03/22/1993 09:07 AM Senate FIN

                                                                               
  SPONSOR SUBSTITUTE FOR SENATE BILL NO. 71                                    
                                                                               
       An  Act  relating  to emergency  medical  services; and                 
       repealing obsolete references  to the Statewide  Health                 
       Coordinating Council and health systems agencies.                       
                                                                               
  Co-chair Pearce  directed that  SSSB  71 be  brought on  for                 
  discussion.                                                                  
                                                                               
  Co-chair Frank explained that review of  the Dept. of Health                 
  and Social Services fiscal note for the bill  concluded that                 
  additional  positions  would  not be  required.    Positions                 
  requested  in  the  department  note  are  presently  funded                 
  through a federal grant which is to be discontinued.  It was                 
  determined to be inappropriate to use SSSB 71 as the vehicle                 
  to fund  and continue those positions.   Co-chair Frank then                 
  suggested  that the  department note  be replaced by  a zero                 
  Senate Finance note.                                                         
                                                                               
  Co-chair Pearce noted adoption of Senator Leman's "amendment                 
  no. 1, corrected"  at the March 15, 1993, meeting.  She then                 
                                                                               
                                                                               
  directed  attention  to  proposed amendments  nos.  2  and 3                 
  distributed by  Senator Rieger.   Senator  Rieger MOVED  for                 
  adoption of amendment no.  2 (copy on file in  the permanent                 
  Senate  Finance  file for  SB 71).    He explained  that the                 
  amendment   would   make   bill   language   permissive   by                 
  substituting  "may"  for   "shall"  at  page  4,   line  18.                 
  Additional language changes  within the amendment relate  to                 
  collection  of information on EMS patient  care.  The thrust                 
  is to require collection in a format that eases transmission                 
  from providers in the field to the department and entry into                 
  data bases.                                                                  
                                                                               
  Senator Rieger then  directed attention amendment no.  3 and                 
  explained that it consists of the following proposed intent:                 
                                                                               
       It  is  the  intent of  the  legislature  that the                      
       department  will  use   a  computerized   database                      
       program  for  the collection  of  trauma data.   A                      
       priority in designing the system should be ease of                      
       use for  pre-hospital and  hospital facilities  in                      
       providing  information  to  the  database  through                      
       their  own  use   of  standard  desktop   software                      
       programs.    It  is  further  the  intent  of  the                      
       legislature that the trauma injury data collection                      
       be  eventually  integrated with  a  broader effort                      
       which includes epidemiology and other state health                      
       information.                                                            
                                                                               
  No objection to amendment  no. 2 having been raised,  it was                 
  ADOPTED.                                                                     
                                                                               
  Senator Rieger  then MOVED  for adoption  of  the letter  of                 
  intent.  No objection having been raised, IT WAS SO ORDERED.                 
                                                                               
  Co-chair Pearce  then queried members  regarding disposition                 
  of CSSS SB 71  (Finance).  Senator Kerttula MOVED  that CSSS                 
  SB   71  (Finance)  pass   from  committee  with  individual                 
  recommendations and the zero SFC  fiscal note.  No objection                 
  having been raised, CSSS SB 71 (Finance) was REPORTED OUT of                 
  committee  with  a   unanimous  "do  pass"   recommendation,                 
  accompanied by the SFC letter of  intent, a zero fiscal note                 
  from the Dept.  of Commerce and Economic  Development, and a                 
  zero SFC  fiscal note  for the  Dept. of  Health and  Social                 
  Services.