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50-90 ORDINANCE NO. 50-90 AN ORDINANCE OF THE CITY COMMISSION OF THE CITY OF DELRAY BEACH, FLORIDA, ' AMENDING TITLE 9, "GENERAL REGULATIONS", CHAPTER 96, "FIRE PREVENTION; FIREWORKS", BY ENACTING A NEW SUBHEADING, "EMERGENCY MEDICAL SERVICES", BY ENACTING A NEW SECTION 96.65, "DEFINITIONS", TO PROVIDE FOR DEFINITIONS; BY ENACTING A NEW SECTION 96.66, "EMERGENCY MEDICAL SERVICES; FEES";TO PROVIDE FOR THE IMPOSITION OF FEES ON A FLAT RATE BASIS FOR THE USE OF BASIC LIFE SUPPORT SERVICES AND ADVANCED LIFE SUPPORT SERVICES; BY ENACTING SECTION 96.67, "BILLING AND COLLECTION OF EMERGENCY MEDICAL SERVICE FEES; COSTS AND ATTORNEYS' FEES"; PROVIDING A SAVINGS CLAUSE, PROVIDING AN EFFECTIVE DATE. WHEREAS, the City Commission of the City of Delray Beach, Florida, desires to maintain the high level of Emergency Medical Ser- vices currently provided to the residents of the City of Delray Beach by the Fire Department of the City of Delray Beach; and WHEREAS, the City Commission of the City of Delray Beach has determined, in order to continue the level of emergency medical services currently enjoyed by the citizens of the City of Delray Beach, Florida, that certain fees must be imposed for the provision of Basic Life Support Services (as defined below), and for the provision of Advanced Life Support Services; and WHEREAS, the City Commission of the City of Delray Beach, Florida, in order to avoid extensive record keeping, is desirous of implementing a two tiered flat fee structure which would cover initial patient assessment and treatment and the average amount of supplies, consumables, and disposal items provided to patients using Basic Life Support Services and Advanced Life Support Services; and WHEREAS, the City Commission has also expressed its intent that patient care is of primary concern and that one's ability to pay these fees shall not affect the quality of care rendered. NOW, THEREFORE, BE IT ORDAINED BY THE CITY COMMISSION OF THE CITY OF DELRAY BEACH, FLORIDA, AS FOLLOWS: Section 1. That Title 9, "General Regulations", Chapter 96, "Fire Prevention; Fire Works" of the Code of Ordinances of the City of Delray Beach, Florida, be, and the same is hereby amended by enacting a new subheading, "Emergency Medical Services", by enacting a new Section 96.65, "Definitions", by enacting a new Section 96.66, "Emergency Medical Services; Fees", and by enacting a new Section 96.67, "Collec- tion of Emergency Medical Services Fees", to read as follows: EMERGENCY MEDICAL SERVICES 96.65 DEFINITIONS. For the purpose of this subchapter, the following definitions shall.apply. "Non-billable Basic Life Support Services" Non-billable Basic Life Support Services are the emergency medical services provided by the City's Fire Department which include patient evaluation services, but does not reguire administration of treatment services or use of consumable or disposable supplies. Non-billable calls would include, but not be limited to, assessment for common medical complaints (sore throats, fever, headaches, and other common non-life threatening ailments); assisting "Bakers Act" and "Meyers Act" patients that do not require Paramedic accompaniment to a treatment facility; medical alarm and 911 hang-up investigations; and cases involving patient assessment with treatment refusal. "Basic Life Support Services". Basic Life Support Services include the provision of treatment services, or the use of consum- able or disposable supplies which does not rise to the level of the provision of Advanced Life Support Services. Basic Life Support Services are services rendered to patients which do not require invasive techniques, which include but are not limited to, simple bandaging, minor splinting, and simple immobilization. "Advanced Life Support Services". Advanced Life Support Services are those types of patient treatment services which require advanced medical therapy, including but not limited to; electrocardiographic monitoring; use of external pacemakers; defibrillation; intravenous therapy; medication administration; cardio pulmonary resuscitation; endotracheal intubation; esophageal 'intubation; pneumatic antishock garment (M.A.S.T.) application; and other advanced airway and artificial ventilator techniques. 96.66 EMERGENCY MEDICAL SERVICES~ FEES. (A) There shall be imposed a fee for the provision of Basic Life Support Services and for the provision of Advanced Life Support Services. (B) The following service charges or fees are levied for the provision of emergency medical services: (1) Basic Life Support Services $25.00 (2) Advanced Life Support Services $65.00 96.67 BILLING AND COLLECTION OF CHARGES~ COSTS AND ATTORNEYS' FEES (A) The Fire Department shall submit bills to patients for the provision of Basic Life Support Services and Advanced Life Support Services. (B) Any bill remaining unpaid for a period of sixty (60) days shall be considered delinquent. (C) The City may collect delinquent charges by pursuing any and all available legal remedies. Section 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 deci- sion shall not effect the validity of the remainder hereof as a whole part thereof other than the part declared to be invalid. Section 3. That this ordinance shall become effective after passage on second and final reading and shall apply to services rendered commencing on November 1, 1990. 2 ORD. NO. 50-90 PASSED AND ADOPTED in regular session on second and final reading on this the 23rd day of October , 0 ATTEST: · · City -Cler~ First Reading. October 9, 1990 Second Reading October 23, 1990 ORD. NO. 50-90 BOCA RATON NEWS DELlqAY BEACH NEWS BOYNTON BEACH NEWS Published Daily Monday thru Sunday Boca Raton, Palm Beach County, Florida Delray Beach, Palm Beach County, Florida 8TAT~e OF FLORZDA (~OUNTY OF I~ALM B~eACX Before the undersigned authority personally appeared NANCY WA~ who on oath says that she is the Classified Advertising Manager of the Boca Raton News and the Do~ay Beach ~ews, davy new~pape~s published at Boca Ratan in Palm ~, TLE h Beach County, Florida; that the at~hed copy of c~K. ~ SiRE ~EVENTION; advertisement was published In said newspapers NEW ~DIK, MEDIAL ~RY~CE~, BY E~T- in the issues of: ,K A ~INITI~S; $Y ENA~I~ A NEW M~t~ ~ ~E~Y ~1~ F~ THE IM~IT~ , ~ ~E$ FOR ~ ~T SERVICES AND ADVA~D LIFE SUP~T ~RV~ES; BY E~ AND ~LLECTI~ ~ E~RGE~ CY ~ ~E FEES; ~TS AND A~N~S' FEES'; Affiant further says that the s~d Boca Raton T~ ~ News and Delray Beach News are newspapers pub- ~ ~ llshed at Boca ~aton, in said P~m Beach Co~ty, e h c~ ~, m N.W. ~d ~, Florida, Monday through Sunday, and have been . s~ PA, Boca ~,,, Palm Beach ~ ~"~u,,~,~'~'~,~,-,~., for ape- __ riod of one year next preceding the f~st pubHca- ~ tlon of the at~ched copy of advertisement; and ~ ~ affiant further says that she has neither paid nor ~ ~ promised any person, f~m or co~pora~on any dis- c~. count, rebate, commission or refund for the p~- ~ ~,,~ pose of securing this advertisement for publication ~ in said newspapers. ~ T~ C~ Sworn to s sc~ib before me t~s /~ day of ~m A.D., 19 FO (Seal, Notary Public, ~orida at large) [~fNc)U~_~ CHARLENE RICH My Commission expi~~