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October 9, 2024
  Table 2a: State Laws Related to Statewide Local Government Autonomy in Effect as of January 31, 2022
          Purpose
            * This table lists laws related to statewide local government autonomy in effect as of January 31, 2022.
            * This table is part of the Emergency Medical Services (EMS) Home Rule State Law Fact Sheet.
            * As part of the Home Rule-Emergency Medical Services (HR-EMS) Project, CDC’s Division for Heart Disease and Stroke Prevention collected a list of laws on local government autonomy to establish and fund local EMS. The list included five US states: Alabama, California, Georgia, Massachusetts, and Ohio.
        Overview
        The Emergency Medical Services (EMS) Home Rule State Law Fact Sheet was created to describe the influence of local government autonomy on emergency medical services and its relation to cardiovascular disease outcomes in medically underserved communities.
        Data sources
                Table 2a: State Laws in Effect as of January 31, 2022
                                 Statewide Local Government Autonomy                                                 Taxes                                                                                                                                                                                                             Special Districts                                                                                   
                                                                                                                       * ALA. CONST. art. XI, §§ 215, 215.01, 215.02a, 215.03a, 216, 216.01a, 216.02a, 216.03a, 216.04 (West, Westlaw through 2021 amendments)                                                                                                                                                                             
                  Alabama                                                                                              * ALA. CONST. art. IV, § 94.02 (West, Westlaw through 2021 amendments)                                                                                                                                            * ALA. CONST. art. IV, § 94.02 (West, Westlaw through 2021 amendments)                            
                                                                                                                       * ALA. CODE § 22-3-10 (1940)                                                                                                                                                                                                                                                                                        
                                                                                                                       * ALA. CODE § 40-7-62 (1971)                                                                                                                                                                                                                                                                                        
                                                                                                                       * CAL. CONST. art. XIII, §§ 1, 2, 12, 20, 22, 24, 25.5, 26, 29, 35, 36 (West, Westlaw through 2021 amendments)                                                                                                                                                                                                      
                                                                                                                       * CAL. CONST. art. XIII A, §§ 1 to 4 (West, Westlaw through 2021 amendments)                                                                                                                                                                                                                                        
                                                                                                                       * CAL. CONST. art. XIII C, §§ 1 to 3 (West, Westlaw through 2021 amendments)                                                                                                                                                                                                                                        
                                                                                                                       * CAL. CONST. art. XIII D, §§ 3, 4 (West, Westlaw through 2021 amendments)                                                                                                                                                                                                                                          
                                                                                                                       * CAL. GOV’T CODE § 23004(e) (West 1947)                                                                                                                                                                                                                                                                            
                                                                                                                       * CAL. GOV’T CODE § 29100 (West 2011)                                                                                                                                                                                                                                                                               
                                                                                                                       * CAL. GOV’T CODE §§ 29922 (West 1947), 29923 (West 1957)                                                                                                                                                                                                                                                           
                                                                                                                       * CAL. GOV’T CODE § 30004 (West 1947)                                                                                                                                                                                                                                                                               
                                                                                                                       * CAL. GOV’T CODE §§ 43095 (West 1949), 43401 (West 1959), 43632 (West 1949), 43770 (West 1949)                                                                                                                   * CAL. GOV’T CODE §§ 53312.7 (West 2007), 53313 (West 2014)(amended 2022), 53316 (West 1988),     
                  California       * CAL. CONST. art. XI, §§ 1 to 7 (West, Westlaw through 2021 amendments)            * CAL. GOV’T CODE §§ 50075 (West 1980), 50076 (West 1979), 50077.5 (West 1986), 50078 (West 1986), 50078.2 (West 1986), 50078.5 (West 1983), 50078.19 (West 1982)                                                 * CAL. GOV’T CODE § 53972.5 (West 1987)                                                           
                                   * CAL. CONST. art. XI, §§ 13 to 15 (West, Westlaw through 2021 amendments)          * CAL. GOV’T CODE §§ 53313 (West 2014)(amended 2022), 53313.5 (West 2018)(amended 2022), 53313.6 (West 2007), 53314.3 (West 1987)                                                                                 * CAL. HEALTH & SAFETY CODE § 13815 (West 2001)                                                   
                                                                                                                       * CAL. GOV’T CODE § 53730.01 (West 1988)                                                                                                                                                                          * CAL. HEALTH & SAFETY CODE § 32001 (West 1965)                                                   
                                                                                                                       * CAL. GOV’T CODE §§ 53972.5 (West 1987), 53978 (West 1987)(amended 2021)                                                                                                                                                                                                                                           
                                                                                                                       * CAL. GOV’T CODE § 61121 (West 2005)                                                                                                                                                                                                                                                                               
                                                                                                                       * CAL. HEALTH & SAFETY CODE §§ 13910 to 13914 (West 1987), 13938 (West 2001)                                                                                                                                                                                                                                        
                                                                                                                       * CAL. HEALTH & SAFETY CODE §§ 32200 (West 1945), 32202 (West 1958), 32203 (West 1971), 32221 (West 1996), 32243 (West 1945), 32312 (West 1959)                                                                                                                                                                     
                                                                                                                       * CAL. REV. & TAX. CODE § 93 (West 1989)                                                                                                                                                                                                                                                                            
                                                                                                                       * CAL. Rev. & Tax. CODE §§ 2270 (West 1975), 2280 (West 1976), 2280.01 (West 1979), 2286 (West 1977)                                                                                                                                                                                                                
                                                                                                                       * CAL. REV. & TAX. CODE §§ 7201 (West 1955), 7203 (West 2004), 7284 (West 1990)(amended 2021), 7284.2 (West 2008)(amended 2022), 7285 (West 2014), 7285.5 (West 2014), 7285.9 (West 2011), 7285.91 (West 2018)                                                                                                      
                                                                                                                       * CAL. REV. & TAX. CODE § 9501 (West 1995)                                                                                                                                                                                                                                                                          
                                                                                                                       * GA. CONST. art. IX, § 4, ¶¶ I, III (West, Westlaw through 2021 amendments)                                                                                                                                                                                                                                        
                                                                                                                       * GA. CONST. art. IX, § 7, ¶ III(c) (West, Westlaw through 2021 amendments)                                                                                                                                       * GA. CONST. art. IX, § 2, ¶ VI (West, Westlaw through 2021 amendments)                           
                                   * GA. CONST. art. IX, § 2, ¶¶ I, II, III (West, Westlaw through 2021 amendments)    * GA. CONST. art. IX, § 2, ¶ VII (West, Westlaw through 2021 amendments)                                                                                                                                          * GA. CONST. art. IX, § 7, ¶ I (West, Westlaw through 2021 amendments)                            
                  Georgia          * GA. CODE ANN. §§ 36-35-3 (West 1998), 36-35-5 (West 1965)                         * GA. CODE ANN. § 36-42-16 (West 1992)                                                                                                                                                                            * GA. CODE ANN. § 36-31-12 (West 2012)                                                            
                                   * GA. CODE ANN. § 36-34-1 (West 1962)                                               * GA. CODE ANN. § 36-43-4 (West 1992)                                                                                                                                                                             * GA. CODE ANN. § 36-42-16 (West 1992)                                                            
                                   * GA. CODE ANN. § 25-3-4 (West 1984)                                                * GA. CODE ANN. § 36-61-8 (West 2015)                                                                                                                                                                             * GA. CODE ANN. § 36-43-4 (West 1992)                                                             
                                                                                                                       * GA. CODE ANN. § 36-5-22.1 (West 1987)                                                                                                                                                                           * GA. CODE ANN. § 36-44-17 (West 2009)                                                            
                                                                                                                       * GA. CODE ANN. §§ 48-8-110.1 (West 2015), 48-8-120 (West 2004)                                                                                                                                                                                                                                                     
                                                                                                                       * MASS GEN. LAWS ANN. ch. 44A § 10 (West 1980)                                                                                                                                                                    * MASS GEN. LAWS ANN. ch. 44 § 9 (West 2016)                                                      
                  Massachusetts    * MASS CONST. amend. art. II, §§ 1, 2, 6 (West, Westlaw through 2021 amendments)    * MASS GEN. LAWS ANN. ch. 48 § 69 (West 1959)                                                                                                                                                                     * MASS GEN. LAWS ANN. ch. 111 § 4 (West 1920)                                                     
                                                                                                                       * MASS GEN. LAWS ANN. ch. 59 § 2 (West 1954)                                                                                                                                                                                                                                                                        
                                                                                                                       * OHIO REV. CODE ANN. §§ 513.01 (West 1953), 513.081 (West 1991), 513.09 (West 1953)                                                                                                                                                                                                                                
                                                                                                                       * OHIO REV. CODE ANN. §§ 505.39 (West 2016), 505.71 (West 2019)                                                                                                                                                                                                                                                     
                                   * OHIO CONST. art. X, §§ 1, 2 (West, Westlaw through 2021 amendments)               * OHIO REV. CODE ANN. § 749.01 (West 1953)                                                                                                                                                                        * OHIO REV. CODE ANN. §§ 505.37 (West 2019)(amended 2022), 505.375 (West 2016), 505.43 (West 2021)
                  Ohio             * OHIO CONST. art. XVIII, §§ 2, 3, 7 (West, Westlaw through 2021 amendments)        * OHIO REV. CODE ANN. § 307.057 (West 1994)                                                                                                                                                                       * OHIO REV. CODE ANN. § 307.052 (West 1996)                                                       
                                   * OHIO REV. CODE ANN. § 504.01 (West 1991)                                          * OHIO REV. CODE ANN. §§ 322.02 (West 2011), 322.05 (West 1999)                                                                                                                                                   * OHIO REV. CODE ANN. § 715.70 (West 2015)                                                        
                                                                                                                       * OHIO REV. CODE ANN. § 715.71 (West 2014)                                                                                                                                                                                                                                                                          
                                                                                                                       * OHIO REV. CODE ANN. § 749.01 (West 1953)                                                                                                                                                                                                                                                                          
                                                                                                                       * OHIO REV. CODE ANN. §§ 5705.03 (West 2020)(amended 2022), 5705.191 (West 2012), 5705.192 (West 2016)(amended 2022), 5705.22 (West 2010), 5705.01 (West 1953)                                                                                                                                                      
            Related Pages Table 1: Laws Pertaining to Local Government Autonomy
            Related Pages
          * 
 
              * EMS Home Rule State Law Fact Sheet
              * Table 1: Laws Pertaining to Local Government Autonomy
              * Table 2b: State Laws for Mutual Aid Contracts, Bonds, and Fees
              * The Value of Community Paramedicine
              * Equity in U.S. Emergency Medical Services: A Case Study in California
          * 
            View All Emergency Medical Services (EMS) and Community Paramedicine
 
      Table 2b: State Laws for Mutual Aid Contracts, Bonds, and Fees
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    October 9, 2024
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            Content Source:
          National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP); About the Division for Heart Disease and Stroke Prevention
        Related Pages Table 1: Laws Pertaining to Local Government Autonomy
        Related Pages
      * 
 
          * EMS Home Rule State Law Fact Sheet
          * Table 1: Laws Pertaining to Local Government Autonomy
          * Table 2b: State Laws for Mutual Aid Contracts, Bonds, and Fees
          * The Value of Community Paramedicine
          * Equity in U.S. Emergency Medical Services: A Case Study in California
      * 
        View All Emergency Medical Services (EMS) and Community Paramedicine
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    Emergency Medical Services (EMS) and Community Paramedicine
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    Evidence related to EMS and community paramedicine and where evidence-informed policies have been adopted and implemented in the United States.
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          * EMS Home Rule State Law Fact Sheet
          * The Value of Community Paramedicine
          * Equity in U.S. Emergency Medical Services: A Case Study in California
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