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Past Trauma Fund Distributions 0.19 4.0 21.5 3024 2004 0.09 2.51 27.0 3393 2003 0.20 3.38 16.6 N/a 2002 0.20 2.18 10.7 N/a 2001 0.24 2.12 8.85 N/a 2000 Reimbursement Ratio Total for Distribution (Million) Total Uncompensated cost (million) Approved cases Year
Funding Initiatives Convictions – driving without a valid DL 11/1/04 unk 2299 Tobacco Tax 1/1/05 $ 17 million 2660 General Fund 7/1/04 $400,000 2042 Open Container, Speeding, DUI 6/3/04 $ 1.8 million 2250 Failure to maintain liability ins., reinstatement DL, drug offenses 9/1/04 $ 12.4 million 2600 Source Effective Dates Estimated Funding House Bill
Establish the Oklahoma Trauma Systems Improvement and Development Advisory Council
Makes recommendations to the DOH regarding the trauma system
Public health, trauma registrar, rural hospital, EMT, orthopaedic surgeon, specialty hospitals (ASC), ED physician, EMS director, rehabilitation, hospital administrators (Level 1 or II, urban, rural), administrative director of pre-hospital service, trauma surgeon, general public
When “on call”, each hospital will provide orthopedics, neurosurgery, general surgery, facial trauma, and anesthesia….or arrange coverage through hospital transfer agreements.
This schedule is for unassigned, Priority 2 patients with single-system injury, or at risk for injury but currently stable, picked up by EMSA in its service area or transported into the metropolitan area from other regions of the State.
Each hospital will provide care for the patients who arrive in their ED even on the nights they are not the designated hospital….or will arrange transfer.
It is understood that the other hospitals may have to provide back-up coverage for a designated hospital.
I urge you to support a number of bills to increase funding for the Trauma Care Assistance Revolving Fund: HB 2600 – increases the Fund to provide reimbursement for uncompensated care to recognized facilities that care for trauma patients; HB 2250 – provides for increases in court fees to be deposited in the Fund; HB 2382 – increases fines on driver’s license suspensions, DUI, narcotics and child safety seat violations to be deposited in the Fund; and HB 2660 – places on the ballot a referendum for Oklahoma voters to support creation in the State Treasury of a “Special Health Care Revolving Fund” to help pay for future health care costs.
Monies from the Trauma Care Assistance Revolving Fund are used to reimburse recognized trauma facilities and licensed ambulance services for uncompensated trauma care. Passage of this legislation is extremely critical because hospitals across our state are suffering huge financial losses when providing emergency trauma care for uninsured patients. Should this trend continue, the viability of emergency care services at many of these institutions will be threatened - resulting in significantly reduced access to trauma care for Oklahomans across the state.
As more hospitals cease to provide emergency trauma care, victims of injury will have to be transported over increased distances to reach definitive trauma care, pushing the limits of the critical "golden hour." Injury victims who fail to receive comprehensive treatment within the first hour suffer greater risk of death or life-long disability.
The legislature must not adjourn without adopting these critical bills. Please show your support for our trauma system by voting “YES” on HB 2600, HB 2250, HB 2382, and HB 2660!
Contact Your State Senator to Support Trauma System Funding
Dear Oklahoma Surgeon:
The Oklahoma House of Representatives recently passed a number of bills to address funding issues for the Trauma Care Assistance Revolving Fund: HB 2600 – increases the Fund to provide reimbursement for uncompensated care to recognized facilities that care for trauma patients; HB 2250 – provides for increases in court fees to be deposited in the Fund; HB 2382 – increases fines on driver’s license suspensions, DUI, narcotics and child safety seat violations to be deposited in the Fund; and HB 2660 – places on the ballot a referendum for Oklahoma voters to support creation in the State Treasury of a “Special Health Care Revolving Fund” to help pay for future health care costs.
These bills now await action by the Oklahoma Senate. Please take a moment to advocate on behalf of them by clicking on
the following link – http://capwiz.com/sslac/mail/oneclick_compose/?alertid=5522761 – and sending a letter you may easily personalize to your state senator asking them to vote for this legislation.
Thank you for your help in advocating for: HB 2250; HB 2382; HB 2600; and HB 2660. We must do all we can to preserve our state’s trauma system, and your efforts will greatly help in this endeavor.
I’m writing to you today in my capacity as the state chair of the Oklahoma Committee on Trauma (COT). Earlier this year, a number of bills passed our state’s legislature to increase funding for our trauma system, and I asked you at that time to write your legislators in support of them. One of these trauma funding initiatives included an increase in the tobacco tax that will be going before the voters on November 2. State Question (SQ) 713, the Oklahoma Health Initiative, will increase the excise tax on cigarettes by 80 cents. Other tobacco products such as chewing tobacco and cigars will see an increase, too.
Some of the revenues generated from the increased tobacco tax are allocated to the trauma care assistance fund. In fact, if the voters approve SQ 713, $17 million will be made available to the trauma system. Combined with the $13 million already allocated through the state budget, we would have $30 million for our trauma system, with one-third of that potentially eligible for federal matching funds.
As you can see, it is critical to our state’s trauma system that SQ 713 be passed. I encourage you to support SQ 713, and to talk to your patients and your physician colleagues about supporting it as well. I’ve attached a two-page handout that provides greater detail on the impact this tax will have, not only in increased revenues for health care programs but also reduced use of tobacco by our patients.
If you have any questions about this ballot initiative, please feel free to drop me a line at [email_address] . I would be glad to speak with you.
Thank you for your support for and involvement in this important trauma funding advocacy effort.