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Emergency medical services (EMS) home rule state law fact sheet : a five-state analysis of local government autonomy and local EMS funding mechanisms in effect as of January 31, 2022
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12/07/2022
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Description:The Division for Heart Disease and Stroke Prevention created the Home Rule-Emergency Medical Services (HR-EMS) Project to assess the influence of local government autonomy on emergency medical services and its relation to cardiovascular disease outcomes in medically underserved communities.
As part of the project, this state law fact sheet discusses the collection of laws related to local government autonomy to establish and fund local EMS for five US states: Alabama, California, Georgia, Massachusetts, and Ohio.
This fact sheet walks through the types of state laws analyzed by public health attorneys between January 2021 and January 2022.
The laws in this study address local government EMS funding mechanisms related to local property taxes, special districts, mutual aid contracts, issuance of government bonds, and user/service fees.
Bureaucratic requirements, such as voting, public hearing, and public notice requirements, are also analyzed and discussed.
Research that examines the relationship between a community’s socioeconomic status and EMS resources is lacking. Further research can help examine EMS funding and its correlation to cardiovascular disease outcomes in disproportionately affected communities.
This fact sheet begins to clarify the influence that local government autonomy and property tax laws have on EMS and health outcomes.
The policy surveillance information presented here may help policy makers, public health practitioners, researchers, and others understand existing structures, facilitators, and challenges that local governments face in providing and funding life-saving emergency medical services. This information can guide improvements and advance health equity.
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Content Notes:Introduction -- EMS Background -- Data Collection and Methods -- State Laws -- Implications and Conclusions -- Acknowledgments.
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