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2010-27326 Reso2010-27326 RESOLUTION NO. A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AMENDING RESOLUTION 2009- 27279, 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, this Resolution adopts the same fee schedule passed on September 9, 2009 in City of Miami Beach Resolution 2009-27279 and conforms to the changes Miami-Dade County made to Section 4-7 of the Code of Miami-Dade County on January 21, 2010; 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; and WHEREAS, it is necessary to raise the established Fire Rescue Transport Fees for Basic Life Support, 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 as follows: Basic Life Support $358.67 Advanced Life Support 1 $425.93 Advanced Life Support 2 $616.47; and WHEREAS, all fees for expendable medical supplies shall remain the same; and WHEREAS, notwithstanding the above increased fees, no individuals shall be deprived of Fire Rescue Transport Services due to the inability to pay for such services. NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that, subject to and effective upon approval by Miami-Dade County, Resolution 2009-27279 is here by amended, increasing the present fire rescue transport fees, but maintaining the current fees for all expendable medical supplies as follows: Basic Lffe 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 with services not to be withheld due to a person's inability to pay. PASSED AND ADOPTED this 3rd day of February, 2010. ATTEST: CI CLERK AYOR APE~~'.®~©AS'f0 FGRt~n ~ WNs3llAG~ ~ F4Ce EXcCUfiGi~! ~~' ~ ai I d ~ ~mEy~ COMMISSION ITEM SUMMARY Condensed Title: A Resolution of the Mayor and City Commission of the City of Miami Beach, Florida, amending Resolution 2009-27279 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 supplies, with services not to be withheld due to a erson's inabili to a . Ke Intended Outcome Su orted: Increase resident ratin s of ublic safe 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 De artment received 22,640 calls and 16,599 of them were rescue related. Issue: Shall The City Commission Approve the amendment of Resolution 2009-27279 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 ex endable medical su lies, with services not to be withheld due to a erson's inabili to a ? The City Commission adopted resolution 2009-27279 increasing the Fire Rescue transport fee effective upon approval by Miami Dade County. In the interim, Miami Dade County passed ordinance 10-02 on January 21, 2010, which amended section 4-7 of the Code of Miami Dade County Florida to provide that rates charged by municipal ground ambulance certificate holders shall be determined by resolution adopted by City Commission providing that approved rates become effective when filed with the Consumer Services Department. This resolution adopts the same fee schedule passed on September 9, 2009 with an effective date of February 03, 2010 and conforms to the changes Miami Dade County made to section 4-7 of the code of Miami Dade County on January 21, 2010. 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 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 2009-27279 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 apgrovinq the resolution. Recommendation: rmanciai Source of Funds: OBPI Financial Impact Summary: Subject to and effective upon approval by Miami-Dade County, the increase is Office Si n-Offs: artme ve for Assistant Ci Mana er i Mana er ...._...,,.,~.,,C.~,.~~a~>,,,,.~a~~a„~~~~~~~~~~~~~~~~~~~~~~~u~yiranspo¢reerrzuiu.aoc Uv m MIAMIBEACH AGENDA ITEM c7K QaTE 2'3- w m- MIAMIBEACH Cify of Miami Beaeh, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov COMMISSION MEMORANDUM TO: Mayor Matti Herrera Bower and Members of the City Commission FROM: Jorge M. Gonzalez, City Manager DATE: February 3, 2010 SUBJECT: A RESOLUTION OF THE MAYOR A D CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AMENDING RESOLUTION 2009-27279, 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 $816.47 FORADVANCED 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 City Commission adopted resolution 2009-27279 increasing the Fire Rescue transport fee effective upon approval by Miami Dade County. In the interim, Miami Dade County passed ordinance 10-02 on January 21, 2010, which amended section 4-7 of the Code of Miami Dade County Florida to provide that rates charged by municipal ground ambulance certificate holders shall be determined by resolution adopted by City Commission, providing that approved rates become effective when filed with the Consumer Services Department. This resolution adopts the same fee schedule passed on September 9, 2009 with an effective date of February 03, 2010 and conforms to the changes Miami Dade County made to section 4-7 of the Code of Miami Dade County on January 21, 2010. 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 2009-27279 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. It is anticipated that the County will raise their transport fees this FY although the amount of the increase has not been set as yet. 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. EY/jbf T:WGENDAl2 101February 3V2egularlFire Transport fee commission memo 2010.doc Memorandum ""®a+ Date: January 21, 2010 To: Honoreble Cha'vman Dennis C. Moss and Members, Board of County Commissioners From: Geoige M. Burgess ~,,,,~.(r"" County Manager _ b Subject: Ordinance amending Section 407 of the Code; relating to municipal ambulance rates The proposed ordinance providing that ambulance rates charged by a municipality in Miami-Dade County shalt be established by resolution adopted by each city commission after a public hearing, and thereafter filed with the Consumer Services Department, will have no fiscal impact on Miami-Dade County. t./""~ Assistant Co my Manager esma~o Approved Mavor Veto Override ORDINANCE NO. Agenda Item No. 7(C) 1-21-10 ORDINANCE RELATING TO AMBULANCES AND MEDICAL TRANSPORTATION VEHICLES; AMENDING SECTION 4-7 OF THE CODE OF MIAMI-DADE COUNTY, FLORIDA, TO PROVIDE THAT RATES CHARGED BY MUNICIPAL GROUND AMBULANCE CERTIFICATE HOLDERS SHALL BE DETERMINED BY RESOLUTION ADOPTED BY CITY COMMISSION; PROVIDING THAT APPROVED RATES BECOME EFFECTIVE WHEN FILED WITH CONSUMER SERVICES DEPARTMENT WITHIN SPECIFIED TIME PERIOD; PROVIDING SEVERABILiTY, INCLUSION IN THE CODE, AND AN EFFECTIVE DATE BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF MIAMI-DADE COUNTY, FLORIDA: Section 1. Chapter 4, Article I of the Code of Miami-Dade County, Florida, is hereby amended to read as follows: ~ CHAPTER 4 AMBULANCES AND MEDICAL TRANSPORTATION VEHICLES ARTICLE I. IN GENERAL Sec.4-7. Rates. (a) Rates to be charged. It shall be unlawful for any certificate holder to charge, demand, request, or accept any fare other than the rates established pursuant to this ordinance except as may be provided by: (1) Federal law; (2) a countywide emergency and non-emergency ambulance service and non- emergency medical transportation vehicle service contract Words stricken through and/or [[double brncketed]j shall be deleted. Words underscored and/or »double arrowed« constitute the amendment proposed. Remaining provisions are now in effect and remain unchanged. T Agenda Item No. 7(C) Page 2 between one or more private ambulance providers and Miami-Dade County; or, (3) by resolution adopted by the Board approving a lower uniform rate to provide private inter-facility transfer of indigent or Medicaid patients to or from astate-designated and licensed rural hospital, as specified in Section 395.602(2)(e)4, Florida Statutes, where said rate has been negotiated by the hospital and a private certificate holder. Rates established by this chapter shall be applicable throughout Miami-Dade County, both in the incorporated and unincorporated areas, without regard to any municipal boundaries. Every ambulance shall have posted in a conspicuous place, readily visible to the occupants, a schedule showing all authorized rates. (b) Ambulance and air ambulance rates. All ambulance and air ambulance rates shall be established by the commission after public hearing. The manager shall investigate all requests for rate changes and prepare a report for the commission's consideration. (c) Private ground ambulance rates. All private ground ambulance rates shall be uniform among all certificate holders, except as provided in Section 4-7(a). »j~ Ambulance Rates Chazged by «[ ]]Z »Municinal_ Fire a_nd/or Rescue Denari?nentc«, »Notwithstanding the foregoing. all ambulance rates chazped by a «[[]]»m _'cip~ fire and/or rgs~ue_department« »in Miami-Dade County shall be established by resolution adopted by each city commission after a public hearing. Ambulance rates chased by« [[ ~ ]»municipal fire and/or rescue denartments« »shal] not be subiect to approval by the Boazd of Coanri Commissioners. Each municipaliri which adopts a resolution establishing a schedule of ambulance rates« »for a municipal fire and/or re cue d n r~+++ent« »shall provide the Miami-Dade County Consumer Services Department with a copy of the resolution approving any rate change as well as the schedule of rates within thirty (301 days after the adoption of the resolution authorizing the rate chance. Rate changes adopted by« [[tteipaliEies]] » unicinal fire n /or r ~ a Committee amendments are indicated as follows: words double stricken through and/or [[double bracketed]) shall be deleted, words double underlined and/or »double arrowed« constitute the amendment proposed. S Agenda Item No. 7(C) Page 3 ~ienartments« »after the effective date of this ordinance shall only become effective when filed with the Consumer Services Department as provided for in the precedin¢ sentence. Ever, ambulance shall have posted in a conspicuous place, readily visible to the occupants, a schedule showine all authorized rates.« Section 2. If any section, subsection, sentence, clause or provision of this ordinance is held invalid, the remainder of this ordinance shall not be affected by such invalidity. Section 3. It is the intention of the Board of County Commissioners, and it is hereby ordained that the provisions of this ordinance, including any sunset provision, shall become and be made a part of the Code of Miami-Dade County, Florida. The sections of this ordinance may be renumbered or relettered to accomplish such intention, and the word "ordinance" may be changed to "section," "article," or other appropriate word. Section 4. This ordinance shall become effective ten (10) days after the date of enactment unless vetoed by the Mayor, and if vetoed, shall become effective only upon an override by this Boazd. PASSED AND ADOPTED: Approved by County Attorney as „ to form and legal sufficiency: .~~~ Prepared by: G K~ Gerald K. Sanchez Prime Sponsor: Vice-Chairman Jose "Pepe" Diaz Co-Sponsor: Government Operations Committee