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HomeMy WebLinkAbout9887-08 Amend Chapter 9, Article 3. Addressing Ambulance/Medical user fees and dedicated fundORDINANCE No. saa~ Passed by the Common Council of the Ciry of South Bend, Indiana December 8, Attest: Attest: Ciry Clerk President of Common Council Presented by me to the Mayor of the City of South Bend, Indiana December 9, 20 08 2008 ~ Ciry Clerk Approved and signed by me December 10 , Z0 0 8 ~`~`..~ e Mayer Bill No. ~ 7^ _ -08 Ordinance No. mil, ~ B1 ~ ~g AN ORDINANCE OF THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA, AMENDING CHAPTER 9, ARTICLE 3 OF THE SOUTH BEND MUNICIPAL CODE ADDRESSING AMBULANCE/MEDICAL USER FEES AND DEDICATED FUND STATEMENT OF PURPOSE AND INTENT Since 1981, the City of South Bend, Indiana, has had regulations codified into the South Bend Municipal Code which address ambulance and medical user fees. The current ambulance and medical user fees took effect on August 1, 2002. The South Bend Fire Administration has conducted a survey of these fees and charges and believes that adjustments are warranted in light of increased costs to the city for medical training and certifications, as well as in light of the increased costs for needed medical supplies. The proposed fee adjustments also follow Medicare billing guidelines. This ordinance is believed to be in the best interests of the South Bend Fire Department, and the City of South Bend, Indiana, to help maintain the best possible public safety services in this area. u1/~ ~e ~ ~~~ ~ ~'~~~ ~~~~of the City of South Bend, Indiana, as follows: Section I. Chapter 9, Article 53 of the South Bend Municipal Code is amended to read in its entirety as follows: ARTICLE 3. AMBULANCE/MEDICAL USER FEE AND DEDICATED FUND Sec. 9-16. Ambulance/Medical User Fees. (a) The following user fee schedule shall be charged for all ambulance/medical services provided by the City through its paramedic branch of the Fire Department: Resident Non- Resident (1) Basic Life Support (BLS Non-Emergency) $281.05 $374.74 (2) Basic Life Support (BLS Emergency) $449.69 $599.58 (3) Advanced Life Support (ALS Non-Emergency) $337.26 $449.68 (4) Advanced Life Support (ALS-1 Emergency) $534.00 $712.00 (5) Advanced Life Support (ALS-2 Emergency) $772.91 $1,030.54 (6) Mileage, Basic (Within City Limits) (Per patient miles, $ 9.63 minimum one (1) mile) (7) Mileage, Rural (Per patient miles, minimum one (1) mile) $ 12.84 (8) Non-Transport ALS Medical Call $100.00 $150.00 (b) The above fees shall be charged per patient run occurrence; however, when ambulance/medical services are provided for a patient using a private ambulance, the mileage fee shall not be charged; and further provided that when more than two (2) members of an immediate family residing at the same address are transported per incident, the basic fee, mileage fee, and emergency fee shall only be billed for two (2) persons. (c) Non-resident is defined as a person whose primary residence at the time of the service is outside the corporate boundaries of the City of South Bend, Indiana. (d) Basic Life Support (BLS) means transportation by ground ambulance vehicle and medically necessary supplies and services, plus the provision of BLS ambulance services. The ambulance must be staffed by an individual who is qualified in accordance with state and local laws as an emergency medical technician-basic (EMT-Basic).t (e) Advanced Life Support, Level 1 (ALS1) means transportation by ground ambulance vehicles, medically necessary supplies and services and either an ALS assessment by ALS personnel or the provision of at least one ALS intervention. (f) Advance Life Support, Level 2 (ALS2) means either transportation by ground ambulance vehicle, medically necessary supplies and services, and the administration of at least three (3) medications by intravenous pus bolus or by continuous infusion excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or transportation, medically necessary supplies and services, and the provision of at least one (1) of the following ALS procedures: (1) Manual defibrillation/cardioversion (2) Endotracheal intubation (3) Central venous line (4) Cardiac pacing (5) Chest decompression (6) Surgical airway (7) Intraosseous line (g) Non-Transport Medical Calls means a response to a medical emergency call by ambulance vehicle and the administration of ALS skills upon or medication given to a patient who then refuses transport to the hospital. ' ALS 1, ALS2 and BLS defmitions track the language codified in Title 42 of the Code of Federal Regulations, Chapter IV, §414.605 entitled "Fee Schedule for Ambulance Services". Ordinance Addressing Ambulance/Medical Services Fees Page 3 (h) Mileage, Rural, shall apply to vehicle runs made to areas in zones or zip codes designated as rural by Medicare and the U.S. Department of Health and Human Services in its Medicare regulations. (i) The above fees shall take effect on January 1, 2009. Sec. 9-17 Dedication of Ambulance/Medical User Fees Revenues to the E.M.S. Capital Improvement Fund, Fund # 288; Quarterly Transfers The revenues generated by the rates set forth in Sec. 9-16 shall be dedicated to defraying the expenses of the E.M.S. operating budget, a part of the General Fund of the City of South Bend and for capital purchases and leases of E.M.S. equipment, firefighting equipment and fire station repairs. All moneys collected will be deposited in the E.M.S. Capital Improvement Fund, Fund # 288. Quarterly transfers in the amount of sixty-two thousand five hundred dollars ($62,500.00) will be made from the E.M.S. Capital Improvement Fund on or about the last day of each quarter of the calendar year. Annual transfers shall not be less than two hundred fifty thousand dollars ($250,000.00). Sec. 9-18. Annual Review of User Fees by Common Council Following September 1St Report From the South Bend Fire Department. (a) The South Bend Fire Department shall prepare a report and file the same with the Office of the City Clerk on or before September 1St of each year. Said report shall summarize ambulance/medical service runs as of August 15tt' of that year by identifying the number and type of each run; amount billed; amount collected; amount in collection; number of lawsuits filed; and recommendations with regard to fee amounts. Any fee recommended fee adjustments shall include reasons for the requested adjustments. (b) The Common Council shall review the report filed annually by the South Bend Fire Department. The Council's Personnel and Finance Committee and/or the Council's Health and Public Safety Committee shall make a formal recommendation to the Common Council following a public hearing. Data contained in the annual report and testimony provided at the committee's hearing shall be used in determining fair and equitable user fees. Section II. This ordinance shall be in full force and eff r its passage by the Common Council, approval by the Mayor, legal publ' , _ , ~ Counci1.I0lember Tho~ias LaFountain Perso el and Finance Committee Chairperson Member of the Common Council Ordinance Addressing Ambulance/Medical Services Fees Page 4 r -~~%~ tt ~~ Council Member Karen L. White Health & Public Safety Committee Chairperson Me r of the C on Council ember Ann ello Health & Public Safety Committee Vice-Chair Member of the Common Council Vo rde, City Clerk ~~ by me to Stephen J. Luecke, the Mayor of the City of South Bend, Indiana, on the day of / 2008, at ~ ~UC~ o'clock ~. m. U, ~~„ i ~~~ ~ ~ by me on the ~~day of ~,C.Gt~ flii 7~at d: ~~ o'clock ~.m. Steph J. Lu c Mayor City of South Bend, Indiana 1st Rl~ADiNG ~~-Z~~~~ PUCCIC NEARING ~ L ~ ~'flg 3rd READING (Z--g"-O~ NOT APPROVED F,Ei•EE:[ED ~ d NOV 1 9 ~~~ J4HFF VQQ"CE cITY c~er;x, ~o. Saida, !y. ~- TO THE COMMON COUNCIL OF THE CITY OF SOUTH BEND: Your Committee of the Whole, to whom was referred: BILL NO. 72-08 A BILL OF THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA, AMENDING CHAPTER 9, ARTICLE 3 OF THE SOUTH BEND MUNICIPAL CODEADDRESSINGAMBULANCE/MEDICAL USE FEES AND DEDICATED FUND Respectfully report that they have examined the matter and that in their opinion, this bill is being recommended to the full Council with a favorable recommendation. Derek D. Dieter Chairperson, Committee of the Whole 4 SpU Tg 8~~ \` ~\~11i1~~~l~j~ d ,~ ~ ~! ~ City of South Bend ~: \ PFJ;C6 ~% ~ ~ ~, -, a "''~~ ~ Common Council y 1865 s 441 County-City Building .227 W. Jefferson Blvd South Bend, Indiana 46601-1830 Timothy A. Rouse President Oliver J. Davis Vice-President November 19, 2008 Derek D. Dieter The South Bend Common Council Chairperson, Committee 4~' Floor County-City Building of the Whole South Bend, Indiana 46601 (574) 235-9321 Fax (574) 235-9173 TDD (574) 235-5567 http://www southbendin.gov Derek D. Dieter Re: Ambulance/Medical User Fee Ordinance First District Dear Council Members: Henry Davis, Jr. Second District During this year's labor negotiations between the City of South Bend and Thomas LaFountain representatives of the South Bend Firefighter's Association Local No. 362 of the Third .District International Association of Firefighters AFL-CIO, there was agreement to work together in order to assure that the best possible fire safety services are provided by Ann Puzzello the South Bend Fire Department to the citizens of our community. In addition to Fourth District facing the financial challenges, there was agreement to work toward developing David Varner Fifth District • Improved departmental efficiencies • Enhanced accountability Oliver J. Davis • Developing a better costJbenefit analysis of public safety services Sixth District As a result of these discussions, we are filing the attached ordinance which would Al "Buddy' Kirsits make user fee adjustments for the many medical services provided by the South At Large Bend Fire Department. This ordinance has had the input of Fire Chief Howard Timothy A. Rouse Buchanon, II, Assistant Chief Mark Nowicki and Assistant Chief Stephen Cox. Assistant Chief Cox conducted extensive background work on this project and will At Large be filing a memorandum in support of this ordinance. Input from Local No. 362 was Karen L. White also sought, as we worked in collaboration with all parties. At Large The current fees charged were established in 2002, and are used to offset expenses Kathleen Cekanski-Farrand incurred by the South Bend Fire Department in delivering such medical services. Council Attorney The proposed use fee schedule follows Medicare billing guidelines and are recommended to be modified as follows: Type of Medical Services Resident Non-Resident (1) Basic Life Support (BLS Non-Emergency) X99 $281.05 ~~ $374.74 Resident (2) Basic Life Support (BLS Emergency) X388 $449.69 ~-$599.58 (3) Advanced Life Support (AL5 Non-Emergency) ~3-A8 $337.26 X7-5-$449.68 (4) Advanced Life Support (ALS-1 Emergency) X489 $534.00 Q^$712.00 (5) Advanced Life Support (ALS-2 Emergency) ~-$772.91 SSA- $1,030.54 (6) Mileage, Basic (Within City Limits) (Per patient miles, minimum one (1) mile) $~47- $ 9.63 (7) Mileage, Rural (Per patient miles, minimum one (1) mile) -$ 12.84 (8)Non-Transport ALS Medical Call ~-5-$100.00 Q'~$150.00 Terminology in the ordinance has also been updated to correspond with the federal guidelines which are codified in the Code of Federal Regulations. Revisions have also been made to have greater transparency of the process of annually reviewing the reports which summarize the number and type of ambulance and medical service runs; amount billed; amount collected; amount in collection; number of lawsuits filed; and recommendations for fee adjustments along with justification for such requested adjustments. This annual report would be required to be filed with the Office of the City Clerk on or before September 1St of each year. The report would then be given a public hearing through a joint committee meeting of the Personnel and Finance Committee and the Health and Public Safety Committee thereafter. We believe that this ordinance is needed in order to continue to provide top-quality ambulance and medical services through the South Bend Fire Department in acost-efficient manner. We ask that. the ordinance be referred to a joint committee meeting of the Personnel and Finance Committee and the Health and Public Safety Committee, so that you may receive additional information from Fire Chief Howard Buchanon, II, Assistant Chief Mark Nowicki, Assistant Chief Stephen Cox, representative of South Bend Firefighter's Association Local No. 362, and concerned citizens. We urge each of t i public safety measure. Thank you. Sincer ct a omas LaFountain Per el and Finance Committee Chairperson ouncil MembeG r Kare~~ FIIC:~ X11 ~~~`-'iC'~ ~~~1Ce He & Public afety Comm' a Chairperson LuUQ~ ci~ b An el o Nov ~ Healt & Public Safe ommittee Vice-Chair JOYN ~'SG.1'~ F'1D,1*1. CI't~ CLERK,