LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: HB 372 HLS 24RS 653
Bill Text Version: ENROLLED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: June 2, 2024 6:01 PM Author: CREWS
Dept./Agy.: LDH
Subject: Emergency care Analyst: Shawn Hotstream
HEALTH CARE/PROVIDERS EN NO IMPACT See Note Page 1 of 1
Provides relative to patient wait time for the provision of emergency care
Proposed law creates the Ambulance Patient Offload Delay Collaborative within the Louisiana Department of Health, bureau of emergency
medical services, and provides for responsibilities of the collaborative. The collaborative shall analyze and develop solutions to the
problem of ambulance patient offload delays. The bureau of emergency medical services shall facilitate discussions and meetings of a
statewide collaborative between specific stake-holders.
Proposed law provides that the collaborative shall be responsible for review current data from EMS services and hospitals concerning
patient offload times, developing a set of data collection guidelines and performance measures and standardized reporting to identify and
track hospitals that exceed the established industry standards for patient offload delays, and exploring best practices to resolve offload
problems. Researching options for reducing demand on hospital emergency departments shall include a payment mechanism and funding
options for services provided to patients which reduce emergency department demands. Proposed law provides LDH to submit a report of
its findings and recommendations to the health and welfare committees by February 1, 2025.
EXPENDITURES 2024-25 2025-26 2026-27 2027-28 2028-29 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
REVENUES 2024-25 2025-26 2026-27 2027-28 2028-29 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
EXPENDITURE EXPLANATION
There is no anticipated direct material effect on expenditures of LDH as a result of this measure. Proposed law creates the Ambulance
Patient Offload Collaborative within LDH. LDH indicates the research, data collection and review, reporting, and recommendation
requirements under this measure will be completed with existing staff and resources. Data collected include available data from
emergency medical services and hospitals concerning patient offload times. LDH will submit a report of its findings and recommendations
to both Senate and House Health and Welfare committees by February 1, 2025.
REVENUE EXPLANATION
There is no anticipated direct material effect on governmental revenues as a result of this measure.
Senate Dual Referral Rules House
13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Patrice Thomas
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Deputy Fiscal Officer