06-96 ORDINANCE NO. 6-96
AN ORDINANCE OF THE CITY COMMISSION OF THE CITY OF
DELRAY BEACH, FLORIDA, AMENDING CHAPTER 96, "FIRE
SAFETY AND EMERGENCY SERVICES", OF THE CODE OF
ORDINANCES OF THE CITY OF DELRAY BEACH, BY AMENDING
SECTION 96.66, "EMERGENCY MEDICAL TRANSPORTATION
FEES", SUBSECTION 96.66(A), TO REVISE THE FEE
SCHEDULE FOR EMERGENCY MEDICAL TRANSPORTATION IN
ACCORDANCE WITH THE INFLATION INDEX CHARGE FOR 1996;
PROVIDING A SAVING CLAUSE, A GENERAL REPEALER CLAUSE,
AND AN EFFECTIVE DATE.
WHEREAS, on January 17, 1995, the City Commission adopted
Ordinance No. 5-95, which enacted a new Section 96.66 of the City Code
to provide for emergency medical transportation fees; and
WHEREAS, pursuant to Section 96.66(B) of the City Code, the
City Commission may adjust fees annually pursuant to the Inflation
Index Charge (I.I.C.) which is used by Medicare to determine the
appropriate fee charges; and
WHEREAS, the City Commission has been notified that the
Inflation Index Charge (I.I.C.) for 1996, applicable to Medicare
services and fee schedules, will be a three percent (3%) increase.
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COMMISSION OF THE
CITY OF DELRAY BEACH, FLORIDA, AS FOLLOWS:
Section 1. That Chapter 96, "Fire Safety and Emergency
Services", Section 96.66, "Emergency Medical Transportation Fees",
Subsection 96.66(A), of the Code of Ordinances of the City of Delray
Beach, Florida, be, and the same is hereby amended to read as follows:
(A) The following service charges or fees are levied for
the provision of emergency medical transportation:
(1) Advanced Life Support
transportation fee ~7~/g~ 8280.00
(2) Basic Life Support
transportation fee ~/~ 8210.00
(3) Mileage fee ~/~/~¢ S5.15/mile
S~ction 2. That should any section or provision of this
ordinance or any portion thereof, any paragraph, sentence or word be
declared by a court of competent jurisdiction to be invalid, such
decision shall not affect the validity of the remainder hereof as a
whole or part thereof other than the part declared to be invalid.
Se¢~$Qn 3. That all ordinances or parts of ordinances in
conflict herewith be, and the same are hereby repealed.
~ That this ordinance shall become effective
as of January 1, 1996.
PASSED AND ADOPTED in regular session on second and final
reading on this the 23rd day of January , 1996.
ATTEST:
/Ci~ C~erk r
First Reading January 9, 1996
Second Reading January 23, 1996 ~.
- 2 - Ord. No. 6-96
MEMORANDUM
TO: MAYOR AND CITY COMMISSIONERS
FROM: CITY MANAGER .
SUBJECT: A~NDA ITEM # IO.~.- MEETING OF JANUARY 23 1996
SECOND PUBLIC HEARING & SECOND READING FOR ORDINANCE NO.
~-96 (E~ERGE~CY MEDICAL TRANSPORT FEES)
DATE: JANUARY 18, 1996
This is second reading and public hearing for Ordinance No. 6-96
which amends Section 96.66 of the City Code by revising the fee
schedule for emergency medical transportation in accordance with
the Inflation Index Charge. The I.I.C. for 1996, applicable to
Medicare services and fee schedules, is a three percent (3%)
increase. The proposed rate changes are:
~ 3% Increase Total ~Qund Off
ALS $275.00 $8.25 $283.25 $280.00
BLS $205.00 $6.15 $211.15 8210.00
Mileage $5.00
per mile $0.15 $ 5.15 $ 5.15
The effective date for the increase is January 1, 1996.
At first reading on January 9th, the Commission passed the
ordinance by a vote of 4 to 0. As I mentioned at that time, the
Medicare legislation is still being debated by the U.S. Congress.
One of the proposals is to freeze ambulance charges for seven
years. If that passes, then this rate increase cannot take
effect and the fees will revert to those currently in effect.
However, the Commission should go ahead and adopt the ordinance
effective January 1, 1996, or else we lose the right to increase
the fees at all.
Recommend approval of Ordinance No. 6-96 on second and final
reading.
ref: agmemo 10
16:12 F, 7 ~,~3 PAGE
Federal Inflation Index Calculation .(I.I,C.) Applicable to
Medicare SeZ%zices and Fee Schedules ·
1986 to 1996
Fiscal Year !. I.C. Adj.ustme~ts.
1986 0.0%
i987 + 1.7%
1988 (Fre.eze)
1989 + 4.0%
. 1990 + 5.2%
.' 1991 + 4.7%
1992 ' + 4.7%
1993 + 3.1%
'1994 + 3.0%
1995 + 2.5% + 3'~0%, **'
" 1996 + 3.0% * + 3~0'% (Proposed)
· If no freeze is imposed'on Medicare Fees at the Federal. level'
(Reference H,R, 2485, H.R. 2491, and Senate Reconciliation Act
of' 1995). ''
· * InclUded in initial rate schedule effective Ja:m.u~. 1, 19:9s.'
source: Mr. David · Werfel, · Esq., Medicare co.ns.~It'a.n,t, to. the.
'American Ambulance Association, October 3.I,. 19-9:5.;'
[lTV OF DELRI:IV BEI:I[H
FIRE DEPARTMENT SERV,NG DELRAY BEACH . GUL~ STREAM * HIGHLAND BEACH
DELR^¥ BE^CH
1993
TO: MAYOR AND CITY COMMISSIONERS
FROM: DAVID T. HARDEN, CITY MANAGER
DATE: JANUARY 4, 1996
SUBJECT: ORDINANCE ADJUSTING EMS TRANSPORT FEES
The City has been notified that the Inflation Index Charge (I.I.C.) for 1996, applicable to
Medicare services and fee schedules, will be a three (3) % increase. According to City of
Delray Beach Ordinance No. 5-95, Section 96.66, Emergency Medical Transport Fees,
Sub-Section B,
"The City Commission may adjust fees annually pursuant to the Inflation Index Charge
(I.I.C.) which is used by Medicare to determine the appropriate fee charges."
It is recommended that the increase be granted effective January 1, 1996. This will allow
us to keep up with the changes in Medicare allowances.
PRESENT FEE 3% INCREASE TOTAL ROUND OFF
ALS $275.00 8.25 $283.25 $280.00
BLS $205.00 6.15 $211.15 $210.00
Mileage $5.00 .15 $5.15 $5.15
per mile
David T. Harden
City Manager
FIRE DEPARTMENt HEADQUARTERS · 501 WEST ATLANTIC AVENUE. DELRAY BEACH, FLORIDA 33444
407/243-7400 · SUNCOM 928-7400 · FAX 407/243-7461
Printed on Recyted Paper
[IT¥ OF DELRI:I¥ BEI:I[H
FIRE DEPARTMENT SE V,NG DEL AYBEAOH · GULFSTREAM H, HLANOBE^CH
~ MEMORANDUM
AIl.~ca Ci~
~FROM: ROBERT B. ~HR, FI~ CHIEF DEC 2 9
~993
DATE: DECEMBER 29, 1995 CITY M~~.'' Z, .... ~'~':~
SUBJECT: AD~STMENT OF EMS T~NSPORT FEES
We have been notified that the Inflation Index Charge (I.I.C.) for 1996, applicable
to Medicare services and fee schedules, will be a three (3) % increase. According to City
of Delray Beach Ordinance No. 5-95, Section 96.66, Emergency Medical Transport Fees,
Sub-Section B,
"The City Commission may adjust fees annually pursuant to the Inflation Index Charge
(I.I.C.) which is used by Medicare to determine the appropriate fee charges."
It is our recommendation that the increase be granted effective January 1, 1996.
This will allow us to keep up with the changes in Medicare allowances. I suggest we put
this on the January 16, 1996 Commission Meeting agenda, if it meets with your approval.
The following shows what percentage charges would be for each charge:
PRESENT FEE 3% INCREASE TOTAL ROUND OFF
ALS $275.00 8.25 $283.25 $280.00
BLS $205.00 6.15 $211.15 $210.00
Mileage $5.00 .15 $5.15 $5.15
per mile
If you want to move forward with this proposal I will do the appropriate paper
work for the Commission agenda.
Fire Chief
Attachment.
FIRE DEPARTMENT HEADQUARTERS · 501 WEST ATLANTIC AVENUE · DELRAY BEACH, FLORIDA 33444
407/243-7400 · SUNCOM 928-7400 · FAX 407/243-7461
Printed on Recyled Paper
Agenda Item. No.:
AGENDA REQUEST
Date: 01/04/96
Request to be placed on:
Regular Agenda
Special Agenda
Workshop Agenda When: '01/09/96
Description of item (who, what, where, how much): Th~ Fire/Rescue
Department request an adjustment in the EmerKency Medical Services
transpor% f¢¢~ fQr 1996 pursuant to the Delra¥ Beach Ordinance No.
5-95~ Section 96.66. Emergency Medical Transport Fees Section.
(Example: Request from Atlantic High School for $2,000 to fund
project graduation).
ORDINANCE/ RESOLUTION REQUIRED: (YES~ Draft Attached: YES/NO
Recommendation: Revise Delray Beach Ordinance No. 5-95~ Section 96.66,
EmerKenc¥ Medicaid. Transport Fees Sub Section A 40:
Advance Life Support $280.00
Basic Life Support $21'0.00
Mileage $ 5.15
(Example: Recommend. approval with funding from Special Events Account
No. 001-3333-555-44.55).
Department~Hea~.Signature:_ ~'~
City Attorney Review/ Recommendation (if applicable):
Budget Director Review (required on all items involving expenditure
of funds):
Funding available: YES/ NO
Funding alternatives: (if applicable)
Account No. & Description:
Account Balance:
City Manager Review:
A. pproved for agenda:
Hold Until:
Agenda Coordinator Review:
Received:
Placed on Agenda:
Action: Approved/Disapproved