2009-27211 ResoRESOLUTION NO. 2009-27211
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE
CITY OF MIAMI BEACH, FLORIDA, AMENDING RESOLUTION 2008-
26909, SUBJECT TO AND EFFECTIVE UPON APPROVAL BY MIAMI-
DADE COUNTY, INCREASING THE PRESENT FIRE RESCUE
TRANSPORT FEES FROM $330 TO $358.67 FOR BASIC LIFE
SUPPORT, FROM $380 TO $425.93 FOR ADVANCED LIFE SUPPORT 1,
AND FROM $490 TO $616.47 FOR ADVANCED LIFE SUPPORT 2, AND
MAINTAINING THE CURRENT FEES FOR ALL EXPENDABLE MEDICAL
SUPPLIES, WITH SERVICES NOT TO BE WITHHELD DUE TO A
PERSON'S INABILITY TO PAY.
WHEREAS, the City of Miami Beach Fire Department serves as the provider of fire
rescue transport services, and in order to comply with the provisions of the Code of Miami-
Dade County, Florida, Chapters 4-7 Ambulance and Medical Transportation- Rates, proposed
emergency transport fees are subject to and effective upon approval by Miami-Dade County;
and
WHEREAS, it is necessary to raise the established Fire Rescue Transport Fees for
Basic Life Support and Advanced Life Support 1, and Advanced Life Support 2, due to
increased operation expenses and to become uniform with Miami-Dade County Fire Rescue
Services; and
WHEREAS, all fees for expendable medical supplies shall remain the same; and
WHEREAS, the current fees for transport services are as follows:
Basic Life Support $330.00
Advanced Life Support 1 $380.00
Advanced Life Support 2 $490.00
Mileage Charge/per Mile $ 7.50
Cardiac Monitoring $ 25.00
I.V. / I.O. $ 25.00
Intubation $ 25.00
Oxygen $ 30.00
Spinal Immobilization $ 25.00
WHEREAS, notwithstanding the above fees, no individuals shall be deprived of Fire
Rescue Transport Services due to the inability to pay for such services.
BE IT DULY RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI
BEACH, FLORIDA, that, subject to and effective upon approval by Miami-Dade County,
resolution 2008-26909, is herein amended, increasing the present fire rescue transport fees,
maintaining the current fees for all expendable medical supplies, with services not to be
withheld due to a person's inability to pay.
Basic Life Support $358.67
Advanced Life Support 1 $425.93
Advanced Life Support 2 $616.47
Mileage Charge/per Mile $ 7.50
Cardiac Monitoring $ 25.00
I . V. / I.O. $ 25.00
Intubation $ 25.00
Oxygen $ 30.00
Spinal Immobilization $ 25.00
PASSED AND ADOPTED this 24th day of September, 2009.
ATTEST:
CITY CLERK MAYO
Robert Parcher Matti Herrera Bower
APPR01/Ep AS TO
FORM ~ LANGUAGE
tsi FOR EXECUTION
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~ City Att r y~C1G. Dat
COMMISSION ITEM SUMMARY
Condensed Title:
A Resolution of the Mayor and City Commission of the City of Miami Beach, Florida, amending Resolution
2008-26909 subject to the approval of Miami Dade County, increasing the present Fire Rescue transport
Fees from $330 to $358.67 for Basic Life Support, from $380 to $425.93 for Advanced Life Support 1, and
from $490 to $616.47 for Advanced Life Support 2, and maintaining the current fees for all expendable
medical su lies, with services not to be withheld due to a erson's inabili to a .
Ke intenaea outcome su ortea:
Increase resident ratings of public safety services.
Supporting Data (Surveys, Environmental Scan, etc.): According to the 2009 Community Survey
96.8% of residents rated the overall quality of City Fire as excellent or good; and according to the
Environmental Scan, in 2008 the Fire Department received 22,640 calls and 16,599 of them were
rescue related.
Issue:
Shall The City Commission Approve the amendment of Resolution 2008-26909 subject to the
approval of Miami Dade County, increasing the present Fire Rescue transport Fees from $330 to
$358.67 for Basic Life Support, from $380 to $425.93 for Advanced Life Support 1, and from $490 to
$619.47 for Advanced Life Support 2, and maintaining the current fees for all expendable medical
supplies, with services not to be withheld due to a person's inability to pay?
item summa /Kecommendatlon:
The Fire Department Fire Rescue Transport Fees will provide needed revenue to offset the growing cost
of supplies and fuel in FY 2009!10. The proposed schedule balances consumer and industry needs and
"enhanced efforts to collect" will have minimal impact on consumers due to the fact that ambulance
transports are typically paid for by Medicare, Medicaid and private insurance. As for uninsured and
underinsured patients who are unable to pay, it remains the policy of the City of Miami Beach not to
pursue payment, and their outstanding balances are not collected. By amending Resolution 2008-26909
the proposed fee schedule, which is subject to and effective upon approval by Miami-Dade County and
any subsequent ammendments that the County shall make to the fee shedule, the City of Miami Beach
enhances the ability of the Rescue Division to provide the best possible service to the stakeholders of the
City of Miami Beach.
The Administration recommends approvin the resolution.
Advisory Board Recommendation:
Financial Information:
Source of Amount Account Approved
Funds: ~
2
3
4
OBPI .Total
Financial Impact Summary: Subject to and effective upon approval byMiami-Dade County,
the increase is expected to generate an estimated $125,000.
Ci Clerk's Office Le islative Trackin
Christopher Parrino Division Chief Emergency Medical Services
Sign
e rtment Director Assistant City Manager City Manager
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V 1 DATE Z 'O
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vaww.miamibeachfl.gov
COMMISSION MEMORANDUM
TO: Mayor Matti Herrera Bower and Members of the City Commission
FROM: Jorge M. Gonzalez, City Manager
DATE: September 24, 2009
SUBJECT: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, AMENDING RESOLUTION 2008-26909, SUBJECT
TO AND EFFECTIVE UPON APPROVAL BY MIAMI-DADE COUNTY,
INCREASING THE PRESENT FIRE RESCUE TRANSPORT FEES FROM $330
TO $358.67 FOR BASIC LIFE SUPPORT, FROM $380 TO $425.93 FOR
ADVANCED LIFE SUPPORT 1, AND FROM $490 TO $616.47 FOR ADVANCED
LIFE SUPPORT 2, AND MAINTAINING THE CURRENT FEES FOR ALL
EXPENDABLE MEDICAL SUPPLIES, WITH SERVICES NOT TO BE WITHHELD
DUE TO A PERSON'S INABILITY TO PAY.
ADMINISTRATION RECOMMENDATION
Adopt the Resolution.
ANALYSIS
The Miami Beach Fire Rescue Department transport fees provide needed revenue to offset
budgetary costs. The proposed annual budget for the Rescue Division for Fiscal Year (FY)
2009/10 is $14,057,582. Revenue for Rescue Transports is projected to be $1,300,000 at
the current fees as set by the City Commission. By amending Resolution 2008-26909 which
is subject to and effective upon approval by Miami Dade County and the increases that may
be amended from time to time by the County, the City will be able to further offset the
operating costs of the Rescue Division. At the July Finance Committee Meeting the Fire
Department was directed to work with the billing agency (ADPI) todetermine ifnon-residents
could be sent to collections for non-payment. The Department and ADPI will be enhancing
our collection efforts to increase our success rate, particularly with regard to non-resident
transports as ADPI can separate incidents involving residents from non-residents.
CONCLUSION
The Administration recommends that the Mayor and City Commission adopt the attached
resolution approving and authorizing the transport fees as set by the County and future
amendments to the rates as set by the County.
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