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I222 S. MICHIGAN STREET <br />SourH BEND, INDIANA 4660I -282I <br />CITY OF SOUTH BEND PETE BIITTIGIEG, MAYOR <br />SOUTH BEND FIRE DEPARTMEl <br />STEPHEN E 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/ 23 5-925 5 <br />FAX 574/235-9305 <br />Filed in Clerdc °st -,: . <br />Ex-p-_ ._M <br />JUN 08 2016 <br />KAREElv1AH FOWLER <br />CITY CLERK, SOUTH BEND, IN <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 ep n F. x �7 <br />Fire hief <br />JAMES Luc= TODD L. SKWARCAN ANDREW J. MYER ,JOHN CORTHIF.R FEDERICO RODRIGUEZ, JR <br />ASST. CHIEF OPERATIONS ASST. CHIEF SERVICES ASST. CHIEF EMS ASST. CHIEF TRAINING FIU.. MARSHAI. <br />