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11. Resolution 5352 - Ambulance Transportation Rate IncreaseV% Iff slow, KALISJL ELL M" FIRL vu4`rvm..%.PARTML NT •'' PO Box 1997 Daniel Diehl -- Assistant Chief/Operations 312 First Avenue East DC Haas — Assistant Chief/Prevention , Kalispell, Montana 59901 Phone: (446) 758-7760 FAX: (406) 758-7952 April 6, 2009 TO: Mayor Pamela Kennedy City Council Members FROM: Dan Diehl, A/Fire chief Myrt Webb, Interim City Manager FEE: Ambulance mates The Kalispell Fire Department Ambulance rates were last adjusted May 21, 2007. since then, we have had many cost increases in fuel, gages, and medical supplies. At the same time, we have seen a $79,000 reduction in revenue from 2007 to 2008 due to the declining economy and declining responses due to Evergreen Ambulance. The Kalispell Fire F-% _ ._J_.__ _ - 1- - - 1 1 1. . 1 .fti Oft r. -& A-& A � . uepanment ambulance service currency receives approximately Z�Vu,uuu per year Tor tie City's portion of the 3 mill county -wide EMS levy. The city has been working with KRMC to provide non -emergent transport services, ideas for ambulance rate increases, and providing affordable medical supplies to the City. Also, the county is currently developing a comprehensive county -wide emergency medical plan. The proposed increase would provide additional revenue and would allow the City to recover for responses outside the city limits by increasing the loaded mileage rate. It is my recommendation to approve the new rate schedule as shown on the attached table and eliminate the $200 out -of -city response fee which has not generated the anticipated revenue. P ebb Interim City Manager "Protecting our community with the highest level of professionalism." A. RESOLUTION .AMENDING RESOLUTION NO. 5313, BY REVISING .AMBULANCE RATES FOR THE USE OF THE KALISPELL AMBULANCE SERVICE AND DECLARING AN ECTIVE DATE. WHEREAS, the City of Kalispell maintains an ambulance service through its fire department; WHEREAS, on September 15, 2008, the City Council passed Resolution No. 5313, which increased the rates for the Kalispell Ambulance Service set by Resolution 5204, including establishing a $200 out -of -city response fee; and WHEREAS, due to increases in costs for fuel, wages and medical supplies, it is necessary to revise the rates that are charged for the ambulance service use, including elimination of the $200 out -of -city response fee which has not generated the anticipated revenue. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY of KALISPELL AS FOLLOWS: SECTION 1. That Resolution No. 5313 is hereby amended by revising the rates of the Kalispell Ambulance Service as set forth in Exhibit "A" attached hereto and incorporated fully herein by this reference. SECTIOIl1 II. That the $200 out -of -city response fee is hereby eliminated. SECTION I1I. This Resolution shall become effective immediately upon its passage by the City Council. PASSED AND APPROVED BY THE CITY COUNCIL AND SIGNED BY THE MAYOR of THE CITY OF KALISPELL, THIS 6TH DAY OF APRIL, 2009. Pamela B . Kennedy Mayor ATTEST: Theresa white City Clerk EXHIBIT "A" Current Rate Proposed. Rate Basic Life Support, lion -Emergency Base Rate $284.00 $550.00 Loaded Mile bate $ 9.90 $ 14.00 Basic Life Support, Emergency Base Rate $627.00 $700.00 Loaded Mile Rate $ 9.90 $ 14.00 Advanced Life Support, Non -Emergency Base Rate $368.00 $600.00 Loaded Mile Rate $ 9.90 $ 14.00 Advanced Life Support 1 Base Rate $780.00 $880.00 Loaded Mile Rate $ 9.90 $ 14.00 Advanced Life Support 2 Base Rate $11032.00 $11,032.00 Loaded Mile Rate $ 9.90 $ 14.00 Expended. Medical Supplies -- submitted[ to Insurance Companies