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5222 S. MICHIGAN STREET <br />SOUTH BEND, INDIANA 466o1 -282I <br />CITY OF SOUTH BEND PETE BUTnGIEG, MAYOR <br />SOUTH BEND FIRE DEPARTME] <br />STEPHEN F COX <br />FIRE CHIEF <br />Common Council President Tim Scott <br />County -City Building <br />South Bend, IN 46601 <br />President Scott, <br />Bill No. 30 -16 <br />PHONE 574/ 235-9255 <br />FAX 5741235-9305 <br />Filed in Clerk's ap <br />Ju_ <br />KREEMAH <br />FOWLER <br />CITY CLERK SOUTH BEN <br />June 6, 2016 <br />I am respectfully requesting the South Bend Common Council consider my recommendation to increase <br />the Ambulance User Fees charged by the South Bend Fire Department. As required by The South Bend <br />Municipal Code, Chapter 9, Article 3, Section 19 -18, I have provided the required 2016 Annual Review <br />of User Fees with the recommendation for an increase that reflects the increase in reimbursement amounts <br />allowed by Medicare. These amounts are current to this year. As I have stated in the past, Medicare <br />typically adjusts this reimbursement allowance at least annually, which usually includes an increase in the <br />rate of reimbursement. If adjustments are not made to our user fees, we are unable to take advantage of <br />Medicare's reimbursement increases. This ordinance also includes a provision for self - effectuating annual <br />fee increases based on Medicare or similar federal or state annual rate adjustments. I recommend adoption <br />of this self - effectuating provision because Medicare and similar rates provide a reliable, pre- approved <br />standard for reasonableness and relationship of cost to service. <br />I appreciate your consideration on this matter. I look forward to presenting the ordinance to Council at <br />your Committee and regular meetings. <br />Sincerely, <br />I ffhief <br />JAMES LUCCBI TODD L. SKWARCAN ANDREW). MYER JOHN CORTHIP.R FEDERICO RODRiGUE2, JR <br />ASST. CHIEP OPERATIONS ASST. CHIEF SERVICES ASST. CHIEP EMS ASST. CHIP.F TRAiNiNG FIRE MARSHAI. <br />IN <br />