CS/CS/HB 227 First Responders Post-Traumatic Stress Disorder (PTSD) Estimated Fiscal Impact Assumptions:  Total First Responders Statewide (firefighters, law enforcement, EMTs, paramedics)  Average Annual Salary  Estimated Frequency of First Responders with PTSD under CS/HB 227 Low Frequency Central Frequency (2016 International Association of Firefighters study estimated 18% of firefighters would develop PTSD)  Estimated Medical Expenses per PTSD Claim Low Cost (1 year) Central Cost (2 years)  Estimated Indemnity (wage) Expenses per PTSD Claim Low Cost (6 months) Central Cost (12 months) First Responder s 81,470 Medical Expenses Low Central $5,375,714 $47,821,644 81,470 $54,728 2.1% 6.4% $6,369 $18,263 $18,243 $36,485 Indemnity / Wage Expenses Low Central $15,397,608 Total Medical and Indemnity Expenses Low Central $20,773,317 $143,361,087 $95,539,443