Item I2
BOARD OF GOVERNORS
FIRE AND AMBULANCE DISTRICT 1
AGENDA ITEM SUMMARY
Meeting Date: Julv 14. 2004
Division: County Administrator
Bulk Item: Yes
NoX
Department: Fire Rescue
AGENDA ITEM WORDING: Approval of Resolution of the Board of Govemors, Fire and Ambulance
District 1 of Monroe County, Florida superseding Resolution No. 438-1999 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ITEM BACKGROUND: The current fee schedule is several years outdated as it has been four and one-half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 units prices of the amended fee
schedule (copy attached) for use by the Fire and Ambulance District I 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 lmowledge 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 HCF A Negotiated Ambulance Fee Schedule) for the levels of service.
PREVIOUS RELEVANT BOG ACTION: On September 8,1999, the Board of Govemors adopted
Resolution No. 438-1999, establishing a fee schedule for use by Fire and Ambulance District 1 of Monroe
County, Florida for providing ambulance service.
CONTRACT/AGREEMENT CHANGES:
QI.J)RATE
5352.61 + su lies
5352.61 + su lies
5352.61 + su lies
5118.36
57.14 er mile
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: N/A
COST TO COUNTY:_
REVENUE PRODUCING: Yes X No
APPROVED BY: County Atty YES
DEPARTMENT HEAD APPROVAL:
DIVISION DIRECTOR APPROVAL:
BUDGETED: Yes
SOURCE OF FUNDS:
AMOUNT PER MO TH
~
No
/A
DOCUMENTATION: Included X To Follow
DISPOSITION:
Not Required_
AGENDA ITEM # :r r-
Revised 1103
Fire Rescue
RESOLUTION NO. -2004
A RESOLUTION OF THE BOARD OF GOVERNORS,
FIRE AND AMBULANCE DISTRICT 1 OF
MONROE COUNTY, FLORIDA, SUPERSEDING
RESOLUTION NO. 438-1999, 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 Governors, Fire and Ambulance District 1 of Monroe County,
Florida, previously adopted Resolution No. 438-1999, adopting a fee schedule for use by the special
taxing district that provides County operated ambulance services in Monroe County; and
WHEREAS, the Board desires to revise the fee schedule; now therefore,
BE IT RESOLVED BY THE BOARD OF GOVERNORS, FIRE AND AMBULANCE
DISTRICT 1 OF MONROE COUNTY, FLORIDA, that,
1. Effective October 1, 2004, Resolution No. 438-1999, adopted by the Board of Governors
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 providi~g ambulance services.
PASSED AND ADOPTED. by the Board of Governors, Fire and Ambulance District 1 of
Monroe County, Florida, at a regular meeting of said Board held on the day of
, 2004.
Chairperson Kevin Madok
Mayor Pro Tern David Rice
Commissioner George Neugent
Commissioner Dixie Spehar
Councilman John Cromartie
(SEAL)
BOARD OF GOVERNORS, FIRE AND
AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FLORIDA
Attest: DANNY L. KOLHAGE, Clerk
By:
Mayor/Chairperson
Deputy Clerk
; j~N"IE UTTON
" r;1/}Jl;Yi~NE'
By
AMBULANCE FEE SCHEDULE
EFFECTIVE 10/112004
Transport Base Fee - Basic Life Support (BLS)
Transport Base Fee - Advanced Life Support I (ALSI)
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
l\ESOLUTIO NO. 438 -1222
A RESOLUTION OF THE BOA~ OF GOVERNORS OF THE
I
LOWER AND MIDDLE KEYS FIRE AND AMBULANCE DISTRICT
OF MONROE COUNTY, FLORIDA, SUPERSEDING RESOLUTION
NO. 460 -1998, AND ADOP'IDfG AN AMENDED FEE SCHEDULE
FOR USE BY THE SPECIAL TAXING DISTRICT FOR PROVIDING
AMBULANCE SERVICES I
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WHEREAS, Ordinance No. 050-1987 was passed and adopted by the Board : f County 0
Commissioners of Monroe County, Florida on November 17, 1987; and I.
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 Governors of the Lower and Middle Keys Fire Ambulance
Taxing District, Monroe County, Florida, previously adopted Resolution No. 460-1998, adopting a
fee schedule for use by the special taxing district that provides County operated ambulance services
in Monroe County; and
. WHEREAS, the Board de~ires to revise the fee schedule; now therefore,
BE IT RESOLVED BY THE BOARD OF GOVERNORS OF THE LOWER AND MIDDLE
KEYS FIRE AND AMBULANCE TAXING DISTRICT OF MONROE COUNTY, FLORIDA, that
1. Effective October I, 1999, Resolution No. 460-1998, adopted by the Board of Governors
on October 21, 1998, is hereby superseded by this Resolution; and
2. Effective October 1, 1999, the Board adopts the attached Fee Schedule for use by the
special taxing district for providing ambulance services.
I
PASSED AND ADOPTED by the Board of Governors of the Lower and Middle Keys Fire
and Ambulance Taxing District of Monroe County, Florida, at a regular meeting of said Board held
on the 8th day of September. 1999. '
Chainnan Harper yes
Commissioner Freeman yes
Commissioner French yes
Commissioner Neugent ye s
Commissioner Williams yes
BOARD OF GOVERNORS OF THE
LdWER AND MIDDLE KEYS FIRE AND
AMBULANCE DISTRICT OF MONROE
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