Item C19
BOARD OF COUNTY COMMISIONERS
OF MONROE COUNTY
AGENDA ITEM SUMMARY
Meeting Date: Julv 14.2004
Bulk Item: Yes -L No
Division: County Administrator
Department: Fire Rescue
AGENDA ITEM WORDING: Approval of Resolution of the Board of County Commissioners of Monroe
County, Florida superseding Resolution No. 389-1999 and adopting an amended fee schedule for use by the
special taxing district for providing ambulance services.
ITEM BACKGROUND: The current fee schedule is several years outdated as it has been four and one-half
years since Monroe County has increased ambulance billing rates. The unit prices of the amended fee schedule
(copy attached) for use by the Municipal Services Taxing District 6 (Key Largo) Ambulance Service have been
increased and changed to "bundle charges" to include supply items into the appropriate representative
transportation fee instead of billing for supplies separately. In addition, the current Stand By (Special Events)
rate has been increased. In preparation for this rate increase, we have surveyed our billing contractor, ADPI,
for a summary of fees from all of their clients. We analyzed the data provided by ADPI, and have based our
recommendations for the proposed amended fee schedule upon knowledge of service type, volume, current fee
revisions in progress, Monroe County's geographical isolation, as well as Medicare reimbursements, which
define reimbursement standards (per 02/27/02 HCFA Negotiated Ambulance Fee Schedule) for the levels of
servIce.
PREVIOUS RELEVANT BOCC ACTION: On September 8, 1999, the Board of County Commissioners
adopted Resolution No. 389-1999, establishing a fee schedule for use by the Municipal Services Taxing District
6 for providing ambulance service.
CONTRACT/AGREEMENT CHANGES:
5352.61 + su
5352.61 + su
5352.61 + su
5118.36
$7.14 er mile
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: N/A
COST TO COUNTY:_
REVENUE PRODUCING: Yes X No
APPROVED BY: County Atty YES
BUDGETED: Yes No
SOURCE OF FUNDS:
AMOUNT PER MONTH _Year
DEPARTMENT HEAD APPROVAL:
DIVISION DIRECTOR APPROVAL:
~
James L. Roberts
DOCUMENTATION: Included X To Follow
DISPOSITION:
Not Required
AGENDA ITEM #~
Revised 1/03
Fire Rescue
RESOLUTION NO. -2004
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
SUPERSEDING RESOLUTION NO. 389M1999, AND ADOPTING
AN AMENDED FEE SCHEDULE FOR USE BY THE SPECIAL
TAXING DISTRICT FOR PROVIDING AMBULANCE
SERVICES.
WHEREAS, Ordinance No. 050-1987 was passed and adopted by the Board of County
Commissioners of Monroe County, Florida on November 17, 1987;
WHEREAS, in accordance with Section 3 of said Ordinance No. 050-1987, the governing
bodies of the several special taxing districts shall have the right to establish rates of user fees by
Resolution; and
WHEREAS, the Board of County Commissioners of Monroe County, Florida, previously
adopted Resolution No. 389-1999, adopting a fee schedule for use by Municipal Services Taxing
District 6 for providing ambulance services; and
WHEREAS, the Board desires to revise the fee schedule; now therefore,
BE IT RESOL YED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, that,
1. Effective October 1, 2004, Resolution No. 389-1999, adopted by the Board of
Commissioners on September 8, 1999, is hereby superseded by this Resolution; and
2. Effective October 1, 2004, the Board adopts the attached Fee Schedule for use by the
special taxing district for providing ambulance services.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the day of , 2004.
Mayor Murray Nelson
Mayor Pro Tern David Rice
Commissioner George Neugent
Commissioner Dixie Spehar
Commissioner Charles McCoy
(SEAL)
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
Attest: DANNY L. KOLHAGE, Clerk
By:
Mayor/Chairperson
By
Deputy Clerk
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AMBULANCE FEE SCHEDULE
EFFECTIVE 10/1/2004
Transport Base Fee - Basic Life Support (BLS)
Transport Base Fee - Advanced Life Support 1 (ALS1)
Transport Base Fee - Advanced Life Support 2 (ALS2)
Stand By (Special Events)
Mileage
$500.00
$500.00
$600.00
$200.00
$ 9.00 (per mile)
-
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James R. Paros
Public Safety Division
RESOLUTION NO. 389 -1999
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA SUPERSEDING RESOLUTION
NO. 459-1998, AND ADOPTING AN AMENDED FEE SCHED~~
FOR USE BY THE SPECIAL TAXING DISTRICT FOR PROVIDlfG
AMBULANCE SERVICES I
WHEREAS, Ordinance No. 050-1987 was passed and adopted by the Board of County
Commissioners of Monroe County, Florida on November 17, 1987; and
WHEREAS, in accordance with Section 3 of said Ordinance No. 050-1987, the governing
bodies of the several special taxing districts shall have the right to establish rates of user fees by
Resolution; and
WlffiREAS, the Board of County Commissioners of Monroe County, Florida previously
adopted Resolution No. 459-1998, adopting a fee schedule for use by Municipal Services Taxing
District 6 for providing ambulance services; and
WHEREAS, the Board desires to revise the fee schedule; now therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, that
I. Effective October I, 1999, Resolution No. 459-1998, adopted by the Board of County
Commissioners on October 21, 1998, is hereby superseded by this Resolution; and
2. Effective October I, 1999, the Board adopts the attached Fee Schedule for use by the
special taxing district for providing ambulance services.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 8th day of SePtember. 1999.
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Mayor Harvey
Commissioner Freeman
Commissioner Reich
Commissioner Neugent
Commissioner Williams
yes
yes
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yes
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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By
Chairman