An Act To Build More Sustainable Ambulance Services in Communities
Maine Legislature, Session 130, LD 1859
Committee Amendment CA_A_S446 (Senate)
Amends: 32 MRSA §97

CO:M:MITTEE AMENDMENT" A" to S.P. 645, L.D. 1859, "An Act To Build More 
Sustainable Ambulance Services in Communities" 
Amend the bill by striking out the title and substituting the following: 
'An Act To Establish the Maine Emergency Medical Services Community Grant 
Program' 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 32 MRSA §97 is enacted to read: 
§97. Maine Emergency Medical Services Community Grant Program 
The Maine Emergency Medical Services Community Grant Program is established as 
a pilot program to provide grants to communities for the review and consideration of the 
provision of effective and efficient emergency medical services. 
1. Definitions. As used in this section, unless the context otherwise indicates, the 
following terms have the following meanings. 
A. "Community" means a municipality or group of municipalities. 
B. "Program" means the Maine Emergency Medical Services Community Grant 
Program pilot program established under this section. 
2. Purpose and use of grant funding. The purpose of the program is to provide 
financial assistance to communities that plan to examine or are examining the provision of 
emergency medical services through a process of informed community self-determination 
and are considering a new, financially stable structure for delivering emergency medical 
services that provides high-quality services effectively and efficiently. 
Recipient 
communities may use grant funds to review current capacity and consider alternative 
models for providing emergency medical services, including, but not limited to, for the 
following activities: 
• 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT" fJ "to S.P. 645, L.D. 1859 (5- L/ 4 (Q_) 
A. Engaging with the individuals, institutions and businesses in the community to plan 
for emergency medical services; 
B. Determining the current level and financial health of emergency medical services 
that serve the community; 
C. Identifying issues in the community that challenge or improve the provision of 
emergency medical services; 
D. Developing options for the structure, delivery and financing of emergency medical 
services that will effectively and efficiently serve the community, including options for 
ensuring long-term financial stability; and 
E. Engaging with the individuals, institutions and businesses in the community in 
reviewing the information collected and considering options developed through the 
activities engaged in under paragraphs B to D. 
3. Board responsibility; financing. The board shall administer grants made under 
the program. Funding appropriated for the program that is unexpended at the end of a fiscal 
year is nonlapsing and carries forward to the next fiscal year. 
• 
4. Rulemaking. The board shall adopt rules establishing the grant application and 
selection process and shall administer grant funds appropriated for the program. Rules 
adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 
375, subchapter 2-A. 
5. Reports. As a condition of receiving grant funding. all grant recipients shall report 
as required by the board on the use of funds and the results of the actions described by 
subsection 2. 
Sec. 2. 
Appropriations and allocations. The following appropriations and 
allocations are made. 
PUBLIC SAFETY, DEPARTMENT OF 
Emergency Medical Services 0485 
Initiative: Appropriates one-time funding for the Maine Emergency Medical Services 
Community Grant Program under the Maine Revised Statutes, Title 32, section 97. This 
appropriation is nonlapsing and any unexpended balance carries forward to the following 
fiscal year. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2021-22 
$0 
$0 
2022-23 
$200,000 
$200,000 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill and changes the title. The amendment creates a pilot 
program to provide financial assistance to communities that plan to examine or are 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT"~ "to S.P. 645, L.D.·1859 LS~ U\\) j 
examining the provision of emergency medical services and are considering a new, 
financially stable structure for delivering emergency medical services that provides high-
quality services effectively and efficiently. The amendment requires recipients of grant 
funding to report to the Emergency Medical Services Board as required by the board. The 
amendment provides $200,000 for fiscal year 2022-23 in nonlapsing funds for grants to 
communities that undertake processes to determine the structure of the delivery of 
emergency medical services in the future through a process of informed community self-
determination. 
FISCAL NOTE REQUlRED 
(See attached) 
COMMITTEE AMENDMENT· 
Approved: 02/28/22 feae 
LD 1859 
LR2456(02) 
An Act To Build More Sustainable Ambulance Services .in Communities 
Fiscal Note for Bill as Amended by Committee Amendment'~' L S-Lfl/0) 
Committee: Criminal Justice and PublicSafety 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2021-22 
FY 2022-23 
Projections 
FY2023-24 
Projections 
FY2024-25 
Net Cost (Savjngs) 
General Fund 
Appropriations/Allocations 
General Fund 
Fiscal Detail and Notes 
$0 
$0 
$200,000 
$0 
$200,000 
. $0 
The bill includes a one-time General Fund appropriation of $200,000 in fiscal year 2022-23 to the Department of 
Public Safety for the Maine Emergency Medical Services community grant program. 
LR2456(02) - Fiscal Note - Page 1 of 1 
$0 
$0