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Item C24BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: _ _ July 15, 2015 Department: Emergency Services Bulk Item: Yes X No Staff Contact /Phone #: Chief, James Callahan _ Deputy Chief Gary Boswell 289-6088 AGENDA ITEM WORDING. Approval of resolution revising Resolution 152-2009, dispensing with the requirement that property owners produce a Monroe County driver's license in order to qualify for a fee waiver for trauma scene and critical care interfacility flights; removing the reference to an external billing company; removing the requirement to present the write-offs to the Board of County Commissioners; setting an effective date; and directing the clerk to send a copy of the Resolution to the Monroe County Sheriff. ITEM BACKGROUND: On May 20, 2009, the Board of County Commissioners adopted Resolution 152-2009, which included a requirement that property owners show a current Monroe County driver's license in order to qualify for the fee waiver, which many property owners who are seasonal or part- time residents do not hold drivers' licenses issued by Monroe County. The revised resolution dispenses with this requirement in order to extend the fee waiver program to those taxpaying property owners; The revised resolution further reflects the fact that billing is now performed in-house by Monroe County employees rather than by an external billing company; and lastly the revised resolution dispenses with the requirement that air ambulance write-offs attributable to resident fee waivers be presented to the BOCC for approval in the form of a resolution as currently set forth in Section 1 of Resolution 152-2009. PREVIOUS RELEVANT BOCC ACTION: CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: Approval TOTAL COST: TBD INDIRECT COST: TBD BUDGETED: Yes X No DIFFERENTIAL OF LOCAL PREFERENCE: NIA COST TO COUNTY: TBD SOURCE OF FUNDS: NIA REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year i APPROVEDBY: CountyAttomeyCl' OMB/Purchasing6 Risk ManagementOL DOCUMENTATION: Included Not Required DISPOSITION: AGENDA ITEM # Revised 6/15 RESOLUTION NO. - 2015 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, REVISING RESOLUTION NO. 152-2009; DISPENSING WITH THE REQUIREMENT THAT PROPERTY OWNERS PRODUCE A MONROE COUNTY DRIVER'S LICENSE IN ORDER TO QUALIFY FOR A FEE WAIVER FOR TRAUMA SCENE AND CRITICAL CARE INTERFACILITY FLIGHTS; REMOVING THE REFERENCE TO AN EXTERNAL BILLING COMPANY; REMOVING THE REQUIREMENT TO PRESENT THE WRITE-OFFS TO THE BOARD OF COUNTY COMMISSIONERS; SETTING AN EFFECTIVE DATE; AND DIRECTING THE CLERK TO SEND A COPY OF THE RESOLUTION TO THE MONROE COUNTY SHERIFF. 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 above and beyond user service fees is funded by ad valorem property taxes paid by Monroe County citizens; and WHEREAS, on May 20, 2009, the Board of County Commissioners adopted Resolution 152-2009, creating a program whereby Monroe County property owners and their tenants (collectively, "Residents") may qualify for a waiver of that portion of Trauma Star fees above and beyond the amount of reimbursement obtained from third -party payors (including but not limited to private insurance, Medicare and Medicaid) in return for the property taxes paid by the property owners to support the Trauma Star program; and WHEREAS, Resolution 152-2009 includes a requirement that property owners show a current Monroe County driver's license in order to qualify for the fee waiver; and WHEREAS, the Board of County Commissioners recognize that many property owners who are seasonal or part-time residents do not hold drivers' licenses issued by Monroe County, and the Commissioners now wish to dispense with this requirement in order to extend the fee waiver program to those taxpaying property owners; and WHEREAS, the Board of County Commissioners also wish to update Resolution 152- 2009 to reflect the fact that billing is now performed in-house by Monroe County employees rather than by an external billing company; and WHEREAS, the Board of County Commissioners also wish to update Resolution 152- 2009 to dispense with the requirement that air ambulance write-offs attributable to resident fee waivers be presented to the BOCC for approval in the form of a resolution as currently set forth in Section 1 of Resolution 152-2009. NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA THAT: Section 1, paragraph D (which currently reads "Write-offs of out-of-pocket expenses will be completed by annual resolution of the Board of County Commissioners") is repealed in its entirety and replaced with the following language: D. Write-offs of out-of-pocket expenses attributable to fee waivers will be reported to the Board of County Commissioners in the form of informal monthly reports circulated by the Fire Chief. 2. Section 3, paragraphs C and D in Resolution 152-2009 are revised to read as follows: C. Monroe County will continue to process 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 beginning on November 1, 2009, and that the qualifying individual meets the other requirements as set forth in Section 3.A., above. The qualifying individual must submit proof of qualification to the billing eampany 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 tinder- See4ieft ""Wunder 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. D. Residents who have met the waiver requirements, as doetimeated by the billing , will not be invoiced during the time that Monroe Countyt4+e billing e continues to seek third party payments and while reading the In all other respects, Resolution 152-2009 remains unchanged. 4. The effective date of this Resolution shall he July 15, 2015. 5. The Clerk is directed to send a copy of this Resolution to the Monroe County Sheriff. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of the Board held on the 15'h day of July, 2015. Mayor Danny L. Kolhage Mayor Pro Tem Heather Carruthers Commissioner George Neugent Commissioner David Rice Commissioner Sylvia Murphy Attest: AMY HEAVILIN, CLERK BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: By: Deputy Clerk Mayor MONROE COUNTY ATTORNEY APPROVED AS��T/O�FORM i4e� t. Assistant County Attorney VERSION B RESOLUTION NO. 152 2009 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, ADOPTING A FEE WAIVER POLICY AND PROCESS FOR TRAUMA STAR BILLING FOR TRAUMA SCENE AND CRITICAL CARE INTERFACILITY FLIGHTS. 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 of this 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 B. A non -qualifying individual is any individual who does not contribute towards the financing of the Trauma Star service, such as visitors and part-time or seasonal residents, and all others who do not meet the criteria in section 3.A. C. The billing company will continue to process 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 beginning on November 1, 2009, and that the qualifying individual meets the other requirements as set forth in Section 3.A., above. The qualifying individual must submit proof of qualification to the billing company for review and validation. Documents to substantiate qualification must include a copy of the property tax bill shoving that all taxes, including the Trauma Star tax, have been paid and are current. In addition, to qualify under Section 3.A.1., 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. D. 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. Section 4. Other Providers Excluded. A. 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. B. 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. Section 5. 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 Yes Mayor Pro Tem Sylvia Murphy No Commissioner Heather Carruthers Yes commissioner Mario Di Gennaro Yes mmissioner Kim Wigington Yes C o c.3 - LU cr .cr o cm w z �; Li" N ,�- KOLHAGE, CLERK BOARD OF COUNTY COMMISSIONERS OF MO ROE COUNTY, FLORIDA By: 5 Mayor MONROE COOUNTY ATTORNEY r=fO ORyI. CYNTIA L. AL ASSIS AN COUNTY AT ORNEY Date— b R - C94 o T