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(f) Advance Life Support, Level 2 (ALS2): Means either transportation by ground ambulance <br />vehicle, medically necessary supplies and services, and the administration of at least three (3) <br />medications by intravenous pus/bolus or by continuous infusion excluding crystalloid, hypotonic, <br />isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or transportation, <br />medically necessary supplies and services, and the provision of at least one (1) of the following: <br />(1) Manual defibrillation/cardioversion <br />(2) Endotracheal intubation <br />(3) Central venous line <br />(4) Cardiac pacing <br />(5) Chest decompression <br />(6) Surgical airway <br />(7) Intraosseous line <br />(g) Non - Transport Medical Calls: Means a response to a medical emergency call by ambulance <br />vehicle and the administration of ALS skills upon or medication given to a patient who then <br />refuses transport to the hospital. <br />(h) Mileage, Rural, shall apply to vehicle. runs made to areas in zones or zip codes designated as rural <br />by Medicare and. the U.S. Department of Health and Human Services in its Medicare regulations. <br />(i) The above fees shall take effect on August 1,_ -5 -2016. <br />_(j) Hereafter, and in the event Medicare or other federal or State health care regulations require or <br />allow an adjustment to ambulance/ medical user fees the South Bend Fire Chief is authorized to <br />and may amend once annually the user fees set out in subpart (a) of this Section by the same <br />percentage as the Medicare Fee Schedule rates for such services have been adjusted This <br />adjustment shall be effective on the calendar date immediately following the date on which <br />written notice of said fee rate adjustment is filed in the office of the City Clerk At the time such <br />notice is filed, a copy of the new rates shall be made available in paper form for public viewing in <br />the South Bend Central Fire Station, and such new rates shall also be published promptly on the <br />City's web site. <br />Section II. This ordinance shall be in full force and effect from and after its passage by the <br />Common Council and approval by the Mayor. <br />Member of the Common Council <br />Attest: <br />City Clerk <br />