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9 <br /> • <br /> • <br /> Due to increases in costs for medical supplies and fluctuations in the costs for fuel,I am <br /> recommending increasing our fees as follows: <br /> Proposed Ambulance User Fees 2012 2012 2013 2013 <br /> Resident` Non-Res Resident Non-Res <br /> Current Current Proposed Proposed <br /> (1)Basic Life Support(BLS Non Emergency) $281.05 $374.74 $310.46 $414.17 <br /> (2)BLS Life Support(BLS Emergency) $449.69 $599.58 $496.73 $662.67 <br /> (3)Advanced Life Support(ALS Non Emergency) $337.26 $449.68 $372.54 $497.00 <br /> (4)Advanced Life Support(ALS-1 Emergency) $534.00 $713.00 $589.86 $786.92 <br /> (5)Advanced Life Support ALS-2 Emergency) $772.91 $1,030.54 $853.74 $1,138.96 <br /> (6)Mileage,Basic(With in city limits,per patient <br /> miles, min 1 mile) $9.63 $9.63 $10.55 $10.55 <br /> (7)Mileage,Rural(Per patient miles,minimum <br /> 1mile) $12.84 $12.84 $15.97 $15.97 <br /> (8)Non Transport ALS Medical Call $100.00 _ $150.00 $150.00 $200.00 <br /> It is my further recommendation,as Medicare typically adjusts its fees on an annual basis and <br /> South Bend has shown great restraint in maintaining fees at consistently moderate levels,and <br /> allowing the fact that such deference to our citizens could be maintained while granting the <br /> ability to make reasonable and necessary changes to the fee schedule on an annual basis,that <br /> Ordinance No. 9887-08 be amended to include language similar to the following: <br /> In the event changes in Medicare or other federal or state health care <br /> regulations require or allow an adjustment to current charges set forth <br /> herein,the Fire Chief is authorized to adjust the same once per year;Such <br /> adjustments to take effect on the calendar date immediately following the <br /> date on which written notice of said adjustment is filed with the office of <br /> the City Clerk. <br /> A mechanism such as this will maintain this Council's oversight authority,ensure South <br /> Bend's ambulance user fees are commensurate with those allowed by the Medicare <br /> Ambulance Fee Schedule for Indiana,and provide the ability to keep our rates in line with <br /> reasonable and customary charges of peer cities. <br /> I would be happy to discuss any items in this report,and the pursuit of the language changes <br /> outlined above. <br /> Sincerely, <br /> Step en F.Cox <br /> Fire Chief <br /> 3 <br />