CITY ORDINANCE NO. 9197
COUNTY RESOLUTION NO. __________
A JOINT RESOLUTION/ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF DOUGLAS COUNTY, KANSAS
AND THE CITY COMMISSION OF THE CITY OF LAWRENCE, KANSAS,
CONCERNING CHARGES FOR AMBULANCE SERVICES
WHEREAS, the City of Lawrence, Kansas and the Board of County Commissioners of Douglas County, Kansas have entered into an agreement for the provision of ambulance service in all of Douglas County;
WHEREAS, pursuant to said agreement, the City of Lawrence, Kansas and the Board of County Commissioners of Douglas County, Kansas have agreed to jointly establish fees for emergency medical services; and
WHEREAS, the governing body of the City of Lawrence, Kansas and the Board of County Commissioners of Douglas County, Kansas have agreed to amend such fees in accordance with the provisions of this joint resolution/ordinance.
NOW THEREFORE, BE IT ORDAINED BY THE GOVERNING BODY OF THE CITY OF LAWRENCE, KANSAS:
NOW THEREFORE, BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF DOUGLAS COUNTY, KANSAS:
Section 1. From and after the effective date of this Joint Resolution/Ordinance, Section 8-401 of the Code of the City of Lawrence, Kansas, 2015 Edition and amendments thereto, and Section 5-201 of the Code of Douglas County, Kansas, 2000 Edition, are hereby amended and restated to read as follows:
EMERGENCY MEDICAL SERVICES; FEES. The rates for ambulance service in
City Code Section 8-401 and in Douglas County Code 5-201 shall be as follows:
A. ALS 2: All inclusive advanced life support emergency and routine service provided where at least three medications are administered by intravenous push/bolus or by continuous infusion excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer’s Lactate) or one ALS procedure (e.g., manual defibrillation/cardioversion, endotracheal intubation, central venous line, cardiac pacing, chest decompression, surgical airway, intraossesous line) is provided:
i. January 1, 2016 to December 31, 2016: base rate $712.00 plus $8.49 per loaded mile.
ii. January 1, 2017 to December 31, 2017: base rate $743.00 plus $8.86 per loaded mile.
iii. January 1, 2018 to December 31, 2018: base rate $774.00 plus $9.23 per loaded mile.
B. Emergency ALS – Level 1: All inclusive advanced life support emergency and routine service where specialized services are provided:
i. January 1, 2016 to December 31, 2016: base rate $643.00 plus $8.49 per loaded mile.
ii. January 1, 2017 to December 31, 2017: base rate $671.00 plus $8.86 per loaded mile.
iii. January 1, 2018 to December 31, 2018: base rate $699.00 plus $9.23 per loaded mile.
C. Emergency BLS: All inclusive advanced life support emergency and routine service where no specialized services are provided:
i. January 1, 2016 to December 31, 2016: base rate $547.00 plus $8.49 per loaded mile.
ii. January 1, 2017 to December 31, 2017: base rate $571.00 plus $8.86 per loaded mile.
iii. January 1, 2018 to December 31, 2018: base rate $595.00 plus $9.23 per loaded mile.
D. Non-Emergency ALS – Level 1: All inclusive advanced life support routine scheduled service with specialized services provided:
i. January 1, 2016 to December 31, 2016: base rate $643.00 plus $8.49 per loaded mile.
ii. January 1, 2017 to December 31, 2017: base rate $671.00 plus $8.86 per loaded mile.
iii. January 1, 2018 to December 31, 2018: base rate $699.00 plus $9.23 per loaded mile.
E. Non-Emergency BLS: All inclusive advanced life support routine scheduled service with no specialized services provided:
i. January 1, 2016 to December 31, 2016: base rate $547.00 plus $8.49 per loaded mile.
ii. January 1, 2017 to December 31, 2017: base rate $571.00 plus $8.86 per loaded mile.
iii. January 1, 2018 to December 31, 2018: base rate $595.00 plus $9.23 per loaded mile.
F. Standby Time:
High School Events, per quarter hour: $13.00.
All other events exclusive of High School Events shall be determined by an agreement that has been properly executed for actual employee costs plus a 15% administrative fee.
H. Medical Equipment:
Medical equipment will be part of the all inclusive advanced life support base rate.
I. Additional Service Policies:
1. Specialized services for purposes of this section shall be defined as services, which include either electrocardiogram monitoring, intravenous solutions administration or advanced airway establishment.
2. The all-inclusive base rates will consist of all disposable supplies including pharmaceuticals and solutions.
3. When a helicopter is used instead of an ambulance to transport the patient from the scene, the patient will be charged the applicable base rate.
4. When a patient receives specialized services and is not transported, the patient will be charge the applicable base rate.
5. When service is rendered and either the City of Lawrence or Douglas County would be responsible for the fee, the all fees will be waived.
6. When service is provided for emergency service personnel while performing their official duties the fee(s) will be waived.
7. Lawrence-Douglas County Fire Medical shall accept assignment on all Medicare or Medicaid claims or when Medicare/Medicaid benefits have been waived by a beneficiary in conjunction with a managed care plan. In addition, Lawrence-Douglas County Fire and Medical shall accept allowable amounts from the State Crime Victims Fund, the Veterans Administration, Tricare/Champus and Worker Compensation claims.
8. Lawrence-Douglas County Fire Medical shall be a contracting provider of ambulance services for Blue Shield of Kansas.
9. All ambulance services must be provided by a Kansas licensed advanced life support capable ambulance.
Section 2. Section 8-401 of the Code of the City of Lawrence, Kansas, 2015 Edition, as amended, is repealed, it being the intent of this City Ordinance to supersede the repealed provisions. Resolution No. 08-28 of the Board of County Commissioners, as codified at Section 5-201 of the Code of Douglas County, Kansas, is repealed, it being the intent of this County Resolution to supersede the repealed provisions.
Section 3. This joint resolution/ordinance shall take effect and be in force after its passage and publication as provided by law.
PASSED by the governing body of the City of Lawrence, Kansas this _________ day of ________________, 2016.
ADOPTED by the Board of County Commissioners of Douglas County, Kansas this ____________ day of ______________ 2016.
APPROVED:
_____________________________
Mike Amyx, Mayor
ATTEST:
______________________________
Brandon McGuire, Acting City Clerk
APPROVED AS TO FORM:
__________________________________
Toni R. Wheeler, City Attorney
BOARD OF COUNTY COMMISSIONERS OF
DOUGLAS COUNTY, KANSAS
________________________________________
Jim Flory, Chair
________________________________________
Nancy Thellman, Commissioner
________________________________________
Mike Gaughan, Commissioner
ATTEST:
____________________________
Jamie Shew, County Clerk
*****
NOTICE TO PUBLISHER
Publish one time and return one Proof of Publication to the City Clerk and one to the City Attorney.