House members have been very busy passing bills this week, working late into the evening; 34 were passed, mostly on a bi-partisan basis. You can go to the Legislative web site and access the daily House Journal at www.legis.iowa.gov/legislation/journals which will show you which bills were passed and how House members voted. 

EMS Services: There has been a growing concern through Iowa, especially in rural counties and communities, about the access to emergency medical services. A common misconception is that emergency medical services are considered an essential service under the Iowa Code. They are not. However, it is currently an option for counties to choose to make it an essential service. Under current law, county supervisors may offer for voter approval a local option income surtax or an ad valorem property tax. Additionally, if it is considered an essential service, it has to be re-approved every five years. HF 2434 (in Ways and Means Committee) makes significant changes to the emergency medical services chapter (IA Code 422D). The first change that it makes allows the county board of supervisors to declare EMS an essential service without calling for an election to approve this decision. EMS advocates believe that this will greatly reduce the burden and cost of declaring EMS an essential service. This bill also gets rid of the five-year sunset that required the voters to re-approve emergency medical services and gives the voters the option to end EMS as an essential service only under a reverse referendum. EMS advocates have complained that they are uncomfortable purchasing equipment if after only five years the service could not be renewed. A new requirement under this bill is that a county that adopts EMS as an essential service shall create an EMS Advisory Council to develop how the EMS program will be structured and work throughout the county. Current law only allows counties to enter into 28E agreements with other counties. This bill removes that barrier and allows counties to enter into 28E agreements with other entities besides just counties. Currently, in the Health and Human Services Budget there is $303,000 that is appropriated to the Emergency Medical Services Fund. The money is divided equally amongst the counties. Also, Iowa Code 422D.6(3) lays out an enumerated list of items that these funds could be spent on. This bill changes that to include any operational cost. In addition to the above-mentioned changes to emergency medical services, HF 2224 (in Appropriations) appropriates the revenue from sports wagering (estimated between $2-3 million) to the Emergency Medical Services Trust Fund. 

COVID-19: On Thursday, March 5, 2020, the United States Environmental Protection Agency issued a press release announcing that the federal agency has released a list of EPA-registered disinfectant products that have qualified for use against the novel coronavirus that causes COVID-19. To view the list of EPA-registered disinfectant products, www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2.