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03.29 Master Schedule of Fees oF o� '�,S`t\`'�oaPoqqrFO!�� p�r ,'= AGENDA ITEM q2G'�:•�:?�Rri e,,e�:.��t�°Q �OL+�°°' J u ly 9, 2019 TO: Honorable Mayor and Members of the City Council THRU: Rick Otto, City Manager FROM: Christopher Boyd, Fire Chief � � �r - REVIEW: City Mana er Finance �'.�.� 1 . SUBJECT � A Resolution of the City Council of the City of Orange amending the Master Schedule of Fees and Charges to adjust Ground Amublance 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 Orange County Health Care Agency has made an annual adjustment, effective July 1, using an approved methodology. Staff recommends City Council adopt the new rates for the City of Orange effective August 1, 2019. 3. RECOMMENDED ACTION Approve Resolution No. 11174 4. FISCAL IMPACT The ground ambulance transportation rate changes will result in an approximate increase of $285,300 in additional revenue to the Emergency Transport Program Fund (125). 5. STRATEGIC PLAN GOALS Goal 2: Be a Fiscally Healthy Community b: Analyze future fiscal needs and potential revenue opportunities. 6. DISCUSSION AND BACKGROUND On August 8, 2017 the Orange County Board of Supervisors (BOS) passed Resolution No. 17-094 which adopted methodology for future rate changes and authorized the Orange County Health Care Agency (HCA) to make an annual adjustment effective July 1 of each year. The BOS have determined maximum rates relative to emergency ground ambulance transportation by private ambulance service providers. The new rates, effective July 1, 2019, include a 9.1% increase in the Emergency Transportation Base Rate to reflect the economic effects of the minimum wage ITEM 3,a� � � 07/09/2019 increase. The change also applies a 3.8% increase to Mileage, Oxygen, and Expendable Medical Supplies based on the Los-Angeles-Long Beach-Anaheim "all- item" Consumer Price Index. As with other EMS providers within the county, The Orange Fire Department's operating costs continue to rise, and we repeatedly experience a shortfall in reimbursements for emergency ground transportation. The Ambulance Transport Program will never fully recover all costs due to complexities with insurance billing. This rate change is justified to increase the cost recovery associated with serving the community. The Fire Department recommends updating our transport fees to remain consistent with those of other ambulance providers throughout Orange County, as well as, to help offset rising costs of supplies, fuel, labor and other operational costs. Former Rate Schedule Auqust 1, 2019 Emergency Transportation $1,013.84 $1,106.10 Mileage, Per Mile $ 17.52 $ 18.19 Oxygen $ 85.91 $ 89.17 Expendable Medical Supplies $ 33.91 $ 35.20 (per response) Based upon the revenue from emergency transports performed thus far in FY 2019, the proposed ground ambulance transportation rate changes should result in an increase of approximately $285,300 in additional revenue to the Emergency Transport Program Fund (125) when adjusting for our average collection rate of 30%. 7. ATTACHMENTS • OCEMS Policy 714.00: Maximum Emergency Ground Ambulance Rates • Resolution No. 11174 ITEM � 2 � 07/09/2019 Orange County EMS Policy/Procedure , .�:��p.,. .... �. � #714.00 �; Page 1 of 1 ,' MAXIMUM EMERGENCY GROUND AMBULANCE RATES I. Al1THORITY: Orange County Board of Supervisor,�Resolution No.17-094, ltem No. 29 MAXIMUM EMERGENCY GROUND AMBULANCE RATES EFFECTIVE: July 1, 2019 The foHowing is a list of maximum allowable emergency ambulance senrice rates to be charged an emergency patient by a licensee. These rates were approved by the County of Orange Board of Supervisors. TYPE OF CHARGE BASIS FOR CHARGE 2017 2018 2019 RATE RATE RATE Emergency BLS Base Applicable for urgent or Code 3 response $gg5.05 $1,013.84 $1,1Q6.10 Rate af the request of a public safety employee. Mileage Per patient m.ile or fraction thereof. $ 17.19 $ 17.52 $ 18.19 Oxygen (includes Applicable uviien administered. $ 84.31 $ 85.91 $ 89.17 mask or cannula) Standby Per 15 minutes after the first 15 minutes and any fracti,on thereof. $ 41.61 $ 42.00 $ 43.69 Expendable Medical Maximum per response or fair market Supplies value,whichever is the least amount. $ 33.28 $ 33.91 $ 35.20 ALS Paramedic Assessment and Transportation Rate for Orange County Fire Authority Jurisdictional Areas (excepting for San Clemente, Westminster, arid Buena Park) $387.35 Approved: ��¢�� OCEMS Administrator Effective Date: 07/01/2019 Reviewed Date(s): 06l12/2019 Original Date: 7/1989 OCEMS Policy#714.00 Effective Date: July 1, 2019 RESOLUTION NO. 11174 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 12, 2017 when Resolution No. 11047 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 Orange County Health Care Agency. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Orange as follows: 1. 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 various of fees for emergency ground ambulance transportation services chargeable by the City of Orange, as more particularly described in Attachment"A". 2. The City Council finds that the fees set forth in Attachment "A" do not exceed the reasonable cost of services provided by the City in connection with the provision of emergency ground ambulance transportation services. 3. The fees listed in Attachment"A" shall be effective August 1, 2019. 4. 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. 1 ADOPTED this day of 2019. Mark A. Murphy, Mayor of the City of Orange ATTEST: Pamela Coleman, City Clerk of the City of Orange I, PAMELA COLEMAN, City Clerk of the City of Orange, California, do hereby certify that the foregoing Resolution was duly and regularly adopted by the City Council of the City of Orange at a regular meeting thereof held on the day of 2019 by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAINED:COUNCII.MEMBERS: Pamela Coleman, City Clerk of the City of Orange 2 Attachment A EMERGENCY TRANSPORTATION $1,106.10 MILEAGE, PER MILE $ 18.19 OXYGEN $ 89.17 EXPENDABLE MEDICAL SUPPLIES $ 35.20 (PER RESPONSE)