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HomeMy WebLinkAbout11301-26 Amending Section 9-16 of the South Bend Municipal Code to Establish Rates for Mobile Integrated Health Care Visits ORDINANCE No . 11301-26 Passed by the Common Council of the City of South Bend, Indiana August 10, 20 26 Attest: 4City Clerk Bianca L. Tirado Attest: President of Common Council Presented by me to the Mayor of the City of South Bend, Indiana August 11, 20 26 City Clerk Bianca L. Tirado Approved and signed by me Ayt1) tl 1 20 26 Mayor V � 1965 . BILL NO.49-26 ORDINANCE NO. 11301-26 AN ORDINANCE OF THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA AMENDING SECTION 9-16 OF THE SOUTH BEND MUNICIPAL CODE TO ESTABLISH RATES FOR MOBILE INTEGRATED HEALTH CARE VISITS STATEMENT OF PURPOSE AND INTENT The Indiana General Assembly established processes pursuant to Indiana Code 16-31-12 et seq. under which Emergency Medical Services ("EMS") providers can seek approval for mobile integrated health programs. The City of South Bend Fire Department obtained approval for its mobile integrated health program on November 16, 2021. Recent changes to Indiana law, specifically amendments to Indiana Code 27-8-6-8, require that a policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are performed or provided as part of a mobile integrated healthcare program, regardless of whether the patient is transported. Indiana Code § 16-18-2-110 defines "emergency medical services" broadly to include care provided by certified EMS personnel within their scope of practice, which encompasses MIH activities when performed under an approved MIH program. In order to provide for billing and subsequent reimbursement for these services, the South Bend Fire Department seeks to amend the South Bend Municipal Code to include billing rates for mobile integrated healthcare services. These amendments are in the best interest of the City and residents of the City of South Bend. NOW, THEREFORE, BE IT ORDAINED BY THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA, AS FOLLOWS: SECTION I. Section 9-16 of the South Bend Municipal Code shall be amended as follows: (b) The following fee schedule establishes the charges for all mobile integrated health services provided and billed by the City through its paramedic branch of the Fire Department: Type of Service Provided Resident Non-Resident (1) Home Visit New Patient—30 minutes $150 $250 (2) Home Visit New Patient—60 minutes 250 350 (3) Home Visit Established Patient—20 100 150 minutes (4) Home Visit Established Patient—40 200 300 minutes (5) Home Visit Established Patient—60 250 350 minutes (6) Telehealth Medical Consult 25 75 (c) (d) (e) (f) (g) (h) (i) (j) (k) The above fees shall take effect on September 1, 2019. The fees set forth in subsection (b) shall take effect upon passage. (1) Hereafter, and in the event Medicare or other federal or State health care regulations require or allow an adjustment to ambulance/medical user fees, the South Bend Fire Chief is authorized to and may amend once annually the user fees set out in subpart (a) and (b) of this Section by the same percentage as the Medicare Fee Schedule rates for such services have been adjusted. This adjustment shall be effective on the calendar date immediately following the date on which written notice of said fee rate adjustment is filed in the office of the City Clerk. At the time such notice is filed, a copy of the new rates shall be made available in paper form for public viewing in the South Bend Central Fire Station, and such new rates shall also be published promptly on the City's web site. SECTION II.This ordinance shall be in full force and effect from and after its passage by the Common Council and approval by the Mayor. Duly passed and adopted on this f 0{� day of_ A ust , 2026 by the Common Council of the City of South Bend, Indiana. Canneth J. L e, Council President South Bend Common Council Attest: Bianca L. Tira o, lerk Office of the City Clerk Presented by me, the undersigned Clerk of the City of South Bend, to the Mayor of the City of South Bend, Indiana on the 11th day of August , 2026, at 12 o'clock p.m. Bianca L. Tirado, "I'y Office of the City Clerk y e Approved and signed by me on the I 1 day of Art- , 2026, at t 1 o'clock _c_.m. James ueller, Mayor City f South Bend, Indiana