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Item K1BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: Wed. June 10, 2015 Division: BOCC Bulk Item: Yes No XX Department: Comm. David Rice Staff Contact /Phone #: Tamara Lamarche, X6000 AGENDA ITEM WORDING: Discussion of Trauma Star Fee Waiver Program to consider proposal to expand the waiver program to all Monroe County property owners. ITEM BACKGROUND: May 20, 2009, the BOCC approved Resolution #152-2009, adopting a fee waiver program for Monroe County residents, made retroactive to November 04, 2008 when the voter referendum approving the Trauma Star taxation county -wide. Residency was defined as a minimum of six months, thereby not including a significant number of winter residents who are property owners, paying the Trauma Star support tax. PREVIOUS RELEVANT BOCC ACTION: Resolution #152-2009, establishing the fee waiver program for Monroe County residents. CONTRACT/AGREEMENT CHANGES: STAFF RECOMMENDATIONS: TOTAL COST: INDIRECT COST: BUDGETED: Yes No DIFFERENTIAL OF LOCAL PREFERENCE: COST TO COUNTY: SOURCE OF FUNDS: REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year APPROVED BY: County Atty OMB/Purchasing Risk Management DOCUMENTATION: Included XX Not Required DISPOSITION: Revised 7/09 AGENDA ITEM # ti 0 o 0 0 0 0 0 N n n l0 N GD � mlD i-I i-I N N N ' l0 LLJ L 'a V, Q o o m ° 0) m � m po m m a o rl� 1- C a o V a' M c-I V N N m N Vl 4 Ln GD N M N Vl N y O O O Ln N Ln vl M N ei u u O w m r1 * O et to u u O O O O N 00 LA n M CT tm ".' 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O Q O u O ri F v n H m A u_ u_ i c z �`,,�� a" H t=J l7 Z op co ai ai o F a m ai a a 0 p o o 0 o o z z CL Monroe County Fire Rescue Impact of Tourism - Ground and Air Ambulance Transports CY 2014 CY 2013 CA 2012 CY 2011 CY 2010 CY 2009 CY 2008 Total EMS Responses 3,022 2,983 3,018� 2,6751 2,634 2,3021 2,212 Total Ground Transports 1,634. 1,647 1,760 1,5911� 1,590 1,4231 1,450 Tourists Ground 348' 335- 490 498 437 4001 395 Percentage 21%- 20%• 28% 31% 27% 28% 27% Total Air Transports 303 3051 315 232 204 167. 158 Tourists Air 94 86. 74 75 58 451 50 Percentage 3 1%' 28%� 23% 32%' 28% 27%,� 32% 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 INTERFACILITV 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 Monroc 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 hospital's 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 WHERFAS, a referendum on November 4, 2008 far the establishment of two speciai 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 Comity make frequent use oft e Trauma Star program but do not directly pay any portion oft e 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 artim 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 or third -party payers, including but not limited to liability insurance, automobile insurance, health care insurance, Medicare, and Medicaid, tooffset 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, `fhe waiver of out-of-pocket expenses is made effective retroactive to No, veniber 4. 14009, the date of passage of the voter referendum. DWrite-offs of out-of-pocket expenses will be completed by annual resolution of the Board of County Contunissioners. Section 2. Administrative Waiver-Quqlitication, To be eligible for a waiver of service fees, the qualifying individual and the it 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, Ce individual transported must not have been injured while involved in the commission of felony criminal activity. Section 3. iZesideqLQA!;! Lificalion. 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: I . Any property owner, or immediate member of his or her household, who is current in paying property taxes in Monroe County, including the Trarma 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 Cotionty, 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) soil, 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. Section 4 EXCILOCd. k rhe fee waiver program is not applicable to any other transport provided by any of helicopter provider, even in the eve ntTraurna 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 oft "s Resolution to the Monroe County Sheriff. Mayor George Neugent Ye Mayor Pro Tem Sylvia Murphy No Gennaro ngton BOARD OF COUNTY COMMISSIONE'RS OF 4'OLJN I'Y. ELOR IDA By, Mayor L M QT76 a6m. MEMO M • .0 7 Trauma Star Discussion Monroe County Board of County Commissioners June 10, 2015 Ma�a�,on 'Tuhe In. WlSM Trauma Star Transports 4-0 Fiscal 19 a � w w o � z Year I o ~ m r °1 4-0 4-0 Ui , O r 2010 197 54 99 29 14 1 2011 237 48 157 18 12 2- 2012 286 62 194 20 10 0 2013 326 63 234 17 12 0 2014 291 62 207 16 6 0 2015* 255 46 181 11 12 5 *First eight months, October 2014 — May 2015 400 350 300 250 200 150 100 50 0 Trauma Star Transports --Total Transports 2007 2008 2009 2010 2011 2012 2013 2014 2015* * Projected 3 Trauma Star FY 2015 Projected Total Transports 338 Projection based upon FY 2015 YTD transports + FY 2014 (June — September) Transports 11 Trauma Star Charges and Collections Fiscal Year Gross Billings, Collected Percent Collected 2010 $2,663,300 $854,145 32% 2011 31004,1140 114721669 49% 2012 4011561840 113701738 33% 2013 515391020 118471077 33% 2014' 316991132 119161666 52% 2015' 2116271060 111231225 43% 'Before refunds, adjustments, waivers. 3First six months 2Represents six months in-house billing. $6,000,000.00 $5,000,000.00 $4, 000, 000.00 $3,000,000.00 $ 2, 000, 000.00 $1,000,000.00 $0.00 Trauma Star Billings and Collections Gross Billings - Collections 2010 2011 2012 2013 2014 2015* *First six months 0 Air Ambulance Rate Comparison Service . . ... .... ...... ..... Broward County Base Rate $ 4,500.00 6L, Air Mileage $ 75.00 Collier County $ 5,900.00 $110.00 LifeNet (Monroe) $22,554.84 $333.65 Martin County $ 9,000.00 $100.00 Palm Beach County $16,524.00 $135.00 St. Lucie County (Air Methods) $31,091.20 $373.69 Trauma Star $ 5,500.00 $ 80.00 Air Ambulance Rate Comparison • Over the past year (April 2014 -March 2015) 45 transports and 4366 air miles were paid at 100% by commercial insurance companies. • If our rates had been $12,000 for Base Rate & $100 per mile Trauma Star would have potentially raised an additional $380,000. • Any rate increase will result in larger annual write-offs due to resident waiver program. Recommended BOCC Action �tr10�'ti� Mo • Adopt Trauma Star rate increase. ��- A Pr°� 'n�S" • Consider extending Resident Waiver Program to include non-resident property owners. M/R �r°�d s p p y recoMmeo��°o �kdP a COU-n+� �G� d eAll-hDn ar July BOCC Meeting ,,p-cpeclD 0wrn2rs'r • Report on success of In-house Billing • Resolution amending Financial Incentive Program for contract billing employees to correct referenced date range for performance comparison. • Recommendation for ground ambulance rate increase. a