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Governor’s Task Force on Traumatic Brain Injury

TBI Trust Fund and Funding Sources

 

 

This is intended to focus discussion on the task which is set forth in the Governor’s Executive Order 01-02 as follows:

 

“Explore sources of funding for a TBI Trust Fund to be used to provide support and assistance to survivors which will help them in their efforts to reclaim their lives, develop their abilities to function more independently and enable them to be integrated into and make their contribution to society.”

 

Discussion Issues:

·      Considering a Trust Fund (Review Public Policy Brief from TBI State Grant Program)

·      What has been done in other states (Attachment A).

·      The most recent Trust Fund legislation passed, June 2002, Colorado (Attachment B)

·      An example of funding sources from citations, Kentucky (Attachment C)

·      Louisiana’s Mission Statement and overview of what their Trust Fund Provides (Attachment D)

 

Public Policy Brief from TBI State Grant Program

 

Evaluating State Traumatic Brain Injury Trust Fund Legislation:

Some Questions to Consider

A number of States have established trust funds to finance traumatic brain injury (TBI) services and supports. Some States are actively pursuing and others are considering TBI trust fund legislation. A number of important issues should be carefully considered prior to committing to the establishment of a TBI trust fund. Particularly important is an awareness of potential negative implications that might arise from the establishment of a trust fund. For example, would a TBI-only trust fund alienate key stakeholders (e.g., cross-disability coalitions) whose support will be needed for other initiatives or would a TBI trust fund limit State appropriations to programs that serve individuals with TBI and their families?

This policy brief presents questions TBI stakeholders should address when considering whether to pursue State trust fund legislation or when developing and evaluating proposals. Questions have been organized into five categories: 1) Decision Process; 2) Financing; 3) Administration; 4) Functions; and, 5) Oversight. Decision Process includes questions related to organization, coalitions, priorities, and responsibility. The section on Financing addresses matters related to securing and sustaining financial support to meet trust fund objectives. Administration addresses issues associated with establishing and operating a program that will ensure excellent customer service and efficient use of resources. The fourth section, Functions, should help identify the kinds of services and supports a fund might finance. The final section raises the important issue of oversight—what oversight mechanisms should be established to ensure solvency and that resources are used to meet the needs of individuals with TBI and their families?

 

Decision Process

1. What stakeholders (e.g., government, cross-disability organizations, individuals, and community service providers) would be involved in evaluating the feasibility of pursuing a trust fund?

2. How and by whom would these stakeholders be identified?

3. How would decisions be reached (e.g., consensus agreement)?

4. To whom would the stakeholders report or provide recommendations?

5. How would the public policy objectives of a trust fund be identified and prioritized?

6. What information/data would be used to evaluate the feasibility of developing a trust fund?

7. Would a TBI trust fund alienate some stakeholders that may be helpful in pursuing other systems changes? If yes, how would this issue be addressed? If no, how could broader stakeholders help advance a trust fund proposal?

 

Financing

1. What would be the source of revenue (e.g., traffic fines, driving under the influence, State income tax, vehicle license charge) for the trust fund?

2. Would the trust fund be able to accept private contributions?

3. Would the funding source(s) be sufficient to meet needs?

4. How stable/predictable are the funding sources (i.e., are they tied to a sector of the economy that is subject to fluctuation)?

5. Would contributions to the trust fund be time limited?

6. Would the trust fund require periodic reauthorization by the State legislature?

7. How would trust fund solvency be reviewed/addressed to ensure services and supports are not cut and that individual and/or family needs continue to be met?

8. Would a trust fund overtly or covertly result in resources being diverted away from other TBI/disability programs?

 

Administration

1. If funded from fines, how would fines be assessed and collected? Would the contribution to the trust fund be a required percentage of a certain class of fines or would it be at a court’s discretion? If the latter, how would court officers be trained/educated about their role in assessing/collecting penalties for the trust fund?

2. How would the trust fund allocate resources or fund services? Would the trust fund make an annual contribution to a given State agency or would individuals apply directly to the trust fund for assistance? Would the trust fund reimburse approved service providers for costs? How would the reimbursement schedule be determined and adjusted?

3. How would eligibility be determined?

4. Would the fund be restricted to a specific age or disability group?

5. Would the application process be cumbersome?

6. What appeals mechanism would be available to adjudicate disputed claims?

7. What would be the annual administrative costs of the trust fund and would these costs be paid from the trust fund?

8. Would the trust fund be administered through an existing program or a new program?

9. What training, technical assistance, education and outreach would be available to individuals, families, advocates, service providers, and other stakeholders who would seek to access the trust fund?

10. Would the trust fund operate in a person-centered or person-directed fashion?

11. Would the trust fund operate in a manner to meet the unique needs of diverse populations?

12. Could the trust fund be reprogrammed to provide/finance other State services? If yes, what authority (e.g., approval of the Governor, agency administrator, trust fund advisory board, or State legislature) is required?

 

Functions

1. Would the trust fund support only TBI services and supports, any services and supports needed by individuals with TBI?

2. What is the purpose of the proposed State trust fund? For example, would the trust fund cover hospital expenses for the uninsured, medical rehabilitation, durable medical equipment, cognitive rehabilitation, employment services, housing assistance, transportation assistance, assistive technology, respite care, personal attendant services, an array of services that individuals and families could choose from depending upon need, support of a State surveillance system, or prevention and public awareness?

3. Would the trust fund finance the most needed services, as identified by individuals with TBI, families, and service providers?

4. What percentage of the State’s population of individuals with TBI and their families would receive assistance from the trust fund? Where would those not eligible for trust fund assistance access/finance services?

 

Oversight

1. Would the trust fund have an independent advisory board that includes TBI stakeholders, including individuals with TBI, families, advocacy organizations and service providers?

2. What would be the relationship between the trust fund advisory board and the trust fund?  Would the trust fund’s administrator be obligated to listen to/implement the recommendations of the advisory board?

3. How would members of a trust fund advisory board be selected/appointed, and for what length of service?

4. What entity will be responsible for auditing the trust fund?

5. What mechanism will be established to evaluate the effectiveness of the trust fund in meeting the needs of individuals with TBI and their families?

 

Approach to Task Force:

·        How should the work be divided?  Divide questions among the group?  Form separate sub-groups to answer sub-topics?

·        Should people from the outside be invited to serve? 

·        Would having guest speakers help?

·        Schedule Task Group Meetings and create a work plan.


Attachment A

 

Dedicated Trust Funds for Persons with Brain

and/or Spinal Cord Injuries

 

STATE and YEAR OF INCEPTION

SOURCES

FUNDS COLLECTED

SERVICES PROVIDED

CONTACT

ALABAMA

1993

$100 Fine on DUI convictions

$1.6 M Annually

Community based services including:

·         Pre-vocational

·         Housing

·         Respite

·         Resource coordination

·         Recreation services

Administered by:

 

Division of Rehabilitation Services, with oversight by the Impaired Drivers Trust Fund Advisory Board.

 

Department of Rehabilitation Services

P.O. Box 19888

Birmingham, AL

35219

(205) 290-4408

ARIZONA

1992

The original legislation instated a $2 fee on speeding, but the system has now moved to a uniform system of surcharges.

$1.5 M Annually

Provides:

 

·         Rehabilitation services

·         Research

·         Education

·         Prevention

Administered by:

 

Crystal Snyder

Executive Director

Governor’s Council on Spinal and Head Injuries

10640 N. 28th Dr., Suite B-102

Phoenix, AZ  85029

 (602) 863-0484

CALIFORNIA

1986

$2 Surcharge on 1st offense seatbelt violations

 

$5 surcharge on second offense

$500 K Annually

Provides funding for four pilot programs to demonstrate effectiveness of  a coordinated, continuum of care approach to meet the need of adults with brain injuries.

Administered by:

 

Marita McElwain, Program Manager

Department of Mental Health

1600 9th Street, Room 250

Sacramento, CA  95814

(916)-654-3168

FLORIDA

1988

8.2 % on all civil traffic related penalties

$60 fine for DUI / BUI

$1 on every temporary vehicle license tag

$13 M Annually

·         Regeneration research

·         Rehabilitation

·         Transitional living

·         Case management

Administered by:

 

Tom Delilla, Administrator

Brain and Spinal Cord Injury Program

2002 Old St. Augustine Rd., Bldg. A

Tallahassee, FL  32399

Phone:  (904) 488-8064

GEORGIA

1998

The fund adds 10% on to each DUI issued

Projected to be $2 million dollars per year at full capacity.

Not yet determined.

The legislation gives power to the Brain and Spinal Cord Trust Fund Authority, which is to be appointed by the Governor.  The fund is administered by:

 

Department of Human Resources

State of Georgia

2 Peachtree Street

Atlanta, GA  30303

KENTUCKY

1998

This fund places fines on selected moving violations and drunk driving

Not yet available.

Case management, Community Residential Services, Respite, Day Programs, Companion Services, Psychological Services, Prevocational Services, Supported Living and Therapies.

The bill established a Kentucky Traumatic Brain Injury Trust Fund Board to administer the fund.  The legislation outlines who is to be appointed.

LOUISIANA

1993

$5 fee on reckless driving

 

$15 DUI

$1.5 M Annually

To address gaps in services for persons with brain and spinal cord injuries

Administered by:

 

Don Tubb,

Program Manager

THI/SCI Trust Fund

8225 Florida Blvd.

Baton Rouge, LA  70806

 

(225) 925-3502

MISSISSIPPI

1996

$4 on moving violations

 

$25 DUI surcharge

$2 M Annually

·         Durable medical

·         Respite

·         Emergency care

·         Transitional assistance

·         Prevention

·         Education

·         Transitional living

Administered by:

 

Department of Rehabilitation Services

PO Box 1698

Jackson, MS  39215-1698

NEW MEXICO

1996

$5 fee on a state issued citations

$ 1.4 M Annually

Gap and Interim services as needed including:

 

·         Durable Medical

·         Emergency housing

·         Medications

·         Therapies

·         Respite

·         Transportation

·         Respite

Administered by:

 

New Mexico Department of Health

Long Term Services Division

Hard Runnels Bldg.

PO Box 26110

110 St. Francis Drive

Santa Fe, NM  87502-6110

 

Phone:  (505) 827-2499

TENNESSEE

1993

Additional fine for DUI

$500K-$800K

Establishes a registry and develops a state plan for a comprehensive system of services.

Administered by:

Jean Doster

TBI Program Director

Dept of Health

Phone:  (615)741-1230

TEXAS

1989

$25 fine on DUI

 

$5 fine on moving violations

$10 M Annually

·         Equipment

·         Post acute rehab

·         Case management

 

Administered by:

 

Mel Fajikus,  Program Specialist

Texas Rehab Commission

4900 W. Lama Blvd.

Austin, TX 78751-2399

 

(512) 424-4133

WEST VIRGINIA

1998

Annual appropriation made by the Legislature

Not yet collected.

·         Rehabilitative therapies

·         Case Management

·         Attendant care

·         Home Modifications

·         Equipment

·         Family supports

Administered by:

 

Division of Rehabilitation Services

 

For more information contact:

Brain Injury Association, Inc.

105 North Alfred Street

Alexandria, VA  22314

703.236.6000  www.biausa.org

 

Creating a better future through brain injury

prevention, research, education and advocacy

(Posted: May 2000)

 


Attachment B:  Colorado Trust Act 2002

________

Capital letters indicate new material added to existing statutes; dashes through words indicate deletions from existing statutes and such material not part of act.

 

HOUSE BILL 02-1281

 

BY REPRESENTATIVE(S) Saliman, Borodkin, Boyd, Coleman, Daniel,

Groff, Hodge, Jahn, Mace, Madden, Marshall, Plant, Romanoff, Tapia,

Tochtrop, Veiga, Vigil, Weddig, and Williams S.;

also SENATOR(S) Owen, Dyer, Epps, Hanna, Hernandez, Pascoe,

Perlmutter, Phillips, Tupa, and Windels.

CONCERNING THE CREATION OF THE COLORADO TRAUMATIC BRAIN INJURY

BOARD, AND, IN CONNECTION THEREWITH, INCREASING CERTAIN

MOTOR VEHICLE FINES TO PROVIDE MONEYS FOR THE COLORADO

TRAUMATIC BRAIN INJURY TRUST FUND.

 

Be it enacted by the General Assembly of the State of Colorado:

 

SECTION 1. Part 2 of article 1 of title 26, Colorado Revised

Statutes, is amended BY THE ADDITION OF THE FOLLOWING NEW SECTIONS to read:

 

26-1-202. Definitions. AS USED IN SECTIONS 26-1-202 TO 26-1-211,

UNLESS THE CONTEXT OTHERWISE REQUIRES:

(1) "BOARD" MEANS THE COLORADO TRAUMATIC BRAIN INJURY BOARD CREATED PURSUANT TO SECTION 26-1-203.

 

NOTE: This bill has been prepared for the signature of the appropriate legislative

officers and the Governor. To determine whether the Governor has signed the bill

or taken other action on it, please consult the legislative status sheet, the legislative

history, or the Session Laws.

 

(2) "PROGRAM" MEANS THE SERVICES PROVIDED PURSUANT TO

SECTIONS 26-1-204 AND 26-1-205.

(3) "TRAUMATIC BRAIN INJURY" MEANS INJURY TO THE BRAIN

CAUSED BY PHYSICAL TRAUMA RESULTING FROM BUT NOT LIMITED TO

INCIDENTS INVOLVING MOTOR VEHICLES, SPORTING EVENTS, FALLS, AND

PHYSICAL ASSAULTS. DOCUMENTATION OF TRAUMATIC BRAIN INJURY SHALL BE BASED ON ADEQUATE MEDICAL HISTORY, NEUROLOGICAL EXAMINATION, INCLUDING MENTAL STATUS TESTING OR NEUROPHYSICAL EVALUATION.  WHERE APPROPRIATE, NEUROIMAGING MAY BE USED TO SUPPORT THE DIAGNOSIS. A TRAUMATIC BRAIN INJURY SHALL BE OF SUFFICIENT SEVERITY TO PRODUCE PARTIAL OR TOTAL DISABILITY AS A RESULT OF IMPAIRED COGNITIVE ABILITY AND PHYSICAL FUNCTION.

(4) "TRUST FUND" MEANS THE COLORADO TRAUMATIC BRAIN INJURY

TRUST FUND CREATED IN SECTION 26-1-210.

26-1-203. Colorado traumatic brain injury board - creation -

powers and duties. (1) THERE IS HEREBY CREATED THE COLORADO

TRAUMATIC BRAIN INJURY BOARD WITHIN THE DEPARTMENT OF HUMAN

SERVICES. THE BOARD SHALL EXERCISE ITS POWERS AND DUTIES AS IF

TRANSFERRED BY A TYPE 2 TRANSFER.

(2) THE COLORADO TRAUMATIC BRAIN INJURY BOARD SHALL BE COMPOSED OF THIRTEEN MEMBERS INCLUDING THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OR THE EXECUTIVE DIRECTOR’S DESIGNEE, THE PRESIDENT OF A STATE BRAIN INJURY ASSOCIATION OR THE PRESIDENT’S DESIGNEE, THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT OR THE EXECUTIVE DIRECTOR’S DESIGNEE, AND THE FOLLOWING MEMBERS WHO SHALL BE APPOINTED BY THE GOVERNOR, WITH THE CONSENT OF THE SENATE:

(a) A NEUROLOGIST WHO HAS EXPERIENCE WORKING WITH PERSONS

WITH TRAUMATIC BRAIN INJURIES;

(b) A NEUROPSYCHOLOGIST WHO HAS EXPERIENCE WORKING WITH

PERSONS WITH TRAUMATIC BRAIN INJURIES;

(c) A SOCIAL WORKER OR CLINICAL PSYCHOLOGIST EXPERIENCED IN

WORKING WITH PERSONS WHO HAVE SUSTAINED TRAUMATIC BRAIN INJURIES;

(d) A REHABILITATION SPECIALIST SUCH AS A SPEECH PATHOLOGIST,

VOCATIONAL REHABILITATION COUNSELOR, OCCUPATIONAL THERAPIST, OR PHYSICAL THERAPIST WHO HAS EXPERIENCE WORKING WITH PERSONS WITH TRAUMATIC BRAIN INJURIES;

(e) A NEUROSURGEON OR NEUROPSYCHIATRIST WHO HAS EXPERIENCE

WORKING WITH PERSONS WITH TRAUMATIC BRAIN INJURIES;

(f) A CLINICAL RESEARCH SCIENTIST WHO HAS EXPERIENCE EVALUATING PERSONS WITH TRAUMATIC BRAIN INJURIES;

(g) TWO PERSONS WHO ARE FAMILY MEMBERS OF INDIVIDUALS WITH

TRAUMATIC BRAIN INJURIES OR INDIVIDUALS WITH A TRAUMATIC BRAIN

INJURY; AND

(h) TWO MEMBERS OF THE PUBLIC WHO HAVE EXPERIENCE WITH

PERSONS WITH TRAUMATIC BRAIN INJURIES.

(3) BOARD MEMBERS SHALL NOT BE COMPENSATED FOR SERVING ON

THE BOARD, BUT MAY BE REIMBURSED FOR ALL REASONABLE EXPENSES

RELATED TO SUCH MEMBERS’ WORK FOR THE BOARD.

(4) INITIAL APPOINTMENTS TO THE BOARD SHALL BE MADE NO LATER

THAN MARCH 1, 2003. THE TERMS OF APPOINTED BOARD MEMBERS SHALL

BE THREE YEARS; EXCEPT THAT THE TERMS OF THE APPOINTED MEMBERS

WHO ARE INITIALLY APPOINTED SHALL BE STAGGERED BY THE GOVERNOR TO END AS FOLLOWS:

(a) FOUR MEMBERS ON JUNE 30, 2004;

(b) THREE MEMBERS ON JUNE 30, 2005; AND

(c) THREE MEMBERS ON JUNE 30, 2006.

(5) NO MEMBER MAY SERVE MORE THAN TWO CONSECUTIVE TERMS.

(6) THE APPOINTED MEMBERS OF THE BOARD SHALL, TO THE EXTENT POSSIBLE, REPRESENT RURAL AND URBAN AREAS OF THE STATE.

(7) THE BOARD SHALL ANNUALLY ELECT, BY MAJORITY VOTE, A

CHAIRPERSON FROM AMONG THE BOARD MEMBERS WHO SHALL ACT AS THE PRESIDING OFFICER OF THE BOARD.

(8) (a) THE BOARD SHALL PROMULGATE REASONABLE POLICIES AND PROCEDURES PERTAINING TO THE OPERATION OF THE TRUST FUND.

(b) THE BOARD MAY CONTRACT WITH ENTITIES TO PROVIDE ALL OR PART OF THE SERVICES DESCRIBED IN THIS PART 2 FOR PERSONS WITH TRAUMATIC BRAIN INJURIES.

(c) THE BOARD MAY ACCEPT AND EXPEND GIFTS, GRANTS, AND DONATIONS FOR OPERATION OF THE PROGRAM.

(9) ARTICLE 4 OF THIS TITLE SHALL NOT APPLY TO THE

PROMULGATION OF ANY POLICIES OR PROCEDURES AUTHORIZED BY SUBSECTION (8) OF THIS SECTION.

 

26-1-204. Administering entity for services for persons with

traumatic brain injuries. (1) AN ADMINISTERING ENTITY UNDER CONTRACT PURSUANT TO SECTION 26-1-203 MAY PERFORM ALL OR PART OF THE ADMINISTRATIVE, ELIGIBILITY, CASE MANAGEMENT, AND CLAIMS PAYMENT FUNCTIONS RELATING TO THE PROGRAM, INCLUDING:

(a) ASSURING TIMELY PAYMENT OF GRANTS OR REQUESTS, INCLUDING:

(I) MAKING AVAILABLE INFORMATION RELATING TO THE PROPER MANNER OF SUBMITTING A GRANT OR REQUEST FOR BENEFITS TO THE PROGRAM AND PROVIDING FORMS UPON WHICH SUBMISSIONS SHALL BE MADE;

(II) EVALUATING THE ELIGIBILITY OF EACH GRANT OR REQUEST FOR PAYMENT PURSUANT TO GUIDELINES ESTABLISHED BY THE BOARD;

(III) NOTIFYING EACH APPLICANT, WITHIN THIRTY DAYS AFTER RECEIVING A PROPERLY COMPLETED AND EXECUTED PROOF OF GRANT OR REQUEST,  WHETHER THE GRANT OR REQUEST IS ACCEPTED OR REJECTED;

(IV) ENSURING THAT EACH ACCEPTED GRANT OR REQUEST IS PAID WITHIN FORTY-FIVE DAYS AFTER ITS ACCEPTANCE;

(b) PAYING GRANT OR REQUEST EXPENSES FROM THE MONEYS IN THE TRUST FUND; AND (c) DETERMINING THE EXPENSE OF ADMINISTRATION AND THE PAID

AND INCURRED LOSSES FOR EACH YEAR AND REPORTING SUCH INFORMATION TO THE BOARD.

(2) THE ADMINISTERING ENTITY SHALL BE PAID IN COMPLIANCE WITH

POLICIES AND PROCEDURES ESTABLISHED BY THE BOARD.

(3) IF THE BOARD DOES NOT CONTRACT WITH AN ADMINISTERING

ENTITY TO PROVIDE ALL OR PART OF THE SERVICES DESCRIBED IN THIS PART 2 FOR PERSONS WITH TRAUMATIC BRAIN INJURIES, THE DEPARTMENT SHALL UNDERTAKE TO PROVIDE SUCH SERVICES TO THE BEST OF ITS ABILITY.

 

26-1-205. Services for persons with traumatic brain injuries - limitations - covered services. (1) APPROXIMATELY SIXTY-FIVE PERCENT OF THE MONEYS COLLECTED FOR THE TRUST FUND PURSUANT TO SECTIONS 42-4-1301 (9) (g) (IV) AND 42-4-1701 (4) (e), C.R.S., SHALL BE USED TO PROVIDE SERVICES TO PERSONS WITH TRAUMATIC BRAIN INJURIES. SERVICES PROVIDED PURSUANT TO THIS SECTION SHALL BEGIN TO BE PROVIDED TO PERSONS WITH TRAUMATIC BRAIN INJURIES NO LATER THAN JULY 1, 2004.

(2) TO BE ELIGIBLE FOR ASSISTANCE FROM THE TRUST FUND, AN

INDIVIDUAL SHALL HAVE EXHAUSTED ALL OTHER HEALTH OR

REHABILITATION BENEFIT FUNDING SOURCES THAT COVER THE SERVICES PROVIDED BY THE TRUST FUND. AN INDIVIDUAL SHALL NOT BE REQUIRED TO EXHAUST ALL PRIVATE FUNDS IN ORDER TO BE ELIGIBLE FOR THE PROGRAM.

INDIVIDUALS WHO HAVE CONTINUING HEALTH INSURANCE BENEFITS,

INCLUDING, BUT NOT LIMITED TO, MEDICAL ASSISTANCE PURSUANT TO

ARTICLE 4 OF THIS TITLE, MAY ACCESS THE TRUST FUND FOR SERVICES THAT ARE NECESSARY BUT THAT ARE NOT COVERED BY A HEALTH BENEFIT PLAN, AS DEFINED IN SECTION 10-16-102 (21), C.R.S., OR ANY OTHER FUNDING SOURCE.

(3) ALL INDIVIDUALS RECEIVING ASSISTANCE FROM THE TRUST FUND SHALL RECEIVE CASE MANAGEMENT SERVICES FROM THE DESIGNATED ENTITY PURSUANT TO SECTION 26-1-204 OR THE DEPARTMENT.

(4) THE BOARD MAY MONITOR, AND, IF NECESSARY, IMPLEMENT CRITERIA TO ENSURE THAT THERE ARE NO ABUSES IN EXPENDITURES, INCLUDING, BUT NOT LIMITED TO, REASONABLE AND EQUITABLE PROVIDER’S FEES AND SERVICES.

(5) (a) SERVICES COVERED BY THE TRUST FUND MAY INCLUDE, BUT

SHALL NOT BE LIMITED TO:

(I) CASE MANAGEMENT;

(II) COMMUNITY RESIDENTIAL SERVICES;

(III) STRUCTURED DAY PROGRAM SERVICES;

(IV) PSYCHOLOGICAL AND MENTAL HEALTH SERVICES FOR THE INDIVIDUAL WITH THE TRAUMATIC BRAIN INJURY AND THE INDIVIDUAL’S FAMILY;

(V) PREVOCATIONAL SERVICES;

(VI) SUPPORTED EMPLOYMENT;

(VII) COMPANION SERVICES;

(VIII) RESPITE CARE;

(IX) OCCUPATIONAL THERAPY;

(X) SPEECH AND LANGUAGE THERAPY;

(XI) COGNITIVE REHABILITATION;

(XII) PHYSICAL REHABILITATION; AND

(XIII) ONE TIME HOME MODIFICATIONS.

(b) COVERED SERVICES SHALL NOT INCLUDE INSTITUTIONALIZATION, HOSPITALIZATION, OR MEDICATIONS.

26-1-206. Education about traumatic brain injury.

APPROXIMATELY FIVE PERCENT OF THE MONEYS COLLECTED FOR THE TRUST FUND PURSUANT TO SECTIONS 42-4-1301 (9) (g) (IV) AND 42-4-1701 (4) (e), C.R.S., SHALL BE UTILIZED TO PROVIDE EDUCATION FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURIES AND ASSIST EDUCATORS, PARENTS, AND NONMEDICAL PROFESSIONALS IN THE IDENTIFICATION OF TRAUMATIC BRAIN INJURIES SO AS TO ASSIST SUCH PERSONS IN SEEKING PROPER MEDICAL INTERVENTION OR TREATMENT. IMPLEMENTATION OF THIS SECTION SHALL BEGIN NO LATER THAN APRIL 1, 2004.

 

26-1-207. Research related to treatment of traumatic brain

injuries - grants. (1) APPROXIMATELY THIRTY PERCENT OF THE MONEYS

COLLECTED FOR THE TRUST FUND PURSUANT TO SECTIONS 42-4-1301 (9) (g)

(IV) AND 42-4-1701 (4) (e), C.R.S., SHALL BE UTILIZED TO SUPPORT

RESEARCH RELATED TO THE TREATMENT AND UNDERSTANDING OF

TRAUMATIC BRAIN INJURIES. THE BOARD SHALL SOLICIT APPLICATIONS FOR GRANTS TO BE AWARDED PURSUANT TO THIS SECTION NO LATER THAN OCTOBER 1, 2004.

(2) THE BOARD SHALL AWARD GRANTS. PERSONS INTERESTED IN A

GRANT SHALL APPLY TO THE BOARD IN A MANNER PRESCRIBED BY THE BOARD. THE BOARD MAY CONSULT WITH EDUCATIONAL INSTITUTIONS OR OTHER PRIVATE INSTITUTIONS WITHIN COLORADO AND NATIONALLY REGARDING THE MERIT OF AN APPLICATION FOR A GRANT. THE BOARD SHALL DETERMINE THE TIME FRAMES AND ADMINISTRATION OF THE GRANT PROGRAM.

 

26-1-208. Administrative costs. THE ADMINISTRATIVE EXPENSES OF THE BOARD AND THE DEPARTMENT SHALL BE PAID FROM MONEYS IN THE TRUST FUND. THE JOINT BUDGET COMMITTEE SHALL ANNUALLY APPROPRIATE MONEYS FROM THE FUND TO PAY FOR THE ADMINISTRATIVE EXPENSES OF THE PROGRAM.

 

26-1-209. General fund moneys. EXCEPT FOR INITIAL COMPUTER

PROGRAMING COSTS FOR THE DEPARTMENT OF REVENUE, IT IS THE INTENT OF THE GENERAL ASSEMBLY THAT NO GENERAL FUND MONEYS BE APPROPRIATED FOR THE IMPLEMENTATION, OPERATION, OR ADMINISTRATION OF THE TRUST FUND AND THE SERVICES PROVIDED BY THE TRUST FUND.

 

26-1-210. Trust fund. (1) A TRUST FUND TO BE KNOWN AS THE

COLORADO TRAUMATIC BRAIN INJURY TRUST FUND IS HEREBY CREATED AND ESTABLISHED IN THE STATE TREASURY. SUCH TRUST FUND SHALL BE COMPRISED OF MONEYS COLLECTED FROM SURCHARGES ASSESSED PURSUANT TO SECTIONS 42-4-1301 (9) (g) (IV) AND 42-4-1701 (4) (e), C.R.S.

(2) GIFTS, GRANTS, DONATIONS, OR ANY OTHER MONEYS THAT MAY BE MADE AVAILABLE MAY BE ACCEPTED BY THE TRUST FUND OR THE BOARD FOR PURPOSES OF THE TRUST FUND.

(3) THE TRUST FUND SHALL BE A CONTINUING TRUST FUND. ALL INTEREST EARNED UPON MONEYS IN THE TRUST FUND AND DEPOSITED OR INVESTED MAY BE INVESTED IN THE TYPES OF INVESTMENTS AUTHORIZED IN SECTIONS 24-36-109, 24-36-112, AND 24-36-113, C.R.S.

 

26-1-211. Reports to the general assembly. ON FEBRUARY 1,

2004, AND EACH FEBRUARY 1 THEREAFTER, THE BOARD OF DIRECTORS SHALL REPORT TO THE JOINT BUDGET COMMITTEE; THE HEALTH ENVIRONMENT, WELFARE, AND INSTITUTIONS COMMITTEE OF THE HOUSE OF REPRESENTATIVES; AND THE HEALTH, ENVIRONMENT, CHILDREN AND FAMILIES COMMITTEE OF THE SENATE ON THE OPERATIONS OF THE TRUST FUND, THE MONEYS EXPENDED, THE NUMBER OF INDIVIDUALS WITH TRAUMATIC BRAIN INJURIES OFFERED SERVICES, THE RESEARCH GRANTS AWARDED AND THE PROGRESS ON SUCH GRANTS, AND THE EDUCATIONAL INFORMATION PROVIDED PURSUANT TO THIS ARTICLE.

 

26-1-212. Repeal. SECTIONS 26-1-202 TO 26-1-212 ARE REPEALED,

EFFECTIVE JULY 1, 2012.

 

SECTION 2. 24-1-120, Colorado Revised Statutes, is amended BY

THE ADDITION OF A NEW SUBSECTION to read:

 

24-1-120. Department of human services - creation. (9) THE POWERS, DUTIES, AND FUNCTIONS OF THE COLORADO TRAUMATIC BRAIN INJURY BOARD, CREATED IN SECTION 25-1-127, C.R.S., ARE TRANSFERRED BY A TYPE 2 TRANSFER TO THE DEPARTMENT OF HUMAN SERVICES.  SECTION 3. 42-4-1301 (9) (g), Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW SUBPARAGRAPH to read:

 

42-4-1301. Driving under the influence - driving while impaired - driving with excessive alcoholic content - tests - penalties - useful public service program - alcohol and drug driving safety program.

(9) (g) In addition to the penalties prescribed in this subsection (9):

(IV) PERSONS CONVICTED OF VIOLATIONS OF SUBSECTION (1) OR (2) OF THIS SECTION ARE SUBJECT TO A SURCHARGE OF FIFTEEN DOLLARS TO BE  TRANSMITTED TO THE STATE TREASURER WHO SHALL DEPOSIT SAID SURCHARGES IN THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND CREATED PURSUANT TO SECTION 26-1-210, C.R.S.

 

SECTION 4. 42-4-1301 (7) (d), Colorado Revised Statutes, as enacted by Senate Bill 02-057, enacted at the Second Regular Session of the Sixty-third General Assembly, is amended BY THE ADDITION OF A NEW SUBPARAGRAPH to read:

42-4-1301. Driving under the influence - driving while impaired - driving with excessive alcoholic content - penalties. (7) Penalties.

(d) In addition to the penalties prescribed in this subsection (7):

(III) PERSONS CONVICTED OF DUI, DUI PER SE, DWAI, HABITUAL

USER, AND UDD ARE SUBJECT TO A SURCHARGE OF FIFTEEN DOLLARS TO BE TRANSMITTED TO THE STATE TREASURER WHO SHALL DEPOSIT SAID

SURCHARGES IN THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND

CREATED PURSUANT TO SECTION 26-1-210, C.R.S.

 

SECTION 5. 42-4-1701 (4), Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW PARAGRAPH to read:

 

42-4-1701. Traffic offenses and infractions classified - penalties - penalty and surcharge schedule. (4) (e) (I) AN ADDITIONAL TEN DOLLARS SHALL BE ASSESSED FOR SPEEDING VIOLATIONS UNDER SUB-SUBPARAGRAPH (L) OF SUBPARAGRAPH (I) OF PARAGRAPH (a) OF THIS SUBSECTION (4) IN ADDITION TO THE PENALTIES AND SURCHARGE STATED IN SAID SUB-SUBPARAGRAPH (L). MONEYS  COLLECTED PURSUANT TO THIS PARAGRAPH (e) SHALL BE TRANSMITTED TO THE STATE TREASURER WHO SHALL DEPOSIT SUCH MONEYS IN THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND CREATED PURSUANT TO SECTION 26-1-210, C.R.S., WITHIN FOURTEEN DAYS AFTER THE END OF EACH QUARTER, TO BE USED FOR THE PURPOSES SET FORTH IN SECTIONS 26-1-202 TO 26-1-211, C.R.S.

(II) IF THE SURCHARGE IS COLLECTED BY A COUNTY OR MUNICIPAL COURT, THE SURCHARGE SHALL BE TWELVE DOLLARS OF WHICH TWO DOLLARS SHALL BE RETAINED BY THE COUNTY OR MUNICIPALITY AND THE REMAINING TEN DOLLARS SHALL BE TRANSMITTED TO THE STATE TREASURER AND CREDITED TO THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND CREATED PURSUANT TO SECTION 26-1-210, C.R.S., WITHIN FOURTEEN DAYS AFTER THE END OF EACH QUARTER, TO BE USED FOR THE PURPOSES SET FORTH IN SECTIONS 26-1-202 TO 26-1-211, C.R.S.

 

SECTION 6. 30-15-402 (2), Colorado Revised Statutes, is amended to read:

 

30-15-402. Violations - penalty. (2) In addition to the penalties prescribed in subsection (1) of this section, persons convicted of a violation of any ordinance adopted pursuant to this part 4 are subject to:

(a) A surcharge of ten dollars These surcharges THAT shall be paid to the clerk of the court by the defendant and each clerk shall transmit the moneys to the court administrator of the judicial district in which the offense occurred for credit to the victims and witnesses assistance and law enforcement fund established in that judicial district pursuant to section 24-4.2-103, C.R.S.;

(b) A SURCHARGE OF TWELVE DOLLARS THAT SHALL BE PAID TO THE

CLERK OF THE COURT BY THE DEFENDANT AND EACH CLERK SHALL TRANSMIT THE MONEYS TO THE COURT ADMINISTRATOR OF THE JUDICIAL DISTRICT IN WHICH THE OFFENSE OCCURRED FOR CREDIT TO THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND CREATED PURSUANT TO SECTION 26-1-210, C.R.S.  TWO DOLLARS OF THE SURCHARGE SHALL BE RETAINED BY THE COUNTY AND THE REMAINING TEN DOLLARS SHALL BE TRANSMITTED TO THE COLORADO TRAUMATIC BRAIN INJURY TRUST FUND.

 

SECTION 7. 42-4-110 (2), Colorado Revised Statutes, is amended to read:

 

42-4-110. Provisions uniform throughout state. (2) The municipal courts have jurisdiction over violations of traffic regulations enacted or adopted by municipalities. However, the provisions of sections 42-4-1701, 42-4-1705, and 42-4-1707 shall not be applicable to municipalities, EXCEPT FOR THE PROVISIONS OF SECTION 42-4-1701 (4) (e) (II).

SECTION 8. No appropriation. The general assembly has determined that the costs of this act can be implemented within existing appropriations until December 31, 2003, and therefore no separate appropriation of state moneys is necessary to carry out the purposes of this act.

SECTION 9. Effective date - applicability. (1) (a) Except as provided in paragraph (b), sections 1, 2, 8, and 9 of this act shall take effect January 1, 2003, unless a referendum petition is filed during the ninety-day period after final adjournment of the general assembly that is allowed for submitting a referendum petition pursuant to article V, section 1 (3) of the state constitution. If such a referendum petition is filed against this act or an item, section, or part of this act within such period, then the act, item, section, or part shall take effect on the specified date only if approved by the people.

(b) Sections 3 through 7 of this act shall take effect January 1, 2004; except that:

(I) Section 4 of this act shall only take effect if Senate Bill 02-057 is enacted at the Second Regular Session of the Sixty-third General Assembly and becomes law; and

(II) Section 3 of this act shall only take effect if Senate Bill 02-057 is not enacted at the Second Regular Session of the Sixty-third General Assembly and does not become law. (2) The provisions of this act shall apply to convictions of driving under the influence of alcohol or drugs or driving while impaired and to speeding violations on or after the applicable effective date of this act.

 Attachment C: Kentucky Trust Fund Statute

 

AN ACT relating to traumatic brain injury.

Be it enacted by the General Assembly of the Commonwealth of Kentucky:

 

SECTION 1.   A NEW SECTION OF KRS CHAPTER 211 IS CREATED TO READ AS FOLLOWS:

As used in Sections 1 to 5 of this Act:

(1)        "Board" means the Traumatic Brain Injury Trust Fund Board created pursuant to Section 2 of this Act;

(2)        "Cabinet" means the Cabinet for Human Resources;

(3)        "Traumatic Brain Injury" means a partial or total disability caused by injury to the central nervous system from physical trauma, damage to the central nervous system from anoxia, hypoxic episodes, allergic conditions, toxic substances, or other acute medical clinical incidents resulting in impaired cognitive abilities or impaired physical functioning. "Traumatic brain injury" does not include:

(a)        Strokes that can be treated in nursing facilities providing routine rehabilitation services;

(b)        Spinal cord injuries for which there are no known or obvious injuries to the intercranial central nervous system;

(c)        Progressive dementias and other mentally impairing conditions;

(d)        Depression and psychiatric disorders in which there is no known or obvious central nervous system damage;

(e)        Mental retardation and birth defect related disorders of long standing nature; or

(f)         Neurological degenerative, metabolic and other medical conditions of a chronic, degenerative nature.

(4)        "Trust fund" means the traumatic brain injury trust fund created pursuant to Section 4 of this Act.

SECTION 2.   A NEW SECTION OF KRS CHAPTER 211 IS CREATED TO READ AS FOLLOWS:

(1)        The Kentucky Traumatic Brain Injury Trust Fund Board is hereby created for the purpose of administering the trust fund. The board shall be composed of nine (9) members including the Secretary of the Cabinet for Human Resources or the secretary's designee, the Executive Director of the Brain Injury Association of Kentucky or the executive director's designee, the state medical epidemiologist, and the following members, to be appointed by the Governor:

(a)        One (1) member shall be a neurosurgeon;

(b)        One (1) member shall be a neuropsychologist or psychiatrist;

(c)        One (1) member shall be a rehabilitation specialist;

(d)        One (1) member shall be a social worker experienced in working with brain-injured individuals; and

(e)        Two (2) members shall be family members of or individuals with a brain injury.

(2)        Board members shall not be compensated for serving, but shall be reimbursed for ordinary travel expenses, including meals and lodging incurred in the performance of their duties.

(3)        The terms of appointed board members shall be four (4) years, except that the terms of initial members shall be staggered to end as follows:

(a)        Two (2) on June 30, 2000;

(b)        Two (2) on June 30, 2001; and

(c)        Two (2) on June 30, 2002.

(4)        At the end of a term, a member shall continue to serve until a successor is appointed and qualifies. A member who is appointed after a term has begun shall serve the rest of the term and until a successor is appointed and qualifies. A member who serves two (2) consecutive four (4) year terms shall not be reappointed for four (4) years after completion of those terms.

(5)        A majority of the full authorized membership shall constitute a quorum.

(6)        The board shall elect, by a majority vote, a director who shall be the presiding officer of the board, preside at all meetings, and coordinate the functions and activities of the board. The director shall be elected or reelected for each calendar year.

(7)        The board may establish any organizational structure it determines is necessary to accomplish its functions and duties, including the hiring of any necessary support personnel. The administrative costs of the board shall be limited to three percent (3%) of the proceeds from the trust fund.

(8)        Meetings of the board shall be held at least twice a year but may be held more frequently, as deemed necessary, subject to call by the director or by the request of a majority of the board members.

(9)        The board shall be attached to the cabinet for administrative purposes.

SECTION 3.   A NEW SECTION OF KRS CHAPTER 211 IS CREATED TO READ AS FOLLOWS:

The board shall:

(1)        Promulgate administrative regulations necessary to carry out the provisions of Sections 1 to 5 of this Act;

(2)        Formulate policies and procedures for determining individual eligibility for assistance from the trust fund in accordance with the following guidelines:

(a)        The trust fund shall serve as a funding source of last resort for residents of the Commonwealth of Kentucky. To be eligible for assistance from the trust fund, an individual must have exhausted all other funding sources that cover the type of services sought through the trust fund. Individuals who have continuing health insurance benefits, including Medicaid, may access the trust fund for services that are needed but not covered by insurance or any other funding source. Individuals who qualify for institutional care through Medicaid shall not qualify for services through the trust fund;

(b)        All individuals receiving assistance from the fund shall receive case management services;

(c)        Expenditures on behalf of any one (1) brain-injured individual may not exceed fifteen thousand dollars ($15,000) for any twelve (12) month period, and may not exceed a lifetime maximum of sixty thousand dollars ($60,000). At its discretion and subject to fund availability, the board may waive the expenditure or time limitations or both in special circumstances;

(d)        Services covered by the trust fund shall include:

1.         Case management;

2.         Community residential services;

3.         Structured day program services;

4.         Psychological services;

5.         Prevocational services;

6.         Supported employment;

7.         Companion services;

8.         Respite care;

9.         Occupational therapy; and

10.       Speech and language therapy.

            Covered services shall not include institutionalization, hospitalization, environmental modifications, special medical equipment and supplies, medications, and behavioral programs;

(3)        Establish a confidential medical registry for traumatic brain and spinal cord injuries occurring in the Commonwealth of Kentucky, or to residents of the Commonwealth of Kentucky.

(a)        The board may promulgate administrative regulations requiring licensed or certified professionals or health services providers to report the occurrence of brain and spinal cord injuries, relevant medical and epidemiological information about the injuries, and other information describing the circumstances of the injury to the board or its designated agent. The reporting of data by licensed hospitals under this section shall be limited to that which is reported to the Cabinet for Human Resources pursuant to KRS 216.2920 to 216.2929 and the board shall obtain this data from the Cabinet for Human Resources. Each licensed hospital shall grant the board, upon presentation of proper identification, access to the medical records of patients with reportable brain and spinal cord injuries for the sole purpose of collecting additional information that is not available in the data obtained from the Cabinet for Human Resources. All costs associated with copying medical records shall be borne by the board. No liability of any kind shall arise or be enforced against any licensed hospital or hospital employee for providing the board access to a patient's medical record.

(b)        The board and its designated agent, if one is appointed, shall observe the same confidentiality requirements established for the Kentucky birth surveillance registry in KRS 211.670.

(4)        Investigate the needs of brain-injured individuals and identify gaps in current services;

(5)        Assist the cabinet in developing programs for brain-injured individuals;

(6)        Monitor and evaluate services provided by the trust fund; and

(7)        Provide the Governor, the General Assembly, and the Legislative Research Commission an annual report by January 1 of each year summarizing the activities of the board and the trust fund.

SECTION 4.   A NEW SECTION OF KRS CHAPTER 211 IS CREATED TO READ AS FOLLOWS:

(1)        The traumatic brain injury trust fund is created as a separate revolving fund. The trust fund shall consist of moneys collected from an additional assessment of twenty dollars ($20) imposed on driving under the influence offenses, an additional assessment of ten dollars ($10) imposed against selected speeding offenses, and an additional fine of ten dollars ($10) imposed against selected moving violations.

(2)        The trust fund may receive the proceeds from grants, contributions, appropriations, and any other moneys that may be made available for the purposes of the trust fund.

(3)        Expenditures from the trust fund on behalf of the medical registry created under Section 3 of this Act shall not exceed one hundred twenty-five thousand dollars ($125,000) for any fiscal year.

(4)        Funds unexpended at the close of a fiscal year shall not lapse but shall be carried forward to the next fiscal year.

(5)        Any interest earnings of the trust fund shall become a part of the trust fund and shall not lapse to the general fund.

SECTION 5.   A NEW SECTION OF KRS CHAPTER 211 IS CREATED TO READ AS FOLLOWS:

Trust fund moneys shall be distributed for the following purposes:

(1)        To provide services to individuals suffering from conditions that qualify for assistance from the fund, in accordance with criteria established by the board in Section 3 of this Act;

(2)        To establish and maintain a state medical registry for traumatic brain and spinal cord injuries; and

(3)        To meet the obligations incurred by the board in meeting its duties in accordance with the provisions of Sections 2 and 3 of this Act.

Section 6.   KRS 189.990 is amended to read as follows:

(1)        Any person who violates any of the provisions of KRS 189.020 to 189.040, subsections (1), (2), and (5) of KRS 189.050, KRS 189.060 to 189.080, subsections (1) to (3) of KRS 189.090, KRS 189.100, 189.110, 189.130 to 189.160, subsections (2) to (4) of KRS 189.190, KRS 189.200, 189.290, 189.300 to 189.360, KRS 189.380, KRS 189.400 to 189.430, 189.450 to 189.480, subsection (1) of KRS 189.520, KRS 189.540, KRS 189.570 to 189.630, except subsection (1) of KRS 189.580, KRS 189.345, subsection (4) of KRS 189.456 and 189.960, shall be fined not less than twenty dollars ($20) nor more than one hundred dollars ($100) for each offense. Any person who violates subsection (1) of KRS 189.580 shall be fined not less than twenty dollars ($20) nor more than two thousand dollars ($2,000) or imprisoned in the county jail for not more than one (1) year, or both. Any person who violates paragraph (c) of subsection (5) of KRS 189.390 shall be fined not less than eleven dollars ($11) nor more than thirty dollars ($30). Neither court costs nor fees shall be taxed against any person violating paragraph (c) of subsection (5) of KRS 189.390.

(2)(a)  Any person who violates the weight provisions of KRS 189.221, 189.222, 189.226, 189.230, 189.270, or 189.271 shall be fined two cents (2¢) per pound for each pound of excess load when the excess is two thousand (2,000) pounds or less, three cents (3¢) per pound when the excess exceeds two thousand (2,000) pounds and is three thousand (3,000) pounds or less, five cents (5¢) per pound when the excess exceeds three thousand (3,000) pounds and is four thousand (4,000) pounds or less, seven cents (7¢) per pound when the excess exceeds four thousand (4,000) pounds and is five thousand (5,000) pounds or less, and nine cents (9¢) per pound when the excess exceeds five thousand (5,000) pounds but in no case shall the fine be less than sixty dollars ($60) nor more than five hundred dollars ($500).

(b)  Any person who violates any provision of subsections (3) and (4) of KRS 189.050, subsection (4) of KRS 189.090, KRS 189.221 to 189.230, 189.270, 189.280, or 189.490, for which another penalty is not specifically provided, shall be guilty of a misdemeanor and shall be fined not less than ten dollars ($10) nor more than five hundred dollars ($500).

(c)  Nothing in this subsection or in KRS 189.221 to 189.228 shall be deemed to prejudice or affect the authority of the Department of Vehicle Regulation to suspend or revoke certificates of common carriers, permits of contract carriers, or drivers' or chauffeurs' licenses, for any violation of KRS 189.221 to 189.228 or any other act applicable to motor vehicles, as provided by law.

(3)  (a) Any person who violates subsection (1) of KRS 189.190 shall be fined not more than fifteen dollars ($15).

(b)  Any person who violates subsection (5) of KRS 189.190 shall be fined not less than thirty-five dollars ($35) nor more than two hundred dollars ($200).

(4)  (a) Any person who violates subsection (1) of KRS 189.210 shall be fined not less than twenty-five dollars ($25) nor more than one hundred dollars ($100).

(b)  Any peace officer who fails, when properly informed, to enforce KRS 189.210 shall be fined not less than twenty-five dollars ($25) nor more than one hundred dollars ($100).

(c)  All fines collected under this subsection, after payment of commissions to officers entitled thereto, shall go to the county road fund if the offense is committed in the county, or to the city street fund if committed in the city.

(5)  Any person who violates KRS 189.370 shall for the first offense be fined not less than one hundred dollars ($100) nor more than two hundred dollars ($200) or imprisoned not less than thirty (30) days nor more than sixty (60) days or both. For each subsequent offense occurring within three (3) years, such person shall be fined not less than three hundred dollars ($300) nor more than five hundred dollars ($500) or imprisoned not less than sixty (60) days nor more than six (6) months, or both. The minimum fine for this violation shall not be subject to suspension. A minimum of six (6) points shall be assessed against the driving record of any person convicted.

(6)  Any person who violates KRS 189.500 shall be fined not more than fifteen dollars ($15) in excess of the cost of the repair of the road.

(7)  Any person who violates KRS 189.510 or KRS 189.515 shall be fined not less than twenty dollars ($20) nor more than fifty dollars ($50).

(8)  Any peace officer who violates subsection (2) of KRS 189.520 shall be fined not less than thirty-five dollars ($35) nor more than one hundred dollars ($100).

(9)  Any person who violates KRS 189.530 shall be fined not less than thirty-five dollars ($35) nor more than one hundred dollars ($100), or imprisoned not less than thirty (30) days nor more than twelve (12) months, or both.

(10)  Any person who violates any of the provisions of KRS 189.550 shall be guilty of a Class B misdemeanor.

(11)  Any person who violates subsection (2) of KRS 189.560 shall be fined not less than thirty dollars ($30) nor more than one hundred dollars ($100) for each offense.

(12)      The fines imposed by paragraph (a) of subsection (3) and subsections (6) and (7) of this section shall, in the case of a public highway, be paid into the county road fund, and in case of a privately owned road or bridge, be paid to the owner. These fines shall not bar an action for damages for breach of contract.

(13)  Any person who violates any of the provisions of KRS 189.120 shall be fined not less than twenty dollars ($20) nor more than one hundred dollars ($100) for each offense.

(14)  Any person who violates any provision of KRS 189.575 shall be fined not less than twenty dollars ($20) nor more than twenty-five dollars ($25).

(15)  Any person who violates subsection (2) of KRS 189.231 shall be fined not less than twenty dollars ($20) nor more than one hundred dollars ($100) for each offense.

(16)  Any person who violates restrictions or regulations established by the secretary of transportation pursuant to subsection (3) of KRS 189.231 shall, upon first offense, be fined one hundred dollars ($100), and upon subsequent convictions, be fined not less than one hundred dollars ($100) nor more than five hundred dollars ($500) or imprisoned for thirty (30) days, or both.

(17)  (a)  Any person who violates any of the provisions of KRS 189.565 shall be guilty of a Class B misdemeanor.

(b)  In addition to the penalties prescribed in paragraph (a) of this subsection, in case of violation by any person in whose name such vehicle used in the transportation of inflammable liquids or explosives is licensed, such person shall be fined not less than one hundred dollars ($100) nor more than five hundred dollars ($500). Each violation shall constitute a separate offense.

(18)  Any person who abandons a vehicle upon the right-of-way of a state highway for seven (7) consecutive days shall be fined not less than thirty-five dollars ($35) nor more than one hundred dollars ($100), or imprisoned for not less than ten (10) days nor more than thirty (30) days.

(19)  Every person violating KRS 189.393 shall be punished upon a first conviction by imprisonment for a period of not less than five (5) days nor more than ninety (90) days, or by fine of not less than thirty-five dollars ($35) nor more than five hundred dollars ($500), or by both such fine and imprisonment, and on a second or subsequent conviction shall be punished by imprisonment for not less than ten (10) days nor more than six (6) months, or by a fine of not less than sixty dollars ($60) nor more than one thousand dollars ($1,000), or by both such fine and imprisonment.

(20)  Any law enforcement agency which fails or refuses to forward the reports required by KRS 189.635 shall be subject to the penalties prescribed in KRS 17.157.

(21)  A person who elects to operate a bicycle in accordance with any regulations adopted pursuant to KRS 189.287 and who willfully violates a provision of such a regulation shall be fined not less than ten dollars ($10) nor more than one hundred dollars ($100). A person who operates a bicycle without complying with any regulations adopted pursuant to KRS 189.287 or vehicle safety statutes shall be prosecuted for violation of the latter.

(22)  Any person who violates KRS 189.860 shall be fined not more than five hundred dollars ($500) or imprisoned for not more than six (6) months, or both.

(23)  Any person who violates KRS 189.754 shall be fined not less than twenty-five dollars ($25) nor more than three hundred dollars ($300).

(24)  Any person who violates the provisions of KRS 189.125(3) shall be fined fifty dollars ($50).

(25)  Any person who violates the provisions of KRS 189.125(6) shall be fined an amount not to exceed twenty-five dollars ($25).

(26)  Any person who violates any of the provisions of KRS 189.125(3), KRS 189.290, KRS 189.300, KRS 189.340, KRS 189.345, KRS 189.370, KRS 189.393, or KRS 189.505, shall, in addition to any other fine imposed by this chapter, pay an additional fee of five dollars ($5). Funds collected pursuant to this subsection shall be deposited in the traumatic brain injury trust fund, created pursuant to Section 4 of this Act, within fourteen (14) days after the end of each quarter, to be used for the purposes set forth in Sections 1 to 5 of this Act.

(27)  Fines levied pursuant to this chapter shall be assessed in the manner required by KRS 534.020, in amounts consistent with this chapter. Nonpayment of fines shall be governed by KRS 534.060.

(28)[(27)]  A licensed driver under the age of eighteen (18) charged with a moving violation pursuant to this chapter as the driver of a motor vehicle, may be referred, prior to trial, by the court to a diversionary program. The diversionary program under this subsection shall consist of one (1) or both of the following:

(a)  Execution of a diversion agreement which prohibits the driver from operating a vehicle for a period not to exceed forty-five (45) days and which allows the court to retain the driver's operator's license during this period; and

(b)  Attendance at a driver improvement clinic established pursuant to KRS 186.574. If the person completes the terms of this diversionary program satisfactorily the violation shall be dismissed.

Section 7.   KRS 189.394 is amended to read as follows:

(1)               The fines for speeding in violation of KRS 189.390 shall be:

 

Mph.                                        Prima Facie or Maximum Speed                                               Fine

Over    15        20        25        30        35        40        45        50        55        60        65       

 

  1        16        21        26        31        36        41        46        51        56        61        66        $1

  2        17        22        27        32        37        42        47        52        57        62        67        2

  3        18        23        28        33        38        43        48        53        58        63        68        3

  4        19        24        29        34        39        44        49        54        59        64        69        4

  5        20        25        30        35        40        45        50        55        60        65        70        5

  6        21        26        31        36        41        46        51        56        61        66        71        16

  7        22        27        32        37        42        47        52        57        62        67        72        17

  8        23        28        33        38        43        48        53        58        63        68        73        18

  9        24        29        34        39        44        49        54        59        64        69        74        19

10        25        30        35        40        45        50        55        60        65        70        75        20

11        26        31        36        41        46        51        56        61        66        71        76        22

12        27        32        37        42        47        52        57        62        67        72        77        24

13        28        33        38        43        48        53        58        63        68        73        78        26

14        29        34        39        44        49        54        59        64        69        74        79        28

15        30        35        40        45        50        55        60        65        70        75        80        30

16        31        36        41        46        51        56        61        66        71        76        81        32

17        32        37        42        47        52        57        62        67        72        77        82        34

18        33        38        43        48        53        58        63        68        73        78        83        36

19        34        39        44        49        54        59        64        69        74        79        84        38

20        35        40        45        50        55        60        65        70        75        80        85        40

21        36        41        46        51        56        61        66        71                                            43

22        37        42        47        52        57        62        67        72                                            46

23        38        43        48        53        58        63        68        73                                            49

24        39        44        49        54        59        64        69        74                                            52

25        40        45        50        55        60        65        70        75                                            55

 

(2)        For speeding in excess of the speeds shown on the specific fine schedule the fine shall be not less than sixty dollars ($60) nor more than one hundred dollars ($100).

(3)        For any violation shown on the chart for which a specific fine is prescribed, the defendant may elect to pay the fine and court costs to the circuit clerk before the date of his trial or to be tried in the normal manner. Payment of the fine and court costs to the clerk shall be considered as a plea of guilty for all purposes.

(4)        If the offense charged shows a speed in excess of the speeds shown on the specific fine schedule the defendant shall appear for trial and may not pay the fine to the clerk before the trial date.

(5)        Twelve dollars and fifty cents ($12.50) shall be assessed for violations of KRS 189.390 in addition to the penalties set forth in subsections (1) and (2) of this section. Funds collected pursuant to this subsection shall be deposited in the spinal cord and head injury research trust fund, created pursuant to KRS 211.504, within fourteen (14) days after the end of each quarter, to be used for the purposes set forth in KRS 211.502.

(6)        Ten dollars ($10) shall be assessed for violations of KRS 189.390 in addition to the penalties set forth in subsections (1) and (2) and the additional fee established in subsection (3) of this section. Funds collected pursuant to this subsection shall be deposited in the traumatic brain injury trust fund created pursuant to Section 4 of this Act, within fourteen (14) days after the end of each quarter, to be used for the purposes set forth in Sections 1 to 5 of this Act.

(7)        If the offense occurred in a highway work zone, the fine established by subsection (1) or (2) of this section shall be doubled.

(8)[(7)] All fines collected for speeding in a highway work zone in violation of KRS 189.390 shall be deposited into a separate trust and agency account within the Transportation Cabinet known as the "Highway Work Zone Safety Fund." The highway work zone safety fund shall be used exclusively by the Transportation Cabinet to hire or pay for enhanced law enforcement of traffic laws within highway work zones.

Section 8.   KRS 189A.010 is amended to read as follows:

(1)        A person shall not operate or be in physical control of a motor vehicle anywhere in this state:

(a)        While the alcohol concentration in his blood or breath is 0.10 or more based on the definition of alcohol concentration in KRS 189A.005;

(b)        While under the influence of alcohol;

(c)        While under the influence of any other substance or combination of substances which impairs one's driving ability;

(d)        While under the combined influence of alcohol and any other substance which impairs one's driving ability; or

(e)        While the alcohol concentration in his blood or breath is 0.02 or more based on the definition of alcohol concentration in KRS 189A.005 if the person is under the age of twenty-one (21).

(2)        In any prosecution for a violation of subsection (1)(b) or (d) of this section in which the defendant is charged with having operated or been in physical control of a motor vehicle while under the influence of alcohol, the alcohol concentration in the defendant's blood as determined at the time of making analysis of his blood, or breath shall give rise to the following presumptions:

(a)        If there was an alcohol concentration of less than 0.05 based upon the definition of alcohol concentration in KRS 189A.005, it shall be presumed that the defendant was not under the influence of alcohol; and

(b)        If there was an alcohol concentration of 0.05 or greater but less than 0.10 based upon the definition of alcohol concentration in KRS 189A.005, that fact shall not constitute a presumption that the defendant either was or was not under the influence of alcohol, but that fact may be considered, together with other competent evidence, in determining the guilt or innocence of the defendant.

            The provisions of this subsection shall not be construed as limiting the introduction of any other competent evidence bearing upon the questions of whether the defendant was under the influence of alcohol or other substances, in any prosecution for a violation of subsection (1)(b) or (d) of this section.

(3)        The fact that any person charged with violation of subsection (1) of this section is legally entitled to use any substance, including alcohol, shall not constitute a defense against any charge of violation of subsection (1) of this section.

(4)        Any person who violates the provisions of paragraphs (a), (b), (c) or (d) of subsection (1) of this section shall:

(a)        For the first offense within a five (5) year period, be fined not less than two hundred dollars ($200) nor more than five hundred dollars ($500) or be imprisoned in the county jail for not less than forty-eight (48) hours nor more than thirty (30) days or both. Following sentencing, the defendant may apply to the judge for permission to enter a community labor program for not less than forty-eight (48) hours nor more than thirty (30) days in lieu of fine or imprisonment, or both.

(b)        For the second offense within a five (5) year period, be fined not less than three hundred fifty dollars ($350) nor more than five hundred dollars ($500) and shall be imprisoned in the county jail for not less than seven (7) days nor more than six (6) months and, in addition to fine and imprisonment, may be sentenced to community labor for not less than ten (10) days nor more than six (6) months.

(c)        For a third offense within a five (5) year period, be fined not less than five hundred dollars ($500) nor more than one thousand ($1,000) and shall be imprisoned in the county jail for not less than thirty (30) days nor more than twelve (12) months and may, in addition to fine and imprisonment, be sentenced to community labor for not less than ten (10) days nor more than twelve (12) months.

(d)        For a fourth or subsequent offense within a five (5) year period, be guilty of a Class D felony.

(e)        For purposes of this subsection, prior offenses shall include all convictions in this state, and any other state, or jurisdiction for operating or being in control of a motor vehicle while under the influence of alcohol or other substances that impair one's driving ability, or any combination of alcohol and such substances, or while having an unlawful alcohol concentration, or driving while intoxicated, but shall not include convictions for violating subsection (1)(e) of this section. A court shall receive as proof of a prior conviction a copy of that conviction, certified by the court ordering the conviction.

(5)        Any person who violates the provisions of subsection (1)(e) of this section shall have his driving privilege or operator's license suspended by the court for a period of no less than thirty (30) days but no longer than six (6) months, and the person shall be fined no less than one hundred dollars ($100) and no more than five hundred dollars ($500), or sentenced to twenty (20) hours of community service in lieu of a fine. A person subject to the penalties of this paragraph shall not be subject to the penalties established in subsection (4) of this section or any other penalty established pursuant to KRS Chapter 189A.

(6)        If the person is under the age of twenty-one (21) and there was an alcohol concentration of 0.10 or greater based on the definition of alcohol concentration in KRS 189A.005, the person shall be subject to the penalties established pursuant to subsection (4) of this section.

(7)        For a second or third offense within a five (5) year period, the minimum sentence of imprisonment or community labor shall not be suspended, probated, or subject to conditional discharge or other form of early release. For a fourth or subsequent offense under this section, the minimum term of imprisonment shall be one hundred twenty (120) days, and this term shall not be suspended, probated, or subject to conditional discharge or other form of early release. For a second or subsequent offense, at least forty-eight (48) hours of the mandatory sentence shall be served consecutively.

(8)        When sentencing persons under subsection (4)(a) of this section at least one (1) of the penalties shall be assessed and that penalty shall not be suspended, probated, or subject to conditional discharge or other form of early release.

(9)        In determining the five (5) year period under this section, the period shall be measured from the dates on which the offenses occurred for which the judgments of conviction were entered.

(10)      Any person who violates the provisions of subsection (1) of this section shall be assessed fifteen dollars ($15) in addition to the fines imposed by subsections (4) and (5) of this section. Funds collected pursuant to this subsection shall be deposited in the traumatic brain injury trust fund, created pursuant to Section 4 of this Act, within fourteen (14) days after the end of each quarter, to be used for the purposes set forth in Sections 1 to 5 of this Act.

Section 9.   KRS 186.574 is amended to read as follows:

(1)        The Transportation Cabinet shall establish a state traffic school for new drivers and for traffic offenders. The school shall be composed of uniform education and training elements designed to create a lasting influence on new drivers and a corrective influence on traffic offenders. District Courts may in lieu of assessing penalties for traffic offenses, other than for KRS 189A.010, sentence offenders to state traffic school and no other. The Transportation Cabinet shall enroll a person in state traffic school who fails to complete a driver's education course pursuant to KRS 186.410(5).

(2)        If a District Court stipulates in its judgment of conviction that a person attend state traffic school, the court shall indicate this in the space provided on the abstract of conviction filed with the Transportation Cabinet. Upon receipt of an abstract, the Transportation Cabinet, or its representative, shall schedule the person to attend state traffic school. Failure of the person to attend and satisfactorily complete state traffic school in compliance with the court order, may be punished as contempt of the sentencing court.

(3)        The Transportation Cabinet shall supervise, operate, and administer state traffic school, and shall promulgate administrative regulations pursuant to KRS Chapter 13A governing facilities, equipment, courses of instruction, instructors, and records of the program. In the event a person sentenced under subsection (1) of this section does not attend or satisfactorily complete state traffic school, the Transportation Cabinet may deny that person a license or suspend the license of that person until he reschedules attendance or completes state traffic school, at which time a denial or suspension shall be rescinded.

(4)        Persons participating in the state traffic school as provided in this section shall pay a fee of fifteen dollars ($15) to defray the cost of operating the school, except that if enrollment in state traffic school is to satisfy the requirement of KRS 186.410(4)(c), a fee shall not be assessed. Any funds collected pursuant to KRS 186.535(1) that are dedicated to the road fund for use in the state driver education program may be used for the purposes of state traffic school.

(5)        The following procedures shall govern persons attending state traffic school pursuant to this section:

(a)        A person convicted of any violation of traffic codes set forth in KRS Chapters 177, 186, or 189, and who is otherwise eligible, may in the sole discretion of the trial judge, be sentenced to attend state traffic school. Upon payment of the fee required by subsection (4) of this section, and upon successful completion of state traffic school, the sentence to state traffic school shall be the person's penalty in lieu of any other penalty, except for the payment of court costs;

(b)        Except as provided in KRS 189.990(28)[(27)], a person shall not be eligible to attend state traffic school who has been cited for a violation of KRS Chapters 177, 186, or 189 that has a penalty of mandatory revocation or suspension of an offender's driver's license;

(c)        Except as provided in KRS 189.990(28)[(27)], a person shall not be eligible to attend state traffic school for any violation if, at the time of the violation, the person did not have a valid driver's license or the person's driver's license was suspended or revoked by the cabinet;

(d)        Except as provided in KRS 189.990(28)[(27)], a person shall not be eligible to attend state traffic school more than once in any two (2) year period, unless the person wants to attend state traffic school to comply with the driver education requirements of KRS 186.410; and

(e)        The cabinet shall notify the sentencing court regarding any person who was sentenced to attend state traffic school who was ineligible to attend state traffic school. A court notified by the cabinet pursuant to this paragraph shall return the person's case to an active calendar for a hearing on the matter. The court shall issue a summons for the person to appear and the person shall demonstrate to the court why an alternative sentence should not be imposed.

 


Attachment D: Louisiana's Traumatic Head

and Spinal Cord Injury Trust Fund

http://www.dss.state.la.us/offlrs/html/traumatic_head_and_spinal_cord.html

 

WHAT IS THE MISSION OF THE PROGRAM?

The Mission of Louisiana's Traumatic Head and Spinal Cord Injury Trust Fund Program is to provide services in a flexible, individualized manner to Louisiana citizens who survive traumatic head or spinal cord injuries enabling their return to a reasonable level of functioning and independent living in their communities.

HOW IS THE PROGRAM FUNDED?

Act 654 of the 1993 regular session of the Louisiana Legislature created the Traumatic Head and Spinal Cord Injury Trust Fund. This Act imposes additional fees on motor vehicle violations in Louisiana for the offenses of driving under the influence, reckless operation and speeding. These fees provide the funds for this program.

WHAT IS THE ELIGIBILITY CRITERIA?

To be determined eligible for services an individual must meet the definition of Spinal Cord Injury or Traumatic Head Injury as defined below:

  • Traumatic Head Injury: An insult to the head, affecting the brain, not of a degenerative or congenital nature, but caused by an external physical force that may produce diminished or altered state of consciousness which results in an impairment of cognitive abilities or physical functioning.
  • Spinal Cord Injury:  An insult to the spinal cord, not of a degenerative or congenital nature but caused by an external physical force resulting in paraparesis/plegia or quadraparesis/plegia

 

AND meet the additional following criteria:

  • Must be medically stable, including normal vital signs, no progression of deficits and/or no deterioration of physical/cognitive status; does not require acute daily medical intervention.
  • Must have a reasonable expectation to achieve a predictable level of outcome to achieve improvement in quality of life and/or functional outcome.
  • Must be willing to accept treatment from an advisory board-approved facility/program.
  • Must be a resident of Louisiana, a citizen of the United States, and officially domiciled in Louisiana at the time of injury and during the provision of services.
  • Must have exhausted all other governmental and private resources.
  • Must provide proof of denial from other sources.
  • Must complete and submit an application for services.

 

WHAT SERVICES ARE PROVIDED BY THE PROGRAM?

The following services are available to eligible individuals:

  • Evaluations
  • Post-acute medical care rehabilitation
  • Therapies
  • Medication
  • Attendant care
  • Equipment necessary for activities of daily living
  • Other goods and services deemed appropriate and necessary

The following limitations also apply:

  • The Trust Fund will not provide any service that is experimental . The service providers must be approved by the Advisory Board, and in-state facilities/programs are given priority for approval as service providers. Services are provided on a first-come basis.
  • Expenditures shall not exceed $15,000.00 for any 12 month period or $50,000.00 in total expenditures per individual.

WHAT ARE THE CLIENT AND FAMILY'S RESPONSIBILITIES?

The client and family must:

  • Provide information required to determine whether the individual meets the eligibility criteria.
  • Ask questions if they do not understand.
  • Be willing to participate in the development of an Individualized Service Plan that outlines the services that will be provided by the Trust Fund.
  • Have made every effort to seek other sources of funding, such as private insurance, Social Security, Supplemental Security Income, Medicare, Medicaid, and personal resources.

HOW CAN I APPLY FOR SERVICES?

Applications for services can be obtained from the nearest LRS Regional Office. You can locate this information through the Regional Office Directory, or you can contact:

Traumatic Head and Spinal Cord Injury Trust Fund Program
Louisiana Rehabilitation Services
8225
Florida, Blvd.
Baton Rouge, LA 70806
(225) 925-3502 or 1-888-891-9441 (within the State of
Louisiana only)