95-753ORIGI�IAL
Presented By:
Referred To:
RESOLUTION
OF SAINT
Council File #
Green Sheet #
'A
Committee: Date
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1 RESOLVED, that the Council of the City of Saint Paul does hereby establish charges to be
2 imposed and collected for the purpose of reimbursing the City for costs incurred in providing
s the City's emergency paramedic ambulance program, which charges are as follows:
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s Advanced Life Support (ALS) ambulance service ......................$452.28
s Additional charge for oxygen usage if required ...........................$33.54
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s FURTHER RESOLVED, that these charges shail continue in effect untii modified as hereinafter
s provided and shall be collected from all persons receiving ALS ambulance service, provided that
io these charges shall not be collected from those persons who are exempted therefrom pursuant
ii to 1975 Minnesota Laws, Chapter 426, Section 3, Subdivis+on 2. The charges �or ALS ambulance
1z services hereby established shafl be increased by an amount based on the metropolitian average,
ia or the annual increases allowed by MNCare, whichever is less. The Department of Fire & Safety
ia Services shall review ambulance charges on a quarterly basis, and adjust the charges as necessary.
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�s FURTHER RESOLVED, the City of Saint Paul will accept insurance, medicare or medical
i� assistance as full payment of the bill for those 65 years of age or older and; be it
is
�s FINALLY RESOLVED, that Council Resolution C.F. 280766, adopted August 18, 19$3, is hereby
zo repealed.
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Requested by Department of:
Fire & Safety Services
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by Budget Director:
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AdoptioQ Certified by
BY� �`( � ,____ <
Approved by
By:
coszess
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Adopted by Council: Date �, �� \� � q�
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�EPARTMENLOFFICFJCOUNCII DATE INRIATED �� 2 9 9$ � f
F� & saFE�Y sExvrcES 6J24/95 GREEN SHEET
CANTACTPERSON&PHONE IN ATE INRIAVOATE
� DEPARTIAEM DIRECTO � CT' CAUNGL
DaVe HuiSeIl a 228-6260 ^���N [� c�nnnoaaer � c�nc�RK
NUYBEfl FOB
MUST BE ON CAUNpL AGENDA BY (�A7E� p��� � BUOGEf �IAECTOR O FW. 6 MGT. SERVICES OIR.
OflOEq � MAYOR (Oq ASSISTANT� �
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATUR�
ACTION RE�UESTED: ,
To approve the attached Council Resolution directing the Department of Fire and Safety Services to adjust the
rate to provide a city-wide Advanced Life Support (ALS) ambuIance service.
RECAMMENDAtIONS� Approve (n) or peject (R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_ PLqNNMG COMMISS�ON _ LIVIL SERVICE COMMISSION �� Has this per5ontlirm ever worked under a contract for ihis tlBpartment?
_ CIB COMMIT(EE _ YES NO
2. Has this person/Firm ever been a city employee?
_ STAFF
— YES NO
_ DISTkICT COUfzr _ 3. Does thi5 personffirm possess a skiil not normally possessetl by arry curreM ciTy employee?
SUPPoFiSWH1CHCOUNqLO&IECTIVE� YES NO
Explain all yes answers on separate sheet antl attach to green sheet
INITIATING PROBLEM, ISSUE, OPPOF(fUN17Y (W�o. NTat, When, Where, Why):
Ambulance tzansport fees are currently ad}usted annually by the percent increase of the Fire DepartxnenYs
budget. Because budget increases ha�e been minimal, and this trend is likely to continue, these fees no longer
reflect mazket rates. Propose we rescind resolution setting rates in this manner. In its place, set rates based on
metropolitan auerage, or the annual increases allowed by MNCaze, whichever is less.
1995 increase allowable by MNCare = 8.2%
1996 increase allowable by MNCaze = 7.4%
ADVAMAGES IFAPPROVED.
Additiona1400,000 - 500,000 in revenues between now and 12131196. By adjusting fees to market rates, other
EMS providers will not be negatively affected by Saint Paul's artificially low rates.
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JUN 3 p �9g5
DISADVANTAGES IF APPROVED: ,.
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May negafively impact the 4.5% of our patients that aze not covered by Medicare, Medicaid or insurauce.
However, our policy of forgiving the transport fees far these upon whom they would create a fmancial hardship
would continue.
DISADVANTAGES IF NOTAPPROVED'
Loss of potential revenue, inability to maintain or restore fees to market levels.
TOTAI AMOUNT OF TRpl1SACTION $ COSTlREVENUE BUDGETEp (CIRCIE ONE) YES NO
Q�1-�5��1
PUNDIIdG SbORCE ACTIVITV NUMBER
FINANCIAL INFOAMATION: (EXPLAIN)