HomeMy WebLinkAbout031405 ORD - 03/27/2018 Ordinance amending Corpus Christi Code to adopt a new
ambulance rates schedule and to increase ambulance service
permitting fees
WHEREAS, the City is seeking to increase the percentage of cost recovery per
the User Fee Study summary attached in Exhibit A;
Now therefore, be it ordained by the City Council of the City of Corpus Christi,
Texas:
Section 1. The Corpus Christi Code of Ordinance, Chapter 18, Section 20 is amended
by adding the following language that is underlined (added) and deleting the language
that is stricken (deleted) as delineated below:
Sec. 18-20. - Ambulance rates.
(a) Ambulance Rates Schedule. Ambulance rates for emergency medical service
shall be charged pursuant to the Ambulance Rate Schedule. The initial
Ambulance Rate Schedule will be approved by City Council and must be filed
with the City Secretary. The Ambulance Rates Schedule may be amended per
the provisions of this Chapter and such amended schedule must be filed with
the City Secretary.
(b) Adjustment of Ambulance Rates.
(1) In this section, "consumer price index" means' the annual revised South
Region Consumer Price Index for All Urban Consumers for Medical Care, as
published by the federal Bureau of Labor Statistics.
(2) Any year in which the consumer price index increases by more than 1`)/0 from
the previous year, ambulances rates may be adjusted the
rates in the Ambulance Rate Schedule by an amount equal to the annual change
in the consumer price index. Ambulance Rate Schedule adjustments shall not
exceed 5% in a single year and shall not be adjusted more often than annually.
(3) Ambulance Rate Schedule will be submitted to City Council annually for
review. Any adjustment of ambulance rates requires City Council approval.
(c) The city manager is authorized to establish charges, not to exceed the
reasonable cost of providing the service, for other supplementary services such
as providing standby equipment and crews at special events and attending
training courses.
031 405 1
INDEXED
(a) Rates.
Fee Per
Service or Item Service
er---Item
(1) EMS 911 base rate Transport $800-.00
(2) EMS 911 base rate No transport 125.00
(3) Adenosine 50.00 j
(4) Albuterol 5.00
(5) At-repine 5.00
(6) —9.00
(7) 2.00
(8) Benadryl 5.00
(9) Bite stick 2.00
---7-08
(11) Burn sheet 8.00
(12) Bag-delve-Mask 20.00
( ) -- e•ee - e- . e - X0.09
(14) Cervical--sellar 21.00
( ) Sold-pack 00
(16) X00
2
(17) _, .. :• _ _e- - - . X0.00
(48) Defibfillatiempads 40.00
(-1-9) Dextrose —1-0410
(-0) Glucose test strip 2.00
(21) EKG, non 12 lead 50.00
(22) EKG, 12 lead 100.00
( ) Endotracheal tube 15.00
(24) Endotracheal tube holder 5.00
( ) Epinephrine (1:1000) 5.00
(--2-6-) Epinephrine (1:10000) 9.00
(27) Glucose paste x-00
(2-84 Head immobilizer 10.00
(2-9-) Hot pack X00
(-30) Intubation 75.00
(31) _e _ _ - _ 'e - 150.00
(32-) 15.00
(33-) - - - .. - 35.00
(34) l ►trepine -x-0.00
(-35-) Lasix —1-0,0-0
( ° 5.00
3
( ) Lidocaine drip 20.00
(-35-) 00
( 9-) e 25.00
(40) Narcan --1-5.00
(41) Nebulizer mask 5.00
(42-) -5-00
(43-) Normal Saline 1000 ml 20.00
(1 4) 15.00
45)
0- —1-0-.00
(46-) Normal Saline 100 ml —5-00
(4-7--) Normodyne —40.00
(48) Obstetrical kit 12.00
(49-) Oral airway 3.00
(50) Oxygen 35.00
(51-) Oxygen mask 10.00
(-52-) Pitocin x-00
(-53-) Pulse oximetry 50.00
(54) -- 15.00
(55) Solu medrol 5.00
(56-) 35.00
4
( Splint 30.00
(58-) 16#0-11 10.00
( ) Thiamine 7.00
(60) Valium 25.00
(b) Supplementary charges:
. '•. ••• • ea e •• -- • •• $e •_ ••• - • e. _. .
. •-••- -_ • - ma-a••• . •.-. •• . • •• •
one at home, no one injured, sixty dollars ($60.00).
(3) Providing a charge of one hundred twenty five dollars ($125.00)for emergency
medical services provided to non residents.
as providing standby equipment and crews at special events and attending
training courses.
•.••_ • •- • . • .. . . .• .. .- . . . • _•
(c) Review of charges. The Corpus Christi EMS ambulance service rates shall be
reviewed as needed to determine the need for adjustments.
Section 2. The Ambulance Rate Schedule attached in Exhibit B is hereby approved by
City Council.
Section 3. In reference to the ambulance operator permit fee, the Corpus Christi Code
of Ordinance, Chapter 57, Section 172(b) is amended by adding the following language
that is underlined (added) and deleting the language that is stricken (deleted) as
delineated below:
(b) Operators that do not desire, by written declaration, to be listed on the city's
emergency call list shall submit an application accompanied by a permit fee of
one hundred dollars ($100.00) $374.00 plus {$25.00) for each
ambulance requested to be permitted. Permit fees and ambulance fees are not
refundable.
5
Section 4. In reference to the ambulance reinspection fee, the Corpus Christi Code of
Ordinance, Chapter 57, Section 175(c) is amended by adding the following language
that is underlined (added) and deleting the language that is stricken (deleted) as
delineated below:
(c) A permittee that causes the removal, during the permit term, of any
ambulance from the approved ambulance list on the permit, pursuant to section
57-175(b), may request the permit officer to reinspect the ambulance and return
said ambulance to active service. The reinspection request must be in writing
and shall be accompanied by a -- • - e e . :. ..e e $74.00 reinspection
fee. The permit officer shall reinspect the ambulance within ten (10) days of
receipt of such request and payment. An ambulance that meets the requirements
of section 57-174 upon reinspection shall be added to the approved ambulance
list on the permit.
Section 5. If for any reason any section, paragraph, subdivision, clause, phrase, word
or provision of this ordinance shall be held invalid or unconstitutional by final judgment
of a court of competent jurisdiction, it shall not affect any other section, paragraph,
subdivision, clause, phrase, word, or provision of this ordinance, for it is the definite
intent of this City Council that every section, paragraph, subdivision, clause, phrase,
word or provision of this ordinance be given full force and effect for this purpose.
Section 6. Publication shall be made in the official publication of the City of
Corpus Christi as required by the City Charter of the City of Corpus Christi.
Section 7. This ordinance takes effect upon publication.
6
That the foregoing ordinnce was read for the first time and passed to its second
reading on this the LO day of 4-i'YIDUrQ2018, by the following vote:
Joe McComb 0 / Ben Molina Li
I, 4
Rudy Garza Lucy Rubio
,-
Paulette Guajardo I i! Greg Smith IL , '
1
Michael Hunter ltd.! hn YQ,Cof'!`)-
Debbie Lindsey-Opel
4
That the fort going ordinance was read for the second time and passed finally on this
the (91 day of iii/l/tC , 2018, by the following vote:
Joe McComb . ,/ Ben Molina ____ait
Rudy Garza ` ', ► Lucy Rubio 3.k .Qv'J
1
Paulette Guajardo -A: Greg Smith
I ---af
Michael Hunter La 41 Ca aegl V(JG','dA"
atDebbie Lindsey-Opel
PASSED AND APPROVED on this the Al day of UMC , 2018.
ATTEST:
Re•-cca Huerta Joe cComb
Cit Se - - • a .r
EFFEC PATE
. 314
Agenc City of Corpus Christi, Texas
Depar Fire - Fire Stations 12010
Fiscal 2017
1111 Service Name
Fee
Descri •tion
1 EMS 911 Base Rate - Transport Fee
2 EMS 911 Base Rate - No Transport Fee
3 Mileage per mile
4 False Alarm - Medical Emergency per false alarm
5 Non -Resident Medical Services Fee
6 Fire Suppression Non Fee
7 Fire/ EMS Readiness Support
8 Additional Personnel Fee additional fee
Annual
Volume
User Fee Study Summary Sheet
Current
Recommendations
Per Unit
Annual
Volume
Billed
Current Fee
Full Cost
Current
Recove %
Annual Cost
Annual
Revenue
Annual
Subsid
21,223 21,223
14,786 14,786
156,403 156,403
307 307
1,537 1,537
989 989
1 1
2,670 2,670
9 Out of City Limits Calls Fire Calls plus $5 a mile 4 4
10 Out of City Limits Calls First Responder plus $5 a mile 15 15
11 Out of City Ambulance Response Fee 16 16
12 Hazmat Fee - Post Vehicle Accident Cli Fee 4,888 4,888
13 Hazmat Response Call Fee 616 616
14 Skilled Nursing Facility Responses Fee 1,270 1,270
15 Ambulance Operator Fee Fee 8
16 Ambulance Inspection Fee per unit 38
17 Ambulance Attendant (Driver) per driver 133
18 Fire Hydrant Inspection/Maint Fee 11,121
19 CDC Responses Fee 172
20 Medical Supply Costs Not Analyzed 1
2/21/2018
Exhibit A
5
$
8 $
38 $
133 $
11,121 $
172 $
1 5
800 $ 1,384.73 58% $ 29,388,125 $ 4,383,004 $ 25,005,121
125 $ 902.19 14% $ 13,339,830 $ 477,129 $ 12,862,701
15.00 $ 4.49 334% $ 701,940 $ 605,636 $ 96,304
60 $ 437.53 14% $ 134,321 $ 4,755 $ 129,566
125 $ 0% $ - $ 49,597 $ (49,597)
- $ 5,548.24 0% $ 5,487,207 $ - $ 5,487,207
$ 0% $ $ - $
45 $ 0% $ - $ 31,017 $ (31,017)
350 $ 4,489.20 8% $ 17,957 $ 361 $ 17,595
350 $ 1,018.42 34% $ 15,276 $ 1,355 $ 13,921
- $ 1,483.75 0% $ 23,740 $ - $ 23,740
- $ 683.76 0% $ 3,342,196 $ - $ 3,342,196
- $ 893.60 0% $ 550,457 $ - $ 550,457
- $ 507.90 0% $ 645,033 $ - $ 645,033
100 $ 375.05 27% $ 3,000 $ 207 $ 2,794
25 $ 73.70 34% $ 2,801 $ 245 $ 2,556
25 $ 25.66 97% $ 3,412 $ 858 $ 2,554
5 171.31 0% $ 1,905,145 $ $ 1,905,145
- $ 349.19 0% $ 60,061 $ - $ 60,061
- $ 594,951 0% $ 594,951 $ - $ 594,951
Per Unit
Recovery
Level
Fee dal
Polic Level
Annual
Annual
Revenue?
Increased
Revenue
Recommend
ed Subsid
100% $ 1,385 $ 7,586,596 $ 3,203,592 $ 21,801,529
17% $ 150 $ 571,654 $ 94,525 $ 12,768,176
334% $ 15.00 $ 605,636 $ - $ 96,304
14% $ 60 $ 4,755 $ - $ 129,566
100% $ - $ - $ (49,597) $ -
0% $ - $ - $ - $ 5,487,207
0% $ - $ • $ . $
0% $ - $ - $ (31,017) $
8% $ 350 $ 361 $ - $ 17,595
34% $ 350 $ 1,355 $ - $ 13,921
0% $ - $ $ - $ 23,740
0% $ $ - $ - $ 3,342,196
0% $ - $ - $ - $ 550,457
49% $ 250 $ 317,356 $ 317,356 $ 327,677
100% $ 374 $ 2,994 $ 2,788 $ 6
101% $ 74 $ 2,829 $ 2,584 $ (28)
99% $ 25 $ 3,382 $ 2,523 $ 31
0% $ - $ - $ . $ 1,905,145
72% $ 250 $ 42,943 $ 42,943 $ 17,117
0% $ $ - $ - $ 594,951
MGT of America Consulting, LLC Page 1 of 2
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0 3:
Ambulance Rates Schedule
Effective Marek '1-, 2018
`f'eLt— Fee Per
Service or Item Service
or Item
(1) EMS 911 base rate -Transport $1,385.00
(2) EMS 911 base rate - No transport $150.00
(3) Oxygen $45.00
(4) Advance Life Support (ALS) Routine Disposables $50.00
(5) Basic Life Support(BLS) Routine Disposables $25.00
Supplementary charges:
(1) Providing a mileage charge of fifteen dollars ($15.00) per mile from patient pick-up point to
the hospital.
(2) Providing a fee for responding to a medical alarm which is a malfunction, no one at home, no
one injured, sixty dollars ($60.00).
(3) Providing a charge of one hundred twenty-five dollars ($125.00)for emergency medical
services provided to non-residents.
(4) Providing a charge of$45.00 for each additional personnel when needed to provide patient
care during transport.
(5) Providing a charge to the facility of$250 for Fire Department response to skilled nursing
facilty for the pick-up of a resident that does not require transport to a hospital.
Exhibit B
Caller Times
PART OF THE USA TODAY NETWORK
Certificate of NOTICE OF PASSAGE OF
Publication ORDINANCE(S)
NO.031395,Ordinance amend-
ing the Corpus Christi Code
In Matter of Publication of: to adopt a new fire preven-
tion permit fee schedule.
NO.031405,Ordinance amend-
ing Corpus Christi Code to
adopt a new ambulance
rates schedule and to
increase ambulance ser-
vice permitting fees. These
CORPUS CHRISTI ordinances were passed and
CITY OF CORPUS CHRISTI approved on second reading
by the Corpus Christi City
PO BOX 9277 Council on March 27,2018.
/s/Rebecca Huerta
CORPUS CHRISTI,TX 78469-9277 City Secretary
State of Wisconsin)
))§
County of Brown)
I,being first duly sworn,upon oath depose and say that I am a legal
clerk and employee of the publisher, namely, the Corpus Christi
Caller-Times, a daily newspaper published at Corpus Christi in
said City and State, generally circulated in Aransas, Bee, Brooks,
Duval, Jim Hogg, Jim Wells, Kleberg, Live Oak, Nueces, Refugio,
and San Patricio, Counties, and that the publication of which the
annexed is a true copy, was inserted in the Corpus Christi Caller-
Times on the following dates:
• April 2,2018
Lega
On this April 2,2018, I certify that the ahed document is a true
and exact copy made by publisher.
+1(1-
Notary Pub ic, tat f isconsi ,County of Brown
oo
co....E��,i NOTICE OF PASSAGE OF
ORDINANCE(S)
QTAR NO.031395,Ordinance amend-
\-4 Y ing the Corpus Christi Code
O•® _ to adopt a new fire preven-
tion permit fee schedule.
En' PUBLIC :'? NO.031405,Ordinance amend-
-' c ` ing Corpus Christi Code to
1j•''••.• •'.� �` adopt a new ambulance
� �OF��W‘SG��\\\\\�
increase 31405,Orrats shedule ansero
vice permitting fees. These
ordinances were passed and
Ad#: 1973089 approved on second reading
P.O.. Councilby the on March 27,201us Christi 8.ty
fi
#of Affidavits:0 /s/Rebecca Huerta
City Secretary
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