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5p[3 TFi 8~ <br />~ ~ ~~~ <br />U \~~\ viii ii H }~ <br />1865 441 County-City Building • 227 W. Jefferson Blvd <br />South Bend, Indiana 46601-1830 <br />Timothy A. Rouse <br />President <br />Oliver J. Davis <br />Vice-President <br />November 19, 2008 <br />Derek D. Dieter The South Bend Common Council <br />Chairperson, Committee 4th Floor County-City Building <br />of the Whole South Bend, Indiana 46601 <br />Derek D. Dieter <br />First District <br />Henry Davis, Jr. <br />Second District <br />Thomas LaFountain <br />Third .District <br />Ann Puzzello <br />Fourth District <br />David Varner <br />Fifth District <br />Oliver J. Davis <br />Sixth District <br />Al "Buddy' Kirsits <br />At Large <br />Timothy A. Rouse <br />At Large <br />Karen L. White <br />At Large <br />Re: Ambulance/Medical User Fee Ordinance <br />Dear Council Members: <br />(574) 235-9321 <br />Fax (574) 235-9173 <br />TDD (574) 235-5567 <br />http: / /www. s o uthb a ndi n: gov <br />During this year's labor negotiations between the City of South Bend and <br />representatives of the South Bend Firefighter's Association Local No. 362 of the. <br />International Association of Firefighters AFL-CIO, there was agreement to work <br />together in order to assure that the best possible fire safety services are provided by <br />the South Bend Fire Department to the citizens of our community. In addition to <br />facing the financial challenges, there was agreement to work toward developing <br />Improved departmental efficiencies <br />Enhanced accountability <br />Developing a better cost benefit analysis of public safety services <br />As a result of these discussions, we are filing the attached ordinance which would <br />make user fee adjustments for the many medical services provided by the South <br />Bend Fire Department. This ordinance has had the input of Fire Chief Howard <br />Buchanon, II, Assistant Chief Mark Nowicki and Assistant Chief Stephen Cox. <br />Assistant Chief Cox conducted extensive background work on this project and will <br />be filing a memorandum in support of this ordinance. Input from Local No. 362 was <br />also sought, as we worked in collaboration with all parties. <br />The current fees charged were established in 2002, and are used to offset expenses <br />incurred by the South Bend Fire Department in delivering such medical services. <br />The proposed use fee schedule follows Medicare billing guidelines and are <br />recommended to be modified as follows: <br />Kathleen Cekanski-Farrand <br />Council Attorney <br />Type of 1Vledical Services <br />(1) Basic Life Support. (BLS Non-Emergency) <br />Resident ~ Non-Resident <br />$289 $281.05 , ~27-~- $374.74 <br />