • Introduced Jan 14, 2025; referred to Local Government.
  • Committee and subcommittee review in January–February 2025; recommended for passage.
  • Passed both chambers on March 10, 2025 (Senate 47–0; House 89–0).
  • Reported enrolled and sent to Governor; signed March 28, 2025 (effective upon enactment).

Note: Definitions of “emergency medical care provider” and “emergency medical services” are those contained in Iowa Code §147A.1.

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

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