TITLE 25.HEALTH SERVICES

Part 5. CENTER FOR RURAL HEALTH INITIATIVES

Chapter 500. EXECUTIVE COMMITTEE FOR THE CENTER FOR RURAL HEALTH INITIATIVES

Subchapter H. RURAL EMERGENCY MEDICAL SERVICES SCHOLARSHIP INCENTIVE PROGRAM

25 TAC §§500.501, 500.503, 500.505, 500.507, 500.509, 500.511, 500.513, 500.515, 500.517, 500.519, 500.521, 500.523, 500.525, 500.527

The Center for Rural Health Initiatives (center) proposes new §§500.501, 500.503, 500.505, 500.507, 500.509, 500.511, 500.513, 500.515, 500.517, 500.519, 500.521, 500.523, 500.525, 500.527 concerning a state grant program to match funds committed by qualified rural communities to cover training of Emergency Medical Services (EMS) providers.

These rules are proposed to implement the Medicare Rural Hospital Flexibility Program, under 42 United States Code §1395i-4. The Center received federal funds to develop and implement the Critical Access Hospital Program in the State of Texas, of which emergency services are a critical component. The federal program specifically includes EMS as one of the stakeholders in the Critical Access Hospital program; in the State of Texas, EMS representatives have been involved in the program development. In order to assist Critical Access Hospitals and the rural communities in their efforts to maintain EMS services, the availability of trained, qualified EMS personnel was reported as a major concern. This program will allow these entities to "grow their own" EMS professionals and retain them in their rural communities, thus helping to ensure the availability of EMS services in those communities.

The sections are needed to accomplish the following: define terms; provide the center's philosophy in making the grants; discuss the sources and allocation of funds; establish who is eligible to receive the grants; provide the requirements for receiving the grants; establish the procedures for grant announcements; establish the procedures for grant applications; describe the competitive review process; and outline the selection criteria for awarding grants.

The center's proposed definition for a rural county is one that has a population in the most recent decennial United States census of 50,000 or less, or with respect to a county that has a population of more than 50,000 and contains a geographic area that is not delineated as urbanized by the federal census bureau, that part of the county that is not delineated as urbanized.

The center would like comments on its proposal to award grants to communities to help cover the costs of training EMS professionals. The center would also like comments on the funding amounts proposed in the rules. The center would like comments on the selection criteria. The center would like comments on whether the preferred criteria should be required or if there are additional criteria that should be preferred.

Regional Advisory Councils are not eligible for this program as they do not qualify as a political subdivision, nor are they able to provide for the community service requirement, which is a requirement for accepting program funds. Volunteer Emergency Medical Service groups who meet the qualifications in §500.505 would be eligible. Also, this fund is meant only to train Emergency Medical Technicians, Emergency Medical Technician-Intermediate and Emergency Medical Technician-Paramedic, not to assist existing Emergency Medical Service professionals in maintaining their required Continuing Medical Education hours. First responder personnel would be eligible, so long as they are supported by an eligible community and the candidate's training results in at least an Emergency Medical Technician certificate. Emergency Care Attendant training would not be sufficient for the purposes of this program.

Robt. J. "Sam" Tessen, MS, has also determined that for the first five years that the rules will be in effect, there will be an effect on state government, the center, to administer the grant program. The cost each year is estimated to be $2000.00. Because local governments will qualify for grants, it is estimated that there will be a positive impact on local governments in an amount equal to the amount of grants that local governments receive. Political subdivisions of the state or non-profit entities governed by council members, commissioners, or a board of trustees are eligible to receive these grants, therefore some portion of the funds appropriated may be granted to political subdivisions of the state or non-profit entities which own or provide emergency medical services in rural counties. Because non-profit entities will also qualify for grants, it is not possible to determine the exact dollar amount that will go to local governments.

Robt. J. "Sam" Tessen, MS, has also determined that for the first five years the sections are in effect, the public benefit anticipated is an increase in the number of EMS professionals to be vital links in the health care safety net by providing funds to train individuals that have been selected by and to serve in their local communities; however, grantees must match the funds received from the center and may have nominal administrative costs in applying for the grants. There is no anticipated cost to small businesses or micro-businesses since they are not eligible for these funds. There will be no anticipated impact on local employment.

Comments on the proposal may be submitted to Robt. J. "Sam" Tessen, MS, Executive Director, Center for Rural Health Initiatives, P.O. Drawer 1708, Austin, Texas, 78767-1708, (512) 479-8891. Comments will be accepted for 30 days following the date of publication of this proposal in the Texas Register .

The new sections are proposed under the Health and Safety Code, §106.021(j) which provides the center with the authority to adopt rules to implement chapter 106.

The new sections affect the Health and Safety Code, §106.025.

§500.501.Purpose.

(a)

Purpose. This subchapter establishes rules for the allocation of grant funds to qualified communities through the Rural Emergency Medical Services (EMS) Scholarship Incentive Program. State grants match funds committed by rural communities to cover training for EMS providers. EMS plays a critical role in ensuring access to health care services in rural areas. The professionals that provide these services and the training they receive correlates directly with the quality of the emergency medical services available in any given area. The goal is to partner with rural communities to ensure that they receive the same level of emergency medical services that their urban counterparts rely on and also to help in the retention of trainees by identifying candidates from within the local community.

(b)

Funding. This subchapter describes the criteria and procedures to be used by the Center for Rural Health Initiatives (center) in determining the applicant's eligible for funding and the funding allocation method.

(c)

Administration. The center shall allocate funds to eligible applicants based on the procedures specified in this subchapter.

§500.503.Definitions.

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

(1)

Applicant--A community that is requesting assistance through the Rural EMS Scholarship Incentive Program.

(2)

Candidate--An individual who a community has selected to receive the training eligible through the Rural EMS Scholarship Incentive Program.

(3)

Center--The Center for Rural Health Initiatives.

(4)

Contracting community--An applicant that is contracted to receive funds through the Rural EMS Scholarship Incentive Program.

(5)

Director--Executive Director of the Center for Rural Health Initiatives or his or her designee.

(6)

Emergency medical services (EMS)--Services used to respond to an individual's perceived need for immediate medical care and to prevent death or aggravation of physiological or psychological illness or injury.

(7)

EMT--An emergency medical technician meeting any of the following training or certification levels:

(A)

Emergency medical technician (EMT-Basic)--An individual who is certified by the Texas Department of Health as minimally proficient to perform emergency prehospital or interfacility care that is necessary for basic life support and that includes the control of hemorrhaging and cardiopulmonary resuscitation.

(B)

Emergency medical technician-intermediate (EMT-I)--An individual who is certified by the Texas Department of Health as minimally proficient in performing skills required to provide emergency prehospital or interfacility care by initiating under medical supervision certain procedures, including intravenous therapy and endotracheal or esophageal intubation or both.

(C)

Emergency medical technician-paramedic (EMT-P)--An individual who is certified by the Texas Department of Health as minimally proficient to provide emergency prehospital or interfacility care by providing advanced life support that includes initiation under medical supervision of certain procedures, including intravenous therapy, endotracheal or esophageal intubation or both, electrical cardiac defibrillation or cardioversion, and drug therapy.

(8)

Executive committee--The Executive Committee of the Center for Rural Health Initiatives.

(9)

Rural county--A county that has a population in the most recent decennial United States census of 50,000 or less, or with respect to a county that has a population of more than 50,000 and contains a geographic area that is not delineated as urbanized by the federal census bureau, that part of the county that is not delineated as urbanized.

(10)

Training--Costs associated with an EMT training program, including tuition, fees, books, supplies and travel. Training must be for the purpose of upgrading a candidate's EMT-I or EMT-P certification or for a candidate to obtain the level of EMT-Basic.

§500.505.Eligibility Criteria for a Rural EMS Scholarship Incentive Program Applicant.

To be eligible to participate in this program, an applicant must:

(1)

be located in a rural county;

(2)

exist in perpetuity as a political subdivision of the state or a non-profit entity governed by council members, commissioners, or a board of trustees that:

(A)

is responsible to and serves the community in which it is located;

(B)

is legally authorized to raise funds and/or accept grants and financial gifts from citizens, scholarship funds, or private foundations;

(C)

assures a commitment from the community of at least $2,000 or an amount equal to that granted by the center, whichever is less, in contributions toward EMT training;

(D)

assures that applicant contributions will include no federal or state funds; and

(E)

assures the availability of an emergency medical services position for a candidate;

(3)

apply for state matching funds available through this program; and

(4)

contract with a candidate to complete the training program and to provide emergency medical services in the community for at least one year following disbursement of the state funds and to reimburse the center and the community for all funds if the candidate breaches the contract.

§500.507.Candidate Eligibility Criteria.

(a)

To qualify for funding from this program for EMT-Basic training, a candidate must:

(1)

be at least 18 years of age; and

(2)

have a high school diploma or GED certificate.

(b)

To qualify for funding from this program for EMT-I or EMT-P training, a candidate must:

(1)

hold a current license as an EMT (for EMT-I training) or EMT-I (for EMT-P training) from the State of Texas;

(2)

have contracted with the applicant (that has made a financial commitment of at least the minimum contribution level) to provide emergency medical services in the community for at least one year;

(3)

have never defaulted on nor currently owe a refund on any state, federal, or local student financial aid;

(4)

have authorized a credit check and background check, the results of which are satisfactory to the applicant; and

(5)

have never been convicted of a felony.

§500.509.Procedures to Apply for Funds.

(a)

Application cycle. The center shall publish an annual notice of availability of funds in the Texas Register .

(b)

Issuing office. A Request for Application (RFA) shall be issued by the center. Potential applicants may request a copy of the RFA from the center.

(c)

Purpose. The RFA shall provide the applicant with information and forms necessary to apply for funding.

(d)

Application submission.

(1)

The center must receive the application by the due date specified in the RFA.

(2)

Applicants must submit an original and two copies of the application to the center.

(3)

The application must be on the forms and in the format prescribed by the center.

(4)

The center shall return late or incomplete applications with an explanation. Otherwise, all applications shall be considered for funding.

§500.511.Application Requirements.

Applications must contain the following information:

(1)

a description of the applicant which at a minimum shall include:

(A)

the applicant's full name and address;

(B)

the name, title, mailing address, physical address, and telephone number of a contact person;

(C)

the applicant's status as a political subdivision of the state or nonprofit entity (including a certified copy of the organization's nonprofit charter, if applicable) and ability to comply with §500.505(2)(B) of this title (relating to Eligibility Criteria for a Rural EMS Scholarship Incentive Program Applicant);

(D)

the name of the person responsible for the candidate's progress and employment; and

(E)

the name of the person authorized to execute contracts on behalf of the applicant; and

(2)

a description of the candidate which at a minimum shall include:

(A)

the candidate's full name and address; and

(B)

the candidate's qualifications (including education level and/or certification held).

§500.513.Evaluation of Application.

(a)

The executive committee delegates to the director the necessary powers, duties and functions to administer this program.

(b)

The center shall review each complete application to determine program eligibility, to prioritize community need among applicants, and to make recommendations for funding.

(c)

An application which contains false information, shall be denied consideration for the duration of the application period.

(d)

The center may renegotiate the amount of matching funds to be awarded to any applicant.

(e)

The center may limit award amounts based on the availability of funds.

(f)

The director of the center may waive provisions of this subchapter if necessary to address unusual or exceptional applicant or candidate eligibility issues.

§500.515.Contract Award.

(a)

After a review of staff recommendations, the director shall announce the applicants selected for funding.

(b)

Applicants will be notified in writing of the approval or denial of the application.

(c)

Any applicant who is denied funds under this program may file a written request for an administrative review of the denial. The request shall be mailed to the center within ten working days of the postmarked date of the center's letter of denial. Upon receipt of the request, the director shall conduct an administrative review, resulting in a final decision. The center will mail a written notice of the decision either upholding or overruling the denial to the applicant.

(d)

Contract awards shall not exceed $2,000 per applicant unless the center has determined that the application demonstrates exceptional financial need.

§500.517.Methodology for Prioritizing Neediest Communities.

The center will prioritize the applicants found eligible for participation in the program to assure that the neediest communities are provided grants. The prioritization process will quantify indicators of need (not listed in any assigned priority order) which may include, but are not limited to, the following:

(1)

communities needing basic and intermediate emergency medical services personnel;

(2)

highest level of service currently available in the county;

(3)

volunteer EMS staffing level;

(4)

average EMS call volume by category of county;

(5)

designation by the United States Department of Health and Human Services as a medically underserved area (MUA);

(6)

communities located in a frontier area as defined by the Federal Census Bureau;

(7)

number of hospitals and EMS providers in the county;

(8)

distance to the nearest level III, II and I trauma centers;

(9)

average EMS transportation distance;

(10)

county mortality rate for unintentional injury;

(11)

county mortality rate for motor vehicle injury;

(12)

county mortality rate for stroke;

(13)

county mortality rate for heart disease; and

(14)

county population over 64 years of age.

§500.519.Contribution Procedures.

The center may provide up to $2,000 in matching funds per candidate to the neediest communities as determined under §500.517 of this title (relating to Methodology For Prioritizing Neediest Communities).

§500.521.Contract.

(a)

The center will execute a written contract with each selected applicant concerning use of the state matching funds allocated under this program. The contract shall provide that:

(1)

the applicant has obtained a credit check, background check, verification of education level achieved and verification of any current EMS certification held by the candidate;

(2)

the applicant has executed a contract with an eligible candidate containing at least the following provisions:

(A)

the candidate shall engage in emergency medical services in the contracting community for at least one year following disbursement of the state funds; and

(B)

during the one-year service obligation, the candidate shall not discriminate among patients seeking care based on their ability to pay or whether payment will be made though Medicaid or Medicare.

(b)

The contracting community will provide proof of program completion (candidate's EMS certification) upon completion of the candidate's training.

§500.523.Funding Allocation Procedure.

A state warrant for the prescribed disbursement will be released to a contracting community representative following execution of the required contract.

§500.525.Breach of Contract

(a)

Binding contract. A contract executed under this subchapter between the center and the contracting community is a binding contract.

(b)

A contracting community shall notify the center in writing within thirty days of any change in its status or that of the candidate.

(c)

The center may find that the contracting community has breached the contract if they have failed to:

(1)

provide the full amount of funding specified in the contract; or

(2)

fulfill any other conditions specified in the contract.

(d)

If the center finds that the contracting community has breached the contract, the center may require the following:

(1)

cancellation of the candidate's service obligation to the contracting community;

(2)

reimbursement by the contracting community to the center of state matching funds; and

(3)

forfeiture of the opportunity to participate in the program in the future.

(e)

If the center finds that a candidate has breached his or her contract with a contracting community, the candidate will not be eligible to participate in the program in the future.

§500.527.Reporting and Monitoring.

(a)

The contracting community shall provide semi-annual reports reflecting the candidate's total training costs to date and progress during and after training.

(b)

The candidate shall provide the center with their employment location, one year after their commitment to the community has been completed.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on March 24, 2000.

TRD-200002117

Robt. J. "Sam" Tessen

Executive Director

Center for Rural Health Incentives

Earliest possible date of adoption: May 7, 2000

For further information, please call: (512) 479-8891