Item B
* BOCC SPECIAL MEETING *
* 10:00 A.M. PUBLIC HEARING *
.. REVISED BACK-Up..
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 12/8/08 - MAR
Division:
County Attorney
Bulk Item: Yes
No~
Staff Contact Person: Suzanne Hutton
AGENDA ITEM WORDING:
A Public Hearing to consider approval of an ordinance to consider approval of an ordinance creating two
MSTU's for the levy of taxes to fund TraumaStar, to provide for emergency air transport service.
ITEM BACKGROUND:
On July 28, 2008 the BOCC approved Resolution No. 222-2008 authorizing placement on the November 2008
general election ballot of a referendum question asking if voters favor legislation authorizing the levy of ad
valorem taxes to fund TraumaStar. The voter referendum returns on November 4, 2008 were a majority in
favor.
PREVIOUS RELEVANT BOCC ACTION:
11/19/08 BOCC directed staff to advertise and hold this Public Hearing at a Special Meeting of the Board to be
held at date and time to be coordinated by staff and approved by majority vote of the Commission to allow
adequate time for public input
11121/08 a BOCC majority vote was obtained approving a BOCC Special Meeting to be held on 1218/08 at
10:00 a.m. in Marathon to hold this Public Hearing
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOTAL COST:
N/A
BUDGETED: Yes ~ No
COST TO COUNTY:
N/A.
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes No xx AMOUNT PER MONTH_ Year
APPROVED BY: County Atty ~ OMBlPurchasing _ Risk Management
DOCUMENTATION:
Included X
Not Required _
DISPOsmON:
Revised 2/05
AGENDA ITEM # B
ORDINANCE NO.
- 2008
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, CREATING A NEW ARTICLE IN THE
EMERGENCY AND NONEMERGENCY MEDICAL SERVICES
CHAPTER OF THE COUNTY CODE TWO NEW SECTIONS,
PROVIDING FOR THE ESTABLISHMENT OF TWO MUNICIPAL
SERVICE TAXING UNITS FOR THE PURPOSES OF PROVIDING
EMERGENCY Am TRANSPORT; PROVIDING FOR THE REPEAL OF
ALL ORDINANCES INCONSISTENT HEREWITH; PROVIDING FOR
INCORPORATION INTO THE MONROE COUNTY CODE OF
ORDINANCES; AND PROVIDING AN EFFECTIVE DATE.
WHEREAS, the Monroe County Sheriff obtained a helicopter with the use of forfeiture
funds in 2002 and operated an air ambulance service for trauma victims to be transported rapidly
to trauma care facilities in Miami, saving hundreds of lives; and
WHEREAS, the Board of County Commissioners appropriated funds to purchase a
replacement helicopter when the original helicopter became so old that maintenance and
replacement parts became cost-prohibitive; and
WHEREAS, the annual costs of operation of TraumaStar, the Sheriff's rapid-transport
air ambulance, has been approximately $1,800,000 per year in excess of revenues collected from
user services fees; and
WHEREAS, State legislature in 2007 and 2008, has limited the collection of ad valorem
taxes by local governments, except by super-majority or unanimous vote by the governing board
or by approval through referendum by the taxpayers; and
WHEREAS, it has been estimated that the amount necessary to supplement the
TraumaStar service revenues to keep it operational for trauma scenes throughout the Florida
Keys can be met by less than a .15 mill tax; and;
WHEREAS, a running order by the Monroe County Fire Chief designates Mile Marker
95 as the point above which air ambulance service from Miami-Dade County is requested for
trauma scenes, and below which Trauma Star is required for trauma scenes due to the time
necessary for the respective air ambulance to reach the scene; and
WHEREAS, it is equitable to assess a lower milllage in the area above Mile Marker 95
because TraumaStar acts as a secondary provider for trauma scenes in that area and a higher
millage in the area below Mile Marker 95 where it acts as primary provider; and
WHEREAS, the impact of the maximum levy of the proposed surtax on a property with
an assessable value of $350,000 would be $52.50 per year below Miler Marker 95 and $26.25
per year above Mile Marker 95; and
WHEREAS, a majority vote by the electors on November 4, 2008 supported the
establishment of two taxing areas the North area to be limited to 7-1/2 cents tax per thousand of
Ordinance # - 2008
Creating MSTU's TraumaSlar
Page 1 00 Pages
taxable value of real property and the remainder of the Florida Keys to be limited to no more
than 15 cents tax per thousand of taxable value of real property; and
WHEREAS, s. 125.01(1)(q), F.S., requires a municipality to consent by ordinance either
annually or for a term of years for the boundaries of the Municipal Service Taxing Unit to
include the boundaries of the municipality, and s. 171.203, F.S. requires an interlocal agreement
to be entered between the County and an independent special district for a municipal service
taxing unit of the County to provide services overlapping those of the special district, providing
the municipalities and the Key Largo Fire Rescue and Emergency Medical Services District the
rights to opt in to the taxing units authorized by this ordinance; now therefore
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS FOR MONROE
COUNTY, FLORIDA that:
SECTION 1. Creation of Article. There shall be created in the Monroe County Code Chapter
on Emergency and Nonemergency Medical Services a new article for Emergency Air Transport
Service Taxing Units.
Sec. 2. Taxing units created.
(a) Pursuant to the provision of F.S. ~ 125.01(1)(q), there are hereby created two municipal
service taxing units to be known as the Northern County Emergency Air Transport Municipal
Service Taxing Unit and the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit. The Northern County Emergency Air Transport Municipal Service Taxing
Unit shall encompass that portion of the Florida Keys north of Mile Marker 95. The Central-
Southern County Emergency Air Transport Municipal Service Taxing Unit shall encompass Mile
Marker 95 and that portion of the Florida Keys south of Miler Marker 95.
(b) The Board is hereby authorized, in the manner and under the authority provided by F.S. ~
125.022(1)(q), to levy and collect ad valorem taxes at a millage rate not greater than .075 mil
upon taxable real and personal property within the Northern County Emergency Air Transport
Municipal Service Taxing Unit, commencing with the County fiscal year beginning October 1,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
consecutive fiscal years and the Northern County Emergency Air Transport Municipal Service
Taxing Unit shall terminate on September 30,2019.
(c) Revenue derived from ad valorem taxes levied in the Northern County Emergency Air
Transport Municipal Service Taxing Unit shall be used solely for the costs associated with and
incurred in providing within and benefiting the Northern County Emergency Air Transport
Municipal Service Taxing Unit. The Board shall adopt a budget for the Northern County
Emergency Air Transport Municipal Service Taxing Unit for the County fiscal year beginning
October I, 2009 and each fiscal year thereafter, at the same time and in the same manner as the
County budget.
(d) The Board is hereby authorized, in the manner and under the authority provided by F. S. ~
125.01(IXq), to levy and collect ad valorem taxes at a millage rate not greater than .15 mil upon
taxable real and personal property within the Central-Southern County Emergency Air Transport
Municipal Service Taxing Unit, commencing with the County fiscal year beginning October I,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
Ordinance # - 2008
creating MSTIrs TraumaStar
Page 2 of 3 Pages
consecutive fiscal years and the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit shall terminate on September 30, 2019.
(e) Revenue derived from ad valorem taxes levied in the Central-Southern County Emergency
Air Transport Municipal Service Taxing Unit shall be used solely for the costs associated with
and incurred in providing within and benefiting the Central-Southern County Emergency Air
Transport Municipal Service Taxing Unit. The Board shall adopt a budget for the Central
Southern County Emergency Air Transport Municipal Service Taxing Unit for the County fiscal
year beginning October 1, 2009 and each fiscal year thereafter, at the same time and in the same
manner as the County budget.
SECTION 2. SEVERABll..ITY. Should any provision of this Ordinance be declared by a
court of competent jurisdiction to be invalid, the same shall not affect the validity of this
Ordinance as whole, or any part thereof, other than the part declared to be invalid. If this
ordinance or any provision thereof shall be held to be inapplicable to any person, property or
circumstances, such holding shall not affect its applicability to any other person, property or
circumstances.
SECTION 3. CONFLICT WITH OTHER ORDINANCES. All ordinances or parts of
ordinances in conflict with this Ordinance are hereby repealed to the extent of said conflict.
SECTION 4. INCLUSION IN THE CODE OF ORDINANCES. The provisions of this
Ordinance shall be included and incorporated in the Code of Ordinances of the County of
Monroe, Florida, as an addition or amendment thereto, and shall be appropriately renumbered to
conform to the uniform numbering system of the code.
SECTION 5. EFFECTIVE DATE. This Ordinance shall take effect on December 31, 200S,
provided that this Ordinance shall be filed with the Department of State as provided in section
125.66(2), Florida Statutes.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the Sth day of December, 200S.
Mayor George Neugent
Mayor Pro Tern Sylvia Murphy
Commissioner Kim Wigington
Commissioner Heather Carruthers
Commissioner Mario Di Gennaro
(SEAL)
Attest: DANNY L. KOLHAGE, Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
Deputy Clerk
By
Mayor/Chairperson
Ordinance # - 2008
Creating MSTIJ's TraumaStar
Page 3 00 Pages
MONROE COUNTY ATTORNEY
AP OVED AS R
Y'
ZANNE A. HUTTON
'. . CO~:[~tJj07.;:r
"" ~~"O~". . ',~~~~,_,~.~___"_.,~
Page 1 ofl
Peters-Katherine
From: Hutton-Suzanne
Sent: Friday, December 05,200810:16 AM
To: County Commissioners and Aides; County Administrator
Cc: Boan- Tina; County Attorney; Mark Willis
Subject: Trauma Star MSTU Public hearing 12/8/08
Dear Commissioners:
To clarifY that in order for the MSTU's for taxation to cover the costs of operating Trauma Star to actually be
effective in the municipalities and the special independent district should the ordinance agendaed for public hearing
on Monday, Dec. 8,2008, I propose to add the following language to that ordinance at the begiuning of the
meeting.
"WHEREAS, s. 125.01(l)(q), F.S., requires a municipality to consent by ordinance either annually or for a
tenn of years for the boundaries of the Municipal Service Taxing Unit to include the boundaries of the
municipality, and s. 171.203, F.S. requires an interlocal agreement to be entered between the County and
an independent special district for a municipal service taxing unit of the County to provide services
overlapping those of the special district, providing the municipalities and the Key Largo Fire Rescue and
Emergency Medical Services District the rights to opt in to the taxing units authorized by this ordinance;"
Hopefully, this will clarifY that in order for the tax to be applicable in the municipalities and the independent special
district (Key Largo FREMS), those entities have to affinnatively act to opt in.
Based on comments in various media, I believe that people stili have a misconception that the passage of the
ordinance is the last act that has to occur for the tax to be imposed. The ordinance is just the beginning of the
process. As previously mentioned, the municipalities and KLFREMSD still have to affmnatively act for the
MSTU's to be effective in their jurisdictions. Also, the ordinance only sets the authority for the millage to be
levied during the budget and millage adoption process each year, and sets the maximum millage which may be
levied, but does not require that the maximum allowable millage be levied if the taxable base allows for a lesser
millage to be levied and still generate the necessary revenue to cover the costs of the program.
Please let me know if you have any questions about the language proposed to be added to the ordinance.
s.,-..4. ~
County Attorney
Monroe County
PO Box 1026
Key West. FI. 33041-1026
305-292-3470
12/5/2008
ORDINANCE NO.
- 2008
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, CREATING A NEW ARTICLE IN THE
EMERGENCY AND NONEMERGENCY MEDICAL SERVICES
CHAPTER OF THE COUNTY CODE TWO NEW SECTIONS,
PROVIDING FOR THE ESTABLISHMENT OF TWO MUNICIPAL
SERVICE TAXING UNITS FOR THE PURPOSES OF PROVIDING
EMERGENCY AIR TRANSPORT; PROVIDING FOR THE REPEAL OF
ALL ORDINANCES INCONSISTENT HEREWITH; PROVIDING FOR
INCORPORATION INTO THE MONROE COUNTY CODE OF
ORDINANCES; AND PROVIDING AN EFFECTIVE DATE.
WHEREAS, the Monroe County Sheriff obtained a helicopter with the use of forfeiture
funds in 2002 and operated an air ambulance service for trauma victims to he transported rapidly
to trauma care facilities in Miami, saving hundreds aftives; and
WHEREAS, the Board of County Commissioners appropriated funds to purchase a
replacement helicopter when the original helicopter became so old that maintenance and
replacement parts became cost-prohibitive; and
WHEREAS, the annual costs of operation of TraumaStar, the Sheriff's rapid-transport
air ambulance, has heen approximately $1,800,000 per year in excess ofrevenues collected from
user services fees; and
WHEREAS, State legislature in 2007 and 2008, has lintited the collection of ad valorem
taxes by local goveroments, except by super -majority or unanimous vote by the governing board
or by approval through referendum by the taxpayers; and
WHEREAS, it has been estimated that the amount necessary to supplement the
TraumaStar service revenues to keep it operational for trauma scenes throughout the Florida
Keys can be met by less than a .15 ntill tax; and;
WHEREAS, a running order by the Monroe County Fire Chief designates Mile Marker
95 as the point above which air ambulance service from Miami-Dade County is requested for
trauma scenes, and below which Trauma Star is required for trauma scenes due to the time
necessary for the respective air ambulance to reach the scene; and
WHEREAS, it is equitable to assess a lower mil11age in the area above Mile Marker 95
because TraumaStar acts as a secondary provider for trauma scenes in that area and a higher
millage in the area below Mile Marker 95 where it acts as primary provider; and
WHEREAS, the impact of the maximum levy of the proposed surtax on a property with
an assessable value of $350,000 would he $52.50 per year below Miler Marker 95 and $26.25
per year above Mile Marker 95; and
WHEREAs, a majority vote by the electors on November 4, 2008 supported the
establishment of two taxing areas the North area to be limited to 7-1/2 cents tax per thousand of
<>ntinonce# -2008
Creating MSlU's TraumaSlar
P.ge 1 00 Pages
taxable value of real property and the remainder of the Florida Keys to be limited to no more
than 15 cents tax per thousand of taxable value of real property; and
WHEREAS, s. 125.Dl (I X q), F. S., requires a municipality to consent by ordinance either
annually or for a term of years for the boundaries of the Municipal Service Taxing Unit to
include the boundaries of the municipality, and s. 171.203, F.S. requires an inter10cal agreement
to be entered between the County and an independent special district for a municipal service
taxing unit of the County to provide services overlapping those of the special district, providing
the municipalities and the Key Largo Fire Rescue and Emergency Medical Services District the
rights to opt in to the taxing units authorized by this ordinance; now therefore
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS FOR MONROE
COUNTY, FWRlDA that:
SECTION 1. Creation DC Article. There shall be created in the Monroe County Code Chapter
on Emergency aod Nonemergency Medical Services a new article for Emergency Air Transport
Service Taxing Units.
See. 2. Tuina units created.
(a) Pursuant to the provision of F.S. ~ 125,01(1)(q). there are hereby created two municipal
service taxing units to be known as the Northern County Emergency Air Transport Municipal
Service Taxing Unit aod the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit. The Northern County Emergency Air Transport Municipal Service Taxing
Unit shall encompass that portion of the Florida Keys north of Mile Marker 95. The Central-
Southern County Emergency Air Transport Municipal Service Taxing Unit ahall encompass Mile
Marker 95 and that portion of the Florida Keys south of Miler Marker 95.
(b) The Board is hereby authorized, in the manner and under the authority provided by F.S. ~
125.022(IXq), to levy and collect ad valorem taxes at a millage rate not greater than .075 mil
upon taxable real aod personal property within the Northern County Emergency Air Transport
Municipal Service Taxing Uni~ commencing with the County fiscal year beginning October I,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
consecutive fiscal years and the Northern County Emergency Air Transport Municipal Service
Taxing Unit shall terminate on September 30,2019.
(c) Revenue derived from ad valorem taxes levied in the Northern County Emergency Air
Transport Municipal Service Taxing Unit shall be used solely for the costs associated with and
incurred in providing within and benefiting the Northern County Emergency Air Transport
Municipal Service Taxing Unit. The Board shall adopt a budget for the Northern County
Emergency Air Transport Municipal Service Taxing Unit for the County fiscal year beginning
October 1, 2009 and each fiscal year thereafter, at the same time and in the same manner as the
County budget.
(d) The Board is hereby authorized, in the manner and under the authority provided by F. S. ~
125.0I(lXq), to levy and collect ad valorem taxes at a millage rate not greater than .15 mil upon
taxable real and personal property within the Central-Southern County Emergency Air Transport
Municipal Service Taxing Unit, commencing with the County fiscal year beginning October 1,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
ClrWnonoe N - 2008
Crealing MSTU's TnwmaStar
.... 2 of 3 Pages
consecutive fiscal years and the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit shall terminate on September 30, 2019.
(e) Revenue derived from ad valorem taxes levied in the Central-Southern County Emergency
Air Transport Municipal Service Taxing Unit shall be used solely for the costs associated with
and incurred in providing within and benefiting the Central-Southern County Emergency Air
Transport Municipal Service Taxing Unit. The Board shall adopt. a budget for the Central
Southern County Emergency Air Transport Municipal Service Taxing Unit for the County fiscal
year beginning October I, 2009 and each fiscal year thereafter, at the same time and in the same
manner as the County hudget.
SECTION 2. SEVERABILITY. Should any provision of this Ordinance be declared by a
court of competent jurisdiction to be invalid. the same shall nnt affect the validity of this
Ordinance as whole, or any part thereo~ other than the part declared to be invalid. If this
ordinance or any provision thereof shall be held to be inapplicable to any person, property or
circumstances, such holding shall not affect its applicability to any other persnn, property or
circumstances.
SECTION J. CONFLICT WITH OTHER ORDINANCES. All ordinances or parts of
ordinances in conflict with this Ordinance are hereby repealed to the extent of said conflict.
SECTION 4. INCLUSION IN THE CODE OF ORDINANCES. The provisions of this
Ordinance shall be included and incorporated in the Code of Ordinances of the County of
Monroe, Florida, as an addition or amendment thereto, and shall be appropriately renumbered to
conform to the uniform numbering system of the code.
SECTION S. EFFECTIVE DATE. This Ordinance shall take effect on December 31, 200S,
provided that this Ordinance shall be filed with the Department of State as provided in section
125.66(2), Florida Statutes.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the SIh day of December, 200S.
Mayor George Neugent
Mayor Pro Tem Sylvia Murphy
Commissioner Kim Wigington
Commissioner Heather Carruthers
Commissioner Mario Di Gennaro
(SEAL)
AUest: DANNY L. KOLHAGE, Clerk
BOARD OF COUNlY COMMISSIONERS
OF MONROE COUNlY, FLORIDA
By
By
Mayor/Chairperson
Deputy Clerk
OrdinAnce N .2008
Creatin&MSTU's TraumaStar
P"lle 3 of 3 Pages
'"
ZANNE A. HUTTON
. .1 ,___co~.J?rJ",;:r ''',__
r
Page I of!
Peters-Katherine
From: Hutton-Suzanne
Sent: Friday, December 05, 200810:16 AM
To: County Commissioners and Aides; County Administrator
Cc: Boan-Tina; County Attorney; Mark Willis
Subject: Trauma Star MSTU Public hearing 1218108
Dear Commissioners:
To clarify that in order for the MSTU's for taxation to cover the costs of operating Trauma Star to actually be
effective in the municipalities and the special independent district should the ordinance agendaed for poblic hearing
on Monday, Dec. 8, 2008, I propose to add the following language to that ordinance at the beginning of the
meeting.
"WHEREAS, s. 125.01(I)(q), F.S., requires a municipality to consent by ordinance either annually or for a
term of years for the boundaries of the Municipal Service Taxing Unit to include the boundaries oftlte
municipality, and s. 171.203, F.S. requires an interlocal agreement to be entered between the County and
an independent special district for a municipal service taxing unit of the County to provide services
overlapping those of the special district, providing the municipalities and the Key Largo Fire Rescue and
Emergency Medical Services District the rights to opt in to the taxing units authorized by this ordinance;"
Hopefully, this will clarify that in order for the tax to be applicable in the municipalities and the independent special
district (Key Largo FREMS), those entities bave to affirmatively act to opt in.
Based on comments in various media, I believe that people still bave a misconception that the passage of the
ordinance is the last act that has to occur for the tax to be imposed. The ordinance is just the beginning of the
process. As previously mentioned, the municipalities and KLFREMSD still bave to affirmatively act for the
MSTU's to be effective in their jurisdictions. Also, the ordinance only sets the authority for the millage to be
levied during the bodget and millage adoption process each year, and sets the maximum millage which may be
levied, but does not require that the maximum allowable millage be levied if the taxable base allows for a lesser
millage to be levied and still generate the necessary revenue to cover the costs of the program.
Please let me know if you bave any questions about the language proposed to be added to the ordinance.
s.,...A. w.....
Cou~ Attome~
MDl'W'OeCounty
PO Sax 1028
Key Welt. FL 33041-10215
3115-212-3470
12/5/2008
· BOCC SPECIAL MEETING *
· 10:00 A.M. PUBLIC HEARING ·
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 12/8/08 - MAR
Division:
County Attornev
Bulk Item: Yes
No ..lIlL-
Staff Contact Person: Suzanne Hutton
AGENDA ITEM WORDING:
A Public Hearing to consider approval of an ordinance to consider approval of an ordinance creating two
MSTU's for the levy of taxes to fund TraumaStar, to provide for emergency air transport service.
ITEM BACKGROUND:
On July 28, 2008 the BOCC approved Resolution No. 222-2008 authorizing placement on the November 2008
general election ballot of a referendum question asking if voters favor legislation authorizing the levy of ad
valorem taxes to fund TraumaStar. The voter referendum returns on November 4, 2008 were a majority in
favor.
PREVIOUS RELEVANT BOCC ACTION:
11/19/08 BOCC directed staff to advertise and hold this Public Hearing at a Special Meeting of the Board to be
held at date and time to be coordinated by staff and approved by majority vote of the Commission to allow
adequate time for public input
11/21/08 a BOCC majority vote was obtained approving a BOCC Special Meeting to be held on 12/8/08 at
10:00 a.m. in Marathon to hold this Public Hearing
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOTAL COST:
N/A
BUDGETED: Yes.lllL- No
COST TO COUNTY:
N/A.
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No xx
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty!ZJl OMBlPurchasing _ Risk Management _
DOCUMENTATION:
Included X
Not Required _
AGENDA ITEM # B
DlSPosmON:
Revised 2/05
ORDINANCE _-2008
AN ORDINANCE OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
CREATING A NEW ARTICLE IN THE EMERGENCY AND
NONEMERGENCY MEDICAL SERVICES CHAPTER OF THE
COUNTY CODE TWO NEW SECTIONS, PROVIDING
FOR THE ESTABLISHMENT OF TWO MUNICIPAL SERVICE
TAXING UNITS FOR THE PURPOSES OF PROVIDING
EMERGENCY AIR TRANSPORT; PROVIDING FOR THE
REPEAL OF ALL ORDINANCES INCONSISTENT HEREWITH;
PROVIDING FOR INCORPORATION INTO THE MONROE
COUNTY CODE OF ORDINANCES; AND; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, the Monroe County Sheriff obtained a helicopter with the use of forfeiture
funds in 2002 and operated an air ambulance service for trauma victims to be transported
rapidly to trauma care facilities in Miami, saving hundreds of lives; and
WHEREAS, the Board of County Commissioners appropriated. funds to purchase a
replacement helicopter when the original helicopter became so old that maintenance and
replacement parts became cost-prohibitive; and
WHEREAS, the annual costs of operation of TraumaStar, the Sheriff's rapid-transport air
ambulance, has been approximately $1,800,000 per year in excess of revenues collected from
user senAce fees; and
WHEREAS, State legislature in 2007 and 2008, has limited the collection of ad valorem
taxes by local governments, except by super-majority or unanimous vote by the governing
board or by approval through referendum by the taxpayers; and
WHEREAS, it has been estimated that the amount necessary to supplement the
TraumaStar service revenues to keep it operational for trauma scenes throughout the Florida
Keys can be met by less than a .15 mill tax; and
WHEREAS, a running order by the Monroe County Fire Chief designates Mile Marker 95
as the point above which air ambulance service from Miami-Dade County is requested for
trauma scenes, and below which TraumaStar is requested for trauma scenes due to the time
necessary for the respective air ambulance to reach the scene; and
WHEREAS, it is equitable to assess a lower millage in the area above Mile Marker 95
because TraumaStar acts as a secondary provider for trauma scenes in that area and a higher
millage in the area below Mile Marker 95 where it acts as primary provider; and
WHEREAS, the impact of the maximum levy of the proposed surtax on a property with
an assessable value of $350,000 would be $52.50 per year below Mile Marker 95 and $26.25
per year above Mile Marker 95; and
WHEREAS, a majority vote by the electors ON November 4, 2008, supported the
establishment of two taxing areas, the Northern area to be limited to 7-1/2 cents tax per
thousand of taxable value of real property and the remainder of the Florida keys to be limited to
no more than 15 cents tax per thousand of taxable value of real property; now therefore,
BE IT ORDAINED BY THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS THAT:
Section 1. Creation of Article. There shall be created in the Monroe County Code Chapter on
Emergency and Nonemergency Medical Services a new article for Emergency Air Transport
Service Taxing Units.
Sec. 2. Taxfng units created.
(a) Pursuant to the provisions of F.S. ~ 125.D1 (l)(q), there are hereby created two municipal
service taxing units to be known as the Northern County Emergency Air Transport Municipal
Service Taxing Unit and the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit. The Northern County Emergency Air Transport Municipal Service Taxing
Unit shall encompass that portion of the Florida Keys north of Mile Marker 95. The Central-
Southern County Emergency Air Transport Municipal Service Taxing Unit shall encompass Mile
Marker 95 and that portion of the Florida Keys south of Mile Marker 95.
(b) The board is hereby authorized, in the manner and under the authority provided by F.S. ~
125.01 (l)(q), to levy and collect ad valorem taxes at a millage rate..not greater than .075 mil
upon taxable real and personal property within the Northern County Emergency Air Transport
Municipal Service Taxing Unit, commencing with the county fiscal year beginning October 1,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
consecutive fiscal years and the Northern County Emergency Air Transport Municipal Service
Taxing Unit shall terminate on September 30, 2019.
(c) Revenue derived from ad valorem taxes levied in the Northern County Emergency Air
Transport Municipal Service Taxing Unit shall be used solely for the costs associated with and
incurred in providing within and benefiting the Northern County Emergency Air Transport
Municipal Service Taxing Unit. The board shall adopt a budget for the Northern County
Emergency Air Transport Municipal Service Taxing Unit for the county fiscal year beginning
October 1, 2009 and each fiscal year thereafter, at the same time and in the same manner as
the county bUdget.
(d) The board is hereby authorized, in the manner and under the authority provided by F.S. ~
125.01 (l)(q), to levy and collect ad valorem taxes at a millage rate not greater than .15 mil upon
taxable real and personal property within the Central-Southern County Emergency Air Transport
Municipal Service Taxing Unit, commencing with the county fiscal year beginning October 1,
2009. The imposition of ad valorem taxes, as authorized herein, shall cease after ten (10)
consecutive fiscal years and the Central-Southern County Emergency Air Transport Municipal
Service Taxing Unit shall terminate on September 30,2019.
(e) Revenue derived from ad valorem taxes levied in the Central-Southern County Emergency
Air Transport Municipal Service Taxing Unit shall be used solely for the costs associated with
and incurred in providing within and benefiting the Central-Southern County Emergency Air
Transport Municipal Service Taxing Unit. The board shall adopt a budget for the Central-
Southern County Emergency Air Transport Municipal Service Taxing Unit for the county fiscal
year beginning October 1, 2009 and each fiscal year thereafter, at the same time and in the
same manner as the county budget.
Section 2. SEVERABILITY. Should any provision of this Ordinance be declared by a court of
competent jurisdiction to be invalid, the same shall not affect the validity of this Ordinance as
whole, or any part thereof, other than the part declared to be invalid. If this ordinance or any
provision thereof shall be held to be inapplicable to any person, property or circumstances, such
holding shall not affect its applicability to any other person, property or circumstances.
Section 3. REPEAL OF CONFLICTING PROVISIONS. All ordinances or parts of ordinances in
conflict with this Ordinance are hereby repealed to the extent of said conflict.
Section 4. INCLUSION IN THE CODE OF ORDINANCES. The provisions of this Ordinance
shall be included and incorporated in the Code of Ordinances of the County of Monroe, Florida,
as an addition or amendment thereto, and shall be appropriately renumbered to conform to the
uniform numbering system of the code.
Section 5. EFFECTIVE DATE. This Ordinance shall take effect on December 31, 2008,
provided that this Ordinance shall be filed with the Department of State as provided in section
125.66(2), Florida Statutes.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida,
at a regular meeting held on the 8th day of December, AD., 2008.
Mayor George Neugent
Mayor Pro Tem Sylvia Murphy
Commissioner Kim Wig.mgton
Commissioner Heather Carruthers
Commissioner Mario DiGennaro
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY:
Mayor
(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
By:
DEPUTY CLERK
SU AN E A. TTON
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TraumaStar
WebCAD
Web Site Survey
lj.
Page 1 of'-
FREQUENTLY ASKED QUESTIONS about
TraumaStar
As a taxpayer in Monroe County, how do I
benefit from the Trauma Star program?
Answer: With Trauma Star, Monroe County Citizens will be
entitled to critical care transport with NO out-of-pocket expense to
you. If you have insurance, your insurance will be billed, but you will
not have to pay anything over and above what your insurance pays.
TraumaStar is 100% dedicated to serving Monroe County and will
always be there.
How much will a Monroe County homeowner
pay to keep TraumaStar?
Answer:
month
J1I1.st1J tJ fI/
W$)j ))/l/Il (
The average cost per household will be $5.00 per
How many medical flights has TraumaStar
flown?
Answer: TraumaStar has flown 255 missions using the new
Trauma Star helicopter - 592 missions since the inception of the
program. (as of October 12, 2008).
What if Trauma Star is eliminated?
Answer: If Trauma Star is eliminated, Monroe County residents
will have to rely on transport by a private helicopter company. If a
private company is not making money in the Keys, it will be forced to
leave. With private company transport, each resident who uses the
service will be personally resDonsible for all charges incurred, which
may total as muen as $10,000 or more for a co-payment, or $20,000
or more if the patient does not have insurance.
Will everyone in Monroe County pay the same
amount?
Answer: Not necessarily. Each municipality and/or taxing district
will have the opportunity to "opt out" of the service. If the Key Largo
Fire and Ambulance District doesn't want the benefit of Trauma
Star's service, they don't have to participate or pay.
How many times has TraumaStar transported
residents from the Upper Keys Taxing
District?
Answer: TraumaStar has transported 99 patients from Key
Largo, Tavernier, and ISlamorada, when Miami-Dade Air Rescue and
UfeNet were unavailable.
http://www.keysso.netlpatroI~ops/aviation/trauma~star/faq_traumastar.htm
12/07/2008
~.
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.
Page 2 of~
How does Monroe County's TraumaStar
helicopter compare with other critical care
transport helicopters?
Answer: TraumaStar transports patients 20% f~~er, and is "~~1 ~I/ ?
capable of carrying two oatients when necessary, along with up to (,.V .
four extensively trained medical crew members. TraumaStar is
equipped with on-board weather radar and other specialized ~ /1'11
equipment to allow operation in adverse weather conditions. Pilots "" - r' l'!EIlfI(j
who fly for TraumaStar receive the most comprehensive training If- ;1)G))
available at Flight Safety International every six months, to be highly / II? JJ ,,"'-
proficient in normal operations, emergencies, and dealing with any _ . ,..,.!^V /
weather conditions encountered. 7:: /'IE lA5'€ Ger
or~ /1r1e
~WJj
~.
How long does it take TraumaStar to
transport a trauma victim to Ryder Trauma
Center in Miami?
Answer: TraumaStar transports a patient from Marathon to
Ryder Trauma Center in 25 minutes or less. TraumaStar's base is
located at mile marker 50 at the Marathon Airport. This allows
Trauma Star to access any location in the Keys in 20 minutes or
less. Time saved = lives saved.
Do private helicopter services really provide a
"Free" ride to the higher care facilities?
Answer: There has been a great deal of misleadin inf rmation
published recently regarding this so called, "free ride to the hosplta .
While these private helicopter companies may not bill the County for
their services, the patient who is transported will have financial 1 "'tJ/oS rf{
responsibility to pay. The private helicopter service currently in place EXAt5 vr'-r-
in the lower Keys has only been there since January of 2008 and has 1$ (!,tJ#$t-1 .
made it clear, in writing, to the county they will only stay as long as it A rn n'fl;JY #.$ / rJ
is financially viable for them to do so. P ~l1C:;of'l'l:RlIII.lpJ
Is it true Upper Keys residents can count on W;';11116, 1t> s?AY'
Miami Dade Air Rescue for transport an
emergency?
Answer: Although Miami Dade Air Rescue has responded to
the Upper Keys on a number of occasions, this is not a service Upper
Keys residents can count on. Miami Dade Air Rescue's priority is
Dade County residents.
Quickest Response - Fastest Transport -
TraumaStar
http://www.keysso.netJpatrol_ops/aviationltrauma_star/faq_traumastar.htm
f!fil. f/yfJE.
fib ])/l1A 1D
5tMJPIJ!< l' ( jjfIf.
12/07/2008
TraumaStar Air Ambulance
Account Receivable/Collections
Prepared: August 14, 2008
Month Gross Charges Collections Balance Due % Collected
By Date Rec'd
11/06 24,360.00 0.00 24,360.00 0
12/06 45,700.00 0.00 10,900.00 0.00%
01/07 66,360.00 0.00 49,618.86 0.00%
02/07 28,940.00 0.00 10,796.00 0.00%
03/07 49,120.00 3,746.45 37,482.93 7.63%
04107 98,180.00 1,320.00 74,031.63 1.34%
05/07 106,980.00 10,860.00 69,887.40 10.15%
06/07 94,180.00 26,928.06 68,348.69 28.59%
07/07 100,400.00 4,040.00 62,443.10 4.02%
08/07 154,360.00 29,677.53 104,739.79 19.23%
09/07 146,280.00 31,278.14 117,095.21 21.38%
10/07 143,460.00 35,627.38 72,815.55 24.83%
11/07 193,160.00 5,196.00 128,477.20 2.69%
12/07 179,780.00 108,164.06 129,925.46 59.05%
01/08 215,660.00 70,749.91 154,880.18 32.81%
02/08 101,400.00 50,519.53 101,400.00 49.82%
03/08 220,080.00 21,594.76 182,320.00 9.81%
04108 134,320.00 55,600.61 116,129.29 41.39%
05/08 152,420.00 22,160.00 144,814.25 14.54%
06/08 115,700.00 71,052.88 115,700.00 61.41%
2,370,840.00 546,515.31 1,776,165.54 23.05%
rII COt.L.6C110 N5 f; 'I'/)/I If;
mfl</) 7lJJlwril 51~R f}AAE
TraumaStar Air Ambulance
Account Receivable/Collections
Prepared: August 14, 2008
Month Gross Charges Collections Balance Due % Collected
By Month Billed
11/06 24,360.00 0.00 24,360.00 0
12/06 45,700.00 28,400.98 10,900.00 62.15%
01/07 6'3,360 00 15,362.10 48,618.86 23.15%
02/07 28,940.00 18,144.00 10,796.00 62.70%
03/07 49,120.00 11,637.07 37,482.93 23.69%
04/07 98,180.00 16,696.37 74,031.63 17.01%
05/07 106,980.00 37,092.60 69,887.40 34.67%
06/07 94,180.00 25,841.51 68,348.69 27.44%
07/07 100,400.00 37,956.90 62,443.10 37.81%
08/07 154,360.00 42,411.57 104,739.79 27.48%
09/07 146,280.00 23,046.53 117,095.21 15.76%
10/07 143,460.00 70,644.45 72,815.55 49.24%
11/07 193,160.00 56,122.54 128,477.20 29.05%
12/07 179,780.00 46,800.88 129,925.46 26.03%
01/08 215,660.00 52,801.35 154,880.18 24.48%
02/08 101,400.00 0.00 101,400.00 0.00%
03/08 220,080.00 37,760.00 182,320.00 17.16%
04108 134,320.00 18,190.71 116,129.29 13.54%
05/08 152,420.00 7,605.75 144,814.25 4.99%
06/08 115,700.00 0.00 115,700.00 0.00%
2,370,840.00 546,515.31 1,776,165.54 23.05%
it t!..o/.MC1/0NS Sy /YIOAfffJ
rnr< /) '1'12Au/'f)~ S1fJ/2 /)J~fi~
A tfFdGlif)l;JYj) Total Registered
Precin TRAUMA STAR YES NO Olff Voted Voters
1 - 1 JBYc" 475 333 -142 808 1181 68.42%
2 - 2 KW High Aud 663 454 -209 1117 1531 72.96%
3 - 3 KW High Aud 506 403 -103 909 1250 72.72%
4-4 MLK Pool 383 273 -110 656 1036 63.32%
5 - 5 Old City Hall 1081 770 -311 1851 2908 63.65%
6 - 6 St Mary's Convt. 576 379 -197 955 1455 65.64%
7-7 MoossCIKW 369 221 -148 590 894 66.00%
8 - 8 Glad Tidings 651 424 -227 1075 1635 65.75%
9 - 9 Sr Cltlxens PIz 707 521 -186 1228 1875 65.49%
10.10 Later Day Saints 646 418 -228 1014 1587 67.04%
11-11 KwBaptTem 863 582 -281 1445 2363 61.15%
12 - 12 BC Fire Sta 645 450 -195 1095 1598 68.52%
13 -13 Sug KBY Fire Sta 618 438 -180 1056 1497 70.54%
14 - 14 Cud Sherr Sub 671 481 -190 1152 1595 72.23%
15 - 15 FI Sea Base 913 620 -293 1533 2182 70.26%
16 -16 First Bap. Ch 808 466 -342 1274 1776 71.73%
17 - 17 BPK Moose Clb 645 425 -220 1070 1601 66.83%
18 -18 Am legion 495 225 -270 720 1146 62.83%
19 -19 First Bap Ch Mar 850 457 -393 1307 1823 71.70%
20 - 20 Pres Kirk Keys 598 292 -306 890 1191 74.73%
21 - 21 Mare Moose Ldg 491 242 -249 733 1070 68.50%
22 - 22 KCB City Hall 351 208 -143 559 779 71.76%
23 - 23 Mara Moose Ldg 534 353 -181 887 1316 67.40%
24 - 24 Is'a Lib 484 549 65 1033 1516 68.14%
25-25 PKCrlRm B 477 595 118 1072 1599 67.04%
26 - 26 Imm Luth CH 590 802 212 1392 1903 73.15%
27 - 27 Elks Clb 392 551 159 943 1341 70.32%
28 - 28 Am Legion 417 577 160 994 1368 72.66%
29 - 29 KL Civic Clb 635 915 280 1550 2062 75.17%
30 - 30 KL Library 371 456 85 827 1202 68.80%
31 - 31 KL Library 311 489 178 800 1001 79.92%
32 - 32 KL Bapt ch 474 729 255 1203 1703 70.64%
33 - 33 Academy OCR 234 676 442 910 1152 78.99%
999999 - Election Total 18924 15774 -3150 34698 50136 69.21%
OTHER RACES
lIena f Annette 21382 17436 3946 38818 50136 77.43%
Kohl f Ward 18382 19567 1185 37949 50136 75.69%
Sante I Hi9gs 14609 23296 8687 37905 50136 75.60%
Colvard I Accevedo 14566 23633 9067 38199 50136 76.19%
Sawyer f Woods 24416 13374 11042 37790 50136 75.37%
Amend 1 YES f NO 17103 19667 2564 36770 50136 73.34%
Amend 2 YES f NO 18397 19965 1568 38382 50136 76.52%
Amend 3 YES f NO 22560 13470 9090 36030 50136 71.86%
Amend 4 YES f NO 26693 8850 17843 35543 50136 70.89%
Amend 6 YES f NO 27912 7927 19985 35839 50136 71.48%
Amend 8 YES f NO 16277 20095 3818 38372 50136 72.55%
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