Assigned to HEA & APPROP                                                                                     AS PASSED BY THE SENATE

 

 


 

ARIZONA STATE SENATE

Phoenix, Arizona

 

REVISED

FACT SHEET FOR H.B. 2535

 

appropriations; government building defibrillators

 

Purpose

 

Appropriates $50,000 in FY 2001-2002 and FY 2002-2003 from the emergency medical services operating fund to the Department of Administration (DOA) for automatic external defibrillators (AEDs) in government buildings.

 

Background

 

According to the National Conference of State Legislatures (NCSL), more than 250,000 people die of sudden cardiac arrest each year.  The key to survival is timely initiation of a “chain of survival,” which includes cardiopulmonary resuscitation and early defibrillation.  Recent technological advances have made AEDs portable lifesaving devices that are easier to use and maintain, smaller, lightweight and lower in cost.

 

AEDs automatically analyze a cardiac arrest victim’s heart rhythm and make a decision to defibrillate the patient.  The device guides the user through the process by audible or visual prompts without requiring any discretion or judgment.  The American Heart Association estimates that at least 20,000 lives could be saved annually by prompt use of AEDs. 

 

In 1999, the Legislature allowed limited use of AEDs by the general public by prescribing training and use requirements for AEDs in this state.  According to NCSL, by January 2001, 49 states had enacted defibrillator laws or adopted regulations for the lay person use of AEDs.  In November 2000, Congress approved the Cardiac Arrest Survival Act that requires the Department of Health and Human Services to make recommendations for the placement of AEDs in federal buildings in order to improve survival rates of individuals who experience cardiac arrest in such buildings.  In addition, Congress passed the Rural Access to Emergency Devices Act that authorizes the expenditure of up to $25 million in federal funds to help rural communities purchase AEDs and to train rural emergency response crews, including police and fire personnel, to use the devices.  H.B. 2535 attempts to increase the availability of AEDs in government buildings by appropriating $50,000 in each year of the biennium to DOA to make recommendations for and to place AEDs in state and local government buildings.

 

            The emergency medical services operating fund receives 48.9 percent of the medical services enhancement fund revenues, which are collected from a 13 percent surcharge on fines charged for criminal offenses and civil motor vehicle statute violations.  According to the Joint Legislative Budget Committee staff, the year-end fund balance for FY 2001-2002 is $4,275,800.

 


Provisions

 

1.      Appropriates $50,000 in FY 2001-2002 and FY 2002-2003 from the emergency medical services operating fund to DOA for AEDs in government buildings.  Exempts the appropriations from lapsing.

 

2.      Requires DOA to consult with the Department of Health Services and the American Heart Association to determine the best locations for placement of the AEDs.

 

3.      Requires DOA to consider specific criteria for the placement and training for the use of AEDs.

 

4.      Requires DOA to submit a report on the criteria for AED placement and training to the Governor and Legislature by November 1, 2001.

 

5.      Prohibits DOA from dispersing monies for the AEDs until the report is complete.

 

6.      Provides for a general effective date.

 

Amendments Adopted by Health Committee

 

            Changes the source of the appropriation from the state general fund to the emergency medical services operating fund.

 

Amendments Adopted by Appropriations Committee

 

            Reverts unexpended and unencumbered monies to the state general fund on June 30, 2004.

 

Amendments Adopted by Committee of the Whole

 

The Appropriations Committee amendment was withdrawn.

 

House Action                                                               Senate Action

 

PIRA               2/6/01              DPA    7-0-0-3                        HEA                2/3/01              DPA    7-0-1-0

APPROP         3/6/01              DPA    13-0-0-3          APPROP         3/27/01            DPA    12-0-0

3rd Read           3/14/01                        46-8-6-0          3rd Read           4/23/01                        27-0-2

 

 

Prepared by Senate Staff

May 4, 2001