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Legislative analysts and emergency services leaders say MEMSOF changes boost near‑term funding but long‑term pressures remain
Summary
Madeline Miller, a fiscal analyst at the Department of Legislative Services, presented the DLS forecast for the Maryland Emergency Medical System Operations Fund, describing revenue changes from 2024 legislation and differences between DLS and DBM projections.
Madeline Miller, a fiscal analyst at the Department of Legislative Services, presented the DLS forecast for the Maryland Emergency Medical System Operations Fund (MEMSOF), describing recent statutory changes that altered fund revenue and the divergent DLS and Department of Budget and Management (DBM) projections for the fund's balance through the next decade.
Miller said Chapters 7‑17, 7‑18 and 7‑19 of 2024 changed the fund's main revenue source by increasing the portion of an annual motor‑vehicle registration surcharge available to MEMSOF to as much as $24.50 of a $40 annual surcharge (or $49 if collected biennially). The fiscal 2026 allowance provides about $110.6 million in total MEMSOF expenditures, Miller said, with about 51.7% planned for the Maryland State Police Aviation Command (MSPAC).
Why it matters: MEMSOF supports statewide emergency medical services, including medevac operations, trauma and specialty centers,…
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