State projects MEMSOF to remain solvent through 2031 under DLS forecast; agencies highlight continuing uncertainty from fee changes and demand

Madeline Miller, a budget analyst with the Department of Legislative Services, told the Public Safety and Administration Subcommittee that the fiscal 2026 allowance for the Maryland Emergency Medical System Operations Fund (MEMSOF or MEMSOF) is $110,600,000 and that roughly 51.7% of the allowance supports the Maryland State Police Aviation Command (MSPAC).

Miller outlined key revenue changes enacted by Chapters 717, 718 and 719 of 2024, which raised the motor vehicle registration surcharge structure and directed additional revenue to MEMSOF; she and other witnesses said consumer choices, installment payments and other implementation details make short‑term revenue projections uncertain despite materially higher statutory surcharge levels.

"The fiscal 26 allowance provides for $110,600,000 in total expenditures," Miller said. She told the committee that the allowance includes roughly $21,700,000 for the Maryland Institute for Emergency Medical Services Systems (MEMS) and that $5,500,000 in MSPAC funding in the working appropriation is contingent on legislation expanding allowable fund uses.

Representatives of statewide EMS organizations and service providers told members…