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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