11. Resolution 5204 - Ambulance Transportation Rate Increase61161 007
TO: Mayor Pamela B. Kennedy
and Kalispell City Council
FROM: Randy Brodehl# Fire Chief
James H. Patrick, City Manager
SUBJECT: Resolution to raise Ambulance Transportation Rates
COUNCIL MEETING DATE: May 21, 2007
BACKGROUND: The Kalispell Fire Departrnent provides ambulance service to the City of
Kalispell and the surrounding areas in the Flathead Valley. Ambulance transport rates
were last adjusted January 15, 2006. Since then, there have been significant cost
increases in fuel, wages, and supplies. While revenue recovery has been stable, costs for
fuel, personnel, and supplies continues to increase. The ambulance service also receives
approximately $78,000 per year as the City's portion of a 3 mill county -wide EMS levy.
The State of Montana has begun providing annually adjusted figures used to establish the
amount that is billable to Medicare and Medicaid. This is based on a state -vide evaluation
of costs associated with ambulance transport of patients. This year's adjustment is 4.0
percent. Based on this evaluation, and a similar increase in costs experienced by the
special revenue fund, this is a recommendation for an annual increase to offset actual cost
changes as identified in the attached table.
FISCAL IMPACTS: This increase in fees should allow the Ambulance Fund to remain
viable for our community without having an undue impact on patients or city taxpayers for
the coming year.
RECOMMENDATIONS: Rates for ambulance services are set by City Resolution, so must
be approved by the City Council. The department is requesting that Council approve the
rate changes to the fee schedule as shown in the attached table.
Please contact City Manager Patrick or Chief Brodehl if you have any questions.
Respectfully submitted,
R n roe ire Chief amen H . Patrick, City Manager
RESOLUTIONN NO.5204
A RESOLUTION AMENDING RESOLUTION NO, 50869 BY REVISING- AMBULANCE
RATES FOR THE USE OF THE KALISPELL AMBULANCE SERVICE AND DECLARING
AN EFFECTIVE DATE.
WHEREAS, the City of Kalispell maintains an ambulance service through its fire department;
WHEREAS, on January 17, 2006, the City Council passed Resolution No. 5086, which increased the
rates for the Kalispell Ambulance Service set by Resolution 4694; and
WHEREAS, due to increases in costs and changes in reimbursements, it is necessary to revise the
rates that are charged for the ambulance service use.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF KALISPELL
AS FOLLOWS
SECTION I. That Resolution No. 5086 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.
SECTION II. 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 21 ST DAY OF MAY, 2007.
Pamela B. Kennedy
Mayor
ATTEST
Theresa White
City Clerk
EXHIBIT "A"
KAL.ISPELL FIRE DEPARTMENT -PROPOSED AMBULANCE TRANPORTATION RATE CHANGES
512112007
PROPOSED RATE CHANGES
Current
rate
4P/6 cost
increase
Supplies
inclusion
Recommended
rate
Basic Life Suppqrt, lion- enc
Base Rate
272.60
10.90
283.50
Loaded mile rate
9.50
9.88
Basic Life Suppprt, Emer enc
Base Rate
603.20
24.13
-
627.33
Loaded mite rate
9.50
9.88
Advanced Life Support, Non-
nc
Base Rate
353.80
14.15
$ ..
367.95
Loaded mile rate
9.50
9.88
Advanced Life Su rt 1
Base Rate
746.77
29.87
3.08
779.72
Loaded mile rate
9.50
9.88
Advanced Life Suppprt 2
Base Rate
981.20
39.25
11.86
1,032.31
Loaded mile rate
9.50
9.88