House Bill 797

AN ACT TO REPEAL SECTION 37-115-45, MISSISSIPPI CODE OF 1972, WHICH DIRECTS THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER TO ESTABLISH THE MISSISSIPPI BURN CENTER AS A SEPARATE UNIT AT THE MEDICAL CENTER FOR THE TREATMENT OF BURN VICTIMS; TO AMEND SECTION 41-59-5, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE JOSEPH M. STILL BURN CENTERS AND THE MISSISSIPPI BURN CENTER AT CROSSGATES RIVER OAKS HOSPITAL SHALL RECEIVE A REASONABLE AMOUNT OF REIMBURSEMENT FROM THE STATE DEPARTMENT OF HEALTH FOR THE COST OF PROVIDING BURN CARE SERVICES TO MISSISSIPPI RESIDENTS WHOSE TREATMENT IS UNCOMPENSATED; TO PROVIDE THAT THE PLAN DEVELOPED BY THE STATE BOARD OF HEALTH FOR THE DELIVERY OF SERVICES TO MISSISSIPPI BURN VICTIMS SHALL INCLUDE SYSTEMS BY WHICH BURN PATIENTS WILL BE ASSIGNED OR TRANSFERRED TO ANY CERTIFIED BURN CENTER DESIGNATED BY THE DEPARTMENT, AND PROCEDURES FOR ALLOCATING FUNDS APPROPRIATED FROM THE MISSISSIPPI BURN CARE FUND TO CERTIFIED BURN CENTERS DESIGNATED BY THE DEPARTMENT THAT PROVIDE SERVICES TO MISSISSIPPI BURN VICTIMS; TO AMEND SECTIONS 7-9-70, 21-19-58, 27-19-44.3, 27-39-331 AND 27-39-332, MISSISSIPPI CODE OF 1972, TO CONFORM TO THE PRECEDING PROVISIONS; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1. Section 37-115-45, Mississippi Code of 1972, which directs the University of Mississippi Medical Center to establish the Mississippi Burn Center as a separate unit at the medical center for the treatment of burn victims, is repealed.

SECTION 2. Section 41-59-5, Mississippi Code of 1972, is amended as follows:

41-59-5. (1) The State Board of Health shall establish and maintain a program for the improvement and regulation of emergency medical services (hereinafter EMS) in the State of Mississippi. The responsibility for implementation and conduct of this program shall be vested in the State Health Officer of the State Board of Health along with such other officers and boards as may be specified by law or regulation.

(2) The board shall provide for the regulation and licensing of public and private ambulance service, inspection and issuance of permits for ambulance vehicles, training and certification of EMS personnel, including drivers and attendants, the development and maintenance of a statewide EMS records program, development and adoption of EMS regulations, the coordination of an EMS communications system, and other related EMS activities.

(3) The board is authorized to promulgate and enforce such rules, regulations and minimum standards as needed to carry out the provisions of this chapter.

(4) The board is authorized to receive any funds appropriated to the board from the Emergency Medical Services Operating Fund created in Section 41-59-61 and is further authorized, with the Emergency Medical Services Advisory Council acting in an advisory capacity, to administer the disbursement of such funds to the counties, municipalities and organized emergency medical service districts and the utilization of such funds by the same, as provided in Section 41-59-61.

(5) The department acting as the lead agency, in consultation with and having solicited advice from the EMS Advisory Council, shall develop a uniform nonfragmented inclusive statewide trauma care system that provides excellent patient care. It is the intent of the Legislature that the purpose of this system is to reduce death and disability resulting from traumatic injury, and in order to accomplish this goal it is necessary to assign additional responsibilities to the department. The department is assigned the responsibility for creating, implementing and managing the statewide trauma care system. The department shall be designated as the lead agency for trauma care systems development. The department shall develop and administer trauma regulations that include, but are not limited to, the Mississippi Trauma Care System Plan, trauma system standards, trauma center designations, field triage, interfacility trauma transfer, EMS aero medical transportation, trauma data collection, trauma care system evaluation and management of state trauma systems funding. The department shall promulgate regulations specifying the methods and procedures by which Mississippi-licensed acute care facilities shall participate in the statewide trauma system. Those regulations shall include mechanisms for determining the appropriate level of participation for each facility or class of facilities. The department shall also adopt a schedule of fees to be assessed for facilities that choose not to participate in the statewide trauma care system, or which participate at a level lower than the level at which they are capable of participating. The department shall promulgate rules and regulations necessary to effectuate this provision by September 1, 2008, with an implementation date of September 1, 2008. The department shall take the necessary steps to develop, adopt and implement the Mississippi Trauma Care System Plan and all associated trauma care system regulations necessary to implement the Mississippi trauma care system. The department shall cause the implementation of both professional and lay trauma education programs. These trauma educational programs shall include both clinical trauma education and injury prevention. As it is recognized that rehabilitation services are essential for traumatized individuals to be returned to active, productive lives, the department shall coordinate the development of the inclusive trauma system with the Mississippi Department of Rehabilitation Services and all other appropriate rehabilitation systems.

(6) The State Board of Health is authorized to receive any funds appropriated to the board from the Mississippi Trauma Care System Fund created in Section 41-59-75. It is further authorized, with the Emergency Medical Services Advisory Council and the Mississippi Trauma Advisory Committee acting in advisory capacities, to administer the disbursements of those funds according to adopted trauma care system regulations. Any Level I trauma care facility or center located in a state contiguous to the State of Mississippi that participates in the Mississippi trauma care system and has been designated by the department to perform specified trauma care services within the trauma care system under standards adopted by the department shall receive a reasonable amount of reimbursement from the department for the cost of providing trauma care services to Mississippi residents whose treatment is uncompensated. In addition, the Joseph M. Still Burn Centers, Inc., in Augusta, Georgia, and the Mississippi Burn Center at Crossgates River Oaks Hospital in Brandon, Mississippi, shall receive a reasonable amount of reimbursement from the department for the cost of providing burn care services to Mississippi residents whose treatment is uncompensated.

(7) In addition to the trauma-related duties provided for in this section, the Board of Health shall develop a plan for the delivery of services to Mississippi burn victims, which shall include:

(a) Systems by which burn patients will be assigned or transferred to any certified burn center designated by the department;

(b) * * * Procedures for allocating funds appropriated from the Mississippi Burn Care Fund to certified burn centers designated by the department that provide services to Mississippi burn victims; and

(c) Such other provisions necessary to provide burn care for Mississippi residents, including reimbursement for travel, lodging, if no free lodging is available, meals and other reasonable travel-related expenses incurred by burn victims, family members and/or caregivers, as established by the State Board of Health through rules and regulations.

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SECTION 3. Section 7-9-70, Mississippi Code of 1972, is amended as follows:

7-9-70. (1) There is created and established in the State Treasury a special trust fund to be known as the "Mississippi Fire Fighters Memorial Burn Center Fund." There shall be deposited in such fund (a) all such fees as the State Treasurer is directed to deposit therein under subsection (4) of Section 27-19-56.1, under subsection (4) of Section 27-19-56.2 and under subsection (5)(b) of Section 27-19-56.4; and (b) any gift, donation, bequest, trust, grant, endowment, transfer of money or securities or any other monies from any source whatsoever as may be designated for deposit in the fund.

(2) The principal of the trust fund created under subsection (1) of this section shall remain inviolate and shall be invested as provided by law. Interest and income derived from investment of the principal of the trust fund may be appropriated by the Legislature and expended exclusively for the support and maintenance of the Mississippi Fire Fighters Memorial Burn Center.

(3) From and after June 17, 2005, there shall be created in the State Treasury a fund known as the Mississippi Burn Care Fund. The Mississippi Burn Care Fund shall be the Mississippi Fire Fighters Memorial Burn Center Fund and any reference to the Mississippi Fire Fighters Memorial Burn Center Fund in law shall mean the Mississippi Burn Care Fund. All funds payable to the Mississippi Fire Fighters Memorial Burn Center Fund shall, from and after June 17, 2005, be paid to the Mississippi Burn Care Fund. All balances in the Mississippi Fire Fighters Memorial Burn Center Fund and the Mississippi Fire Fighters Memorial Fire Fighters Burn Center Escrow Fund shall be transferred to the Mississippi Burn Care Fund on June 17, 2005. All interest earned by funds in the Mississippi Burn Care Fund shall be credited to the fund and not the General Fund. For fiscal year 2006, and for each fiscal year thereafter, the Legislature may appropriate interest, income or other funds credited to the Mississippi Burn Care Fund, and there shall be no requirement that the monies deposited to the fund be held inviolate in trust. Any appropriation of funds from the Mississippi Burn Care Fund shall be to the Mississippi Department of Health for the purpose of carrying out its responsibilities established in Section 41-59-5 * * *. The Mississippi Burn Care Fund shall be authorized to accept gifts, donations, bequests, appropriations or other grants from any source, governmental or private, for deposit into the fund. The Department of Health * * * shall be the agency responsible for receiving any such gifts, donations, bequests, appropriations or grants and shall deposit such to the Mississippi Burn Care Fund.

SECTION 4. Section 21-19-58, Mississippi Code of 1972, is amended as follows:

21-19-58. The board of supervisors of any county, and the governing authorities of any municipality in the state, are authorized and empowered, in their discretion, to make contributions to the Mississippi Department of Health * * * for deposit to the Mississippi Burn Care Fund from the general fund or federal revenue sharing funds of such county or municipality wherein such funds may be available.

SECTION 5. Section 27-19-44.3, Mississippi Code of 1972, is amended as follows:

27-19-44.3. The Mississippi Department of Health * * * shall file an annual report with the Secretary of the Senate and the Clerk of the House of Representatives not later than January 10 of each year, describing the expenditure of funds appropriated to it from the Mississippi Burn Care Fund received from fees collected from the issuance of distinctive or special license tags under this chapter.

SECTION 6. Section 27-39-331, Mississippi Code of 1972, is amended as follows:

27-39-331. The board of supervisors of any county is authorized and empowered, in its discretion, to set aside, appropriate and expend monies from the general fund to the Mississippi Department of Health * * * for deposit to the Mississippi Burn Care Fund.

SECTION 7. Section 27-39-332, Mississippi Code of 1972, is amended as follows:

27-39-332. The board of supervisors of any county is authorized and empowered, in its discretion, to levy a tax not to exceed one (1) mill per annum upon all taxable property of the county, which shall be provided directly to the Mississippi Department of Health * * * to support the Mississippi Burn Care Fund.

SECTION 8. This act shall take effect and be in force from and after July 1, 2011.