SR - RES-11047 - GROUND AMBULANCE TRANSPORTATION RATES ADJUSTMENT1. SUBJECT
Resolution No. 11047 — A Resolution of the City Council of the City of Orange amending the
Master Schedule of Fees and Charges to adjust Ground Ambulance Transportation Rates.
2. SUMMARY
Emergency Ground Ambulance Transportation rates for Orange have been kept consistent with
those approved by the Orange County Board of Supervisors. The proposed rates reflect a 12 %
increase for Orange. Staff recommends City Council take similar action approving rates for the
City of Orange effective January 1, 2018. This fee increase will not affect a resident who subscribes
to the voluntary Paramedic Subscription Program ($48 /year).
3. RECOMMENDED ACTION
Adopt Resolution No. 11047.
4. FISCAL IMPACT
The ground ambulance transportation rate changes will result in an approximate increase of
$453,678.91 in additional revenue to the Emergency Transport Program Fund (125).
5. STRATEGIC PLAN GOAL(S)
1. Be a fiscally healthy community.
b. Analyze future fiscal needs and potential revenue opportunities.
6. GENERAL PLAN IMPLEMENTATION
Public Safety Goal 6.0: Provide public safety services of the highest quality.
7. DISCUSSION and BACKGROUND
Specific charges relative to emergency ground ambulance transportation by private ambulance
service providers are determined by a resolution set forth by the County of Orange Board of
Supervisors (BOS). New rates for ambulance transport specific fees have recently been approved
by the BOS. As with other EMS providers within the county, our operating costs continue to rise.
This rate increase will help offset rising operational costs. The Fire Department recommends
updating our transport fees to remain consistent with the fees being charged for ambulance
transportation by providers throughout Orange County.
Former Rate Schedule January 1, 2018
EMERGENCY TRANSPORTATION $904.61 $1,013.84
MILEAGE $ 16.87 $ 17.52
OXYGEN $ 82.74 $ 85.91
EXPENDABLE MEDICAL SUPPLIES $ 32.66 $ 33.91
(PER RESPONSE)
Based upon the revenue from emergency transports performed in FY 2016 -2017, the proposed
ground ambulance transportation rate changes should result in an increase of approximately
$453,678.91 in additional revenue to the Emergency Transport Program Fund (125) when taking
into account our average collection rate of 35%.
8. ATTACHMENTS
• O.C. Board of Supervisors Resolution No 17 -094, Item No. 29 Maximum 9-1 -1 - Emergency
Ambulance Rates
• O.C. EMS Memo 08/29/17: Revision to Maximum Emergency Ground Ambulance Rates:
Effective August 8, 2017
• O.C. EMS Policy 714.00: Maximum Emergency Ground Ambulance Rates
• Resolution No. 11047
ITEM 2 12/12/17
RESOLUTION NO. 11047
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF ORANGE AMENDING THE MASTER
SCHEDULE OF FEES AND CHARGES TO ADJUST
EMERGENCY MEDICAL SERVICES AND GROUND
AMBULANCE TRANSPORTATION RATES.
WHEREAS, pursuant to Chapter 3.10 of the Orange Municipal Code, the City Council
has established and maintained a Master Schedule of Fees and Charges, consisting of fees and
charges for services provided by the City to persons using such services; and
WHEREAS, in accordance with Chapter 3.10 of the Orange Municipal Code, the Master
Schedule of Fees and Charges has been periodically amended and revised from time to time by
the City Council, the last time being December 8, 2015, when Resolution No. 10912 was adopted
by the City Council; and
WHEREAS, the City Council hereby finds and determines that the Master Schedule of
Fees and Charges should be amended, in part, in order to reflect the true cost of services provided
by the City in connection with emergency medical services and ground ambulance transportation
services and to conform to the same rate structure recently adopted by the Board of Supervisors
of the County of Orange.
NOW, THEREFORE BE IT RESOLVED by the City Council of the City of Orange
as follows:
1. The foregoing recitals are true and correct.
2. The Master Schedule of Fees and Charges is hereby amended and Attachment A
to this Resolution is hereby adopted, modifying the Master Schedule of Fees and Charges to
provide for the inclusion of the amounts of the various fees for emergency ground ambulance
transportation services chargeable by the City of Orange, as more particularly described in
Attachment A
3. The City Council finds that the fees set forth in Attachment A do not exceed the
reasonable costs of services provided by the City in connection with the provision of emergency
ground ambulance transportation services.
4. The fees listed in Attachment A shall be effective as of and including January 1,
2018.
5. If the fees set forth in this Resolution or the application thereof to any person or
circumstance is held to be unconstitutional or otherwise invalid by any court of competent
jurisdiction, such invalidity shall not affect any other fee, charge, or rate, or application thereof,
which can be implemented without the invalid fee, charge, or rate, or application thereof, and to
this end the fees, charges and rates of this Resolution are declared to be severable.