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Item R15 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: February 17. 2010 Division: County Attorney Bulk Item: Yes -X- No Department: County Attorney Staff Contact Person! Phone #: Suzarme Hutton #3473 AGENDA ITEM WORDING: Approval to advertise a public hearing to consider adoption of an Ordinance requiring that notice be given to patients that Trauma Star is an option for inter~facility & trauma scene air ambulance. ITEM BACKGROUND: Incident in which Trauma Star was not called even after the air ambulance company with which hospital has contract to provide first right to provide service declined to send helicopter but was going to send a Lear jet until patient's grandfather, Mario Di Gennaro, insisted that Trauma Star be called to ascertain availability. PREVIOUS RELEVANT BOCC ACTION: Ordinance creating two MSTU's for ability to levy ad valorem tax in Upper Keys & remainder of Monroe County. Due to lack of participation by municipalities and KLFREMSD, the taxies were not levied. Adoption of Resolution 152-2009 providing for waivers of out-of-pocket costs of Trauma Star in excess of third party payments. CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: Approval to advertise public hearing for March 17, 2010 at 3 :00 p.m. in Marathon TOTAL COST: Adv. costs INDIRECT COST: n!a BUDGETED: Yes _No DIFFERENTIAL OF LOCAL PREFERENCE: n!a COST TO COUNTY: Adv. costs SOURCE OF FUNDS: REVENUE PRODUCING: Yes~ _ No -.X. AMOUNT PER MONTH_ Year APPROVED BY: County Atty~ OMB/Purchasing _ Risk Management_ DOCUMENTATION: Included X Not Required_ DISPOSITION: Revised 7/09 AGENDA ITEM # Mario Di Gennaro ORDINANCE -2010 AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, REQUIRING THAT PATIENTS REQUIRING EMERGENCY AIR TRANSPORT SHALL BE GIVEN NOTICE OF THE AVAILABILITY OF TRAUMA STAR; PROVIDING FOR SEVERABILITY; 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's Office operates Trauma Star, an air ambulance service for trauma victims to be transported rapidly to trauma care facilities in Miami; and WHEREAS, the courts have opined that a county can provide a method to subsidize emergency medical services; and WHEREAS, Section 395.1041, Florida Statutes, requires that hospitals providing emergency services arrange for transfer to another hospital in certain circumstances; and WHEREAS, due to the critical nature of a patient's condition and the distance to a hospital with appropriate medical facilities, it is often necessary to arrange air ambulance transport; and WHEREAS, the Board of County Commissioners (BOCC) adopted Resolution No. 152- 2009, providing that waivers of out-of-pocket expenses in excess of insurance and other third party payments may be waived for qualified patients transported by Trauma Star; and WHEREAS, the BOCC finds it in the best interest of the residents of Monroe County to be made aware that options for emergency air transport include Trauma Star; now therefore, BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY THAT: Section 1. Section 11-179, Monroe County Code shall be created to read: 11-179. Notice of Availability of Trauma Star. A patient for whom a medical decision has been made to transfer to another facility by air ambulance for trauma scene flights or critical care inter-facility flights, or a person who is legally responsible for the patient and acting on the patienfs behalf. shall be given notice that Trauma Star provides a rapid-transport air ambulance with the potential for waivers of out-of-pocket expenses in excess of insurance and other third party payments for qualified patients. 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 Notice to Patients re Trauma Star 1 Mario Di Gennaro 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 upon filing with the Department of State as provided in section 125.66(2), Florida Statutes. PASSED AND ADOPTED by the Board of County Gommissioners of Monroe County, Florida, at a regular meeting of said Board held on the day of ,2010. Mayor Sylvia Murphy Mayor Pro Tern Heather Carruthers Commissioner Mario DiGennaro Commissioner George Neugent Commissioner Kim Wigington (SEAL) Attest: DANNY L. KOLHAGE, Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By By Deputy Clerk Mayor/Chairperson Notice to Patients re Trauma Star 2 IERSION B q2 2009 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, ADO~TING A FEE WAIVER POLICY AND PROCESS FOR TRAUMA STAR BILLING FOR TRAUMA SCENE AND CRITICAL CARE INTERFACILITY FLIGHTS. RESOLUTION NO. WHEREAS, Monroe County provides a rapid-transport air ambulance to provide air transportation of trauma, critically injured and ill patients, hereafter called "Trauma Star"; and WHEREAS, Trauma Star provides air transportation from emergency scenes in Monroe County to specialized hospitals and treatment centers out-of-county, and Trauma Star also provides air transportation from remote areas such as Fort Jefferson to Monroe County hospitals, hereinafter called "trauma scene flights"; and WHEREAS, Trauma Star provides air transportation from Monroe County hospitals to specialized hospitals and treatment centers out-of-county upon physician authorization, hereinafter called "critical care interfacility flights"; and WHEREAS, the annual cost of operation of Trauma Star has been approximately $1,800,000 per year in excess of revenues collected from third party insurance through the billing of user service fees; and WHEREAS, a referendum on November 4,2008 for the establishment of two special taxing districts for the operation of Trauma Star passed with 54.5 percent of the vote; and WHEREAS, the Board of County Commissioners has determined that it is in the best interests of its residents to support trauma scene flights and critical care interfacility flights for qualifying residents via a fee waiver program; and WHEREAS, the Board of County Commissioners have found that residents support the Trauma Star program through the payment of ad valorem property taxes; and WHEREAS, nonresidents of the County make frequent use of the Trauma Star program but do not directly pay any portion of the expenses through the County's real property taxes to pay for Trauma Star, including maintenance, operating costs, and the salaries of employees required to provide the Trauma Star program; and WHEREAS, the Board of County Commissioners has opted to establish a policy and set certain restrictions on billing for Trauma Star, particularly with respect to the potential for service fee waivers; now, therefore VERSION B BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA THAT: Section 1. The following policy is hereby established with respect to Trauma Star. A. The County will continue to seek reimbursement from third-party payers, including but not limited to liability insurance, automobile insurance, health care insurance, Medicare, and Medicaid, to offset a portion of Trauma Star's operational costs. B. For qualifying individuals, the County Commission will eventually write off any and all balances remaining after receipt of third party payments, even in cases when the qualifying individual does not have any third party insurance. C. The waiver of out-of-pocket expenses is made effective retroactive to November 4, 2008, the date of passage of the voter referendum. D. Write-offs of out-of-pocket expenses will be completed by annual resolution of the Board of County Commissioners. Section 2. Administrative Waiver Qualification. To be eligible for a waiver of service fees, the qualifying individual and the air ambulance transport must meet all of the following criteria: A. The waiver includes the cost of trauma scene flights and critical care interfacility flights. B. The patient must be a qualifying resident as defined in Section 3 below. C. The individual transported must not have been injured while involved in the commission of felony criminal activity. Section 3. Resident Qualification. The waiver process requires qualification as a resident and submission of documentation by the person seeking the waiver: A. A qualifying individual is a resident who defined as either of the following: 1. Any property owner, or immediate member of his or her household, who is current in paying property taxes in Monroe County, including the Trauma Star tax. For the purposes ofthis paragraph, the term "property tax" includes the tax on real and personal property authorized by Monroe County Ordinance 030-2008. For the purposes of this paragraph,. The term "immediate member of his or her household" means (a) residing at the same address as the property owner, and (b) son, daughter, father, mother, brother, sister, mother-in-law, father-in-law, uncle, aunt, nephew, niece, brother-in-law, sister-in-law, stepfather, stepmother, stepdaughter, stepson, half brother, half sister, grandchild, or domestic partner. 2. A resident of Monroe Couonty, or immediate member of his or her household, who rents property subject to the Trauma Star tax. For the purpose of this paragraph, the term "immediate member of his or her household" means (a) residing at the same address as the property owner, and (b) son, daughter, father, mother, brother, sister, mother-in-law, father-in-law, uncle, aunt, nephew, niece, brother-in-law, sister-in-law, stepfather, stepmother, stepdaughter, stepson, half brother, half sister, grandchild, or domestic partner. VERSION B Section 4. A. Section 5. B. A non-qualifying individual is any individual who does not contribute towards the financing of the Trauma Star service, such ~ visitors and part-time or seasonal residents, and all others who do not meet t~e criteria in section 3.A. The billing company will continue to proc~ss billing as in current practice, but will provide a waiver request form in the billing package. To be considered for the write-off or waiver of out-of-pocket expenses, the patient is required to show documentation to prove that the property owner has paid all applicable property taxes, including any Trauma Star tax beginlning on November 1,2009, and that the qualifying individual meets the other r~quirements as set forth in Section 3.A., above. The qualifying individual must subimit proof of qualification to the billing company for review and validation. Documents to substantiate qualification must include a copy of the property tax bill showing that all taxes, including the Trauma Star tax, have been paid and are current. In addition, to qualify under Section 3 .A.I., an individual must provide a copy of a current Monroe County driver's license showing residency at the address held by the property owner. To qualify under Section 3.A.2, an individual must provide a copy of a long-term lease and/or utility bills at the address held by the property owner. Residents who have met the waiver requirements, as documented by the billing company, will not be invoiced during the time that the billing company continues to seek third party payments and while pending the BOCC approval of the write- off. C. D. B. Other Providers Excluded. The fee waiver program is not applicable to any other transport provided by any other helicopter provider, even in the event Trauma Star is out of service or unavailable. The County does not subsidize the operations of other providers, and the County is not responsible for any fees incurred by residents from other providers' servIces. The Clerk is directed to send a copy of this Resolution to the Monroe County Sheriff. VERSION B PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of the Board held on the 20th day of May, 2009. Mayor George Neugent ~ Mayor Pro Tem Sylvia Murphy ....!2.- Commissioner Heather Carruthers~ ommissioner Mario Di Gennaro ~ mmissioner Kim Wigington ~ :. KOLHAGE, CLERK i BOARD OF COUNTY COMMISSIONERS OF M<;fROE COUNTY, FLORIDA BY:~""'~. n~,~ Mayor C UI) a: N o C'..) W 0:::: 0:::: o en LL N )l- e c w E ~ m .. - - l.LJ .....1 (.:J L'--. <t to--: '..: ::c: w ~__ -l . oCt:: :x:G;s' _J ,::,: ,~. >- Ct:: LtJ __ Lt.J ,;:;;> ~ -1 (J:: zu.... _ ..t:.. -- 0 o ::E: z: c