G-948 - 09/13/2011 - FIRE DEPT. EMS SERVICES - Ordinances Supporting DocumentsITEM 11.11.1)
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AGENDA ITEM
Regular Board of Trustees Meeting
of
September 13, 2011
SUBJECT: Ambulance Fees
FROM: Thomas McEllin, Fire Chief 5-x
BUDGET SOURCEBUDGET IMPACT: N/A
RECOMMENDED MOTION: I move that the Village Board approve ORDINANCE
2011 -FD- EMS -G -948, "AN ORDINANCE AMENDING SECTION 3 -2 -5
(DEPARTMENTAL FEES) OF CHAPTER 2 (FIRE DEPARTMENT) OF TITLE 3
(PUBLIC SAFETY) OF THE VILLAGE CODE OF THE VILLAGE OF OAK BROOK
AND AMENDING FEES FOR USE OF EMERGENCY MEDICAL SERVICES
PROVIDED BY THE OAK BROOK FIRE DEPARTMENT ".
Background/History:
The Village of Oak Brook assesses a user charge for all emergency medical calls involving
transportation of the patient. The Village charges differing rates for three service levels: Basic
Life Support (BLS), Advance Life Support I (ALS 1) and Advance Life Support II (ALS II) plus
a mileage fee.
The ambulance fees currently in effect were last adjusted in 2010 when the Medicare
reimbursement rate was increased. However, our adjusted fees went substantially above the
Medicare allowable rates and those charged by most area communities. For instance, Oakbrook
Terrace FPD provided mutual aid to our Village recently while our ambulances were committed
and transported one of our residents; their rate was $600 less than our resident rate. In many
cases, the rates are well above what some medical policies consider "reasonable and customary."
Over 25% of the medical billing year to date is uncollected because it is above what Medicare
will pay or what insurance policies will cover, which results in a lower collection rate.
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Additionally, many more patients have called this year to voice their objections to ambulance
fees they consider excessive. Some corporate businesses and residents have claimed the rate is
unjustifiably high. If an injured or ill patient perceives the fee as an exorbitant relative cost, it
may influence their decision to consent for transport or call for an ambulance in the future. Just
as the Village levies a low comparable sales tax, it is also desirable to impose a reasonable rate
for emergency medical service to citizens, corporate residents, as well as visitors who patronize
our merchants and businesses.
We are recommending that fees be adjusted to a set rate based closely on the table below. The
departments included are all members of the Mutual Aid Box Alarm System (MABAS Division
12) which includes Oak Brook. Resident rates would be discounted by $100.00 compared to
non - residents as they support a portion of the cost of emergency medical service through the
utility tax. In addition, we will now begin charging $300.00 for advanced extrications.
ALL MABAS DIV #12
DEPARTMENTS
NON - RESIDENT FEES
BLS
ALS -1
ALS -2
Mileage
ADDISON FPD
$750.00
$1,100.00
$1,400.00
$14.00
BLOOMINGDALE FPD
$400.00
$400.00
$400.00
$7.00
CAROL STREAM FD
$400.00
$520.00
$645.00
$7.00
ELMHURST FD
$850.00
$1,250.00
$1,350.00
$16.00
GLEN ELLYN
$600.00
$700.00
$800.00
$12.00
GLENSIDE FPD
$650.00
$1,200.00
$1,700.00
$9.00
HANOVER PARK FD
$625.00
$725.00
$975.00
$10.25
ITASCA FPD
$750.00
$1,000.00
$1,000.00
$9.00
LOMBARD FD
$750.00
$970.00
$1,100.00
$12.00
OAKBROOK TERR. FPD
$720.00
$720.00
N/A
ROSELLE FD
$850.00
$850.00
$15.00
VILLA PARK FD
P$720.00
$600.00
$740.00
$11.00
WARRENVILLE FD
$800.00
$900.00
$10.25
WEST CHICAGO FD
$550.00
$650.00
$8.00
WHEATON FD
$625.00
$825.00
$7.00
WINFIELD FD
$1,000.00
$1,000.00
$1,000.00
$0.00
WOOD DALE FPD
$900.00
$900.00
$900.00
$12.00
YORK CENTER FPD
$400.00
$400.00
$400.00
$7.00
Average
Current
PROPOSED
Recommendation:
$646.11 $795.00 $908.61 $9.79
$950.00 $1,250.00 $1,500.00 $15.00
$650.00 $800.00 $900.00 $10.00
I recommend that this ordinance be passed.
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Last printed 9/92011 11:29 AM
ORDINANCE 2011 -FD- EMS -G -948
AN ORDINANCE AMENDING SECTION 3 -2 -5
(DEPARTMENTAL FEES) OF CHAPTER 2 (FIRE DEPARTMENT)
OF TITLE 3 (PUBLIC SAFETY) OF THE VILLAGE CODE OF THE
VILLAGE OF OAK BROOK AND AMENDING FEES FOR USE OF EMERGENCY
MEDICAL SERVICES PROVIDED BY THE OAK BROOK FIRE DEPARTMENT
WHEREAS, the Village President and Board of Trustees of the Village of Oak Brook have
heretofore passed and approved Ordinance G -937 on October 12, 2010, which revised the fees charged
to any person receiving emergency medical service and transportation provided by the Village of Oak
Brook; and
WHEREAS, the residents of the Village pay certain taxes, the revenue from which support the
cost of emergency medical service and transportation; and
WHEREAS, the President and Board of Trustees of the Village of Oak Brook have reviewed the
emergency medical fees and determined that adjustments in the fees are necessary to more properly
reimburse the Village for the costs of providing the services.
NOW, THEREFORE, BE IT ORDAINED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows:
Section 1: The recitals are adopted as though fully set forth in this Section.
Section 2: Section 3 -2 -5 of the Village Code of the Village of Oak Brook be and is hereby
amended to read as follows:
3 -2 -5: DEPARTMENTAL FEES:
A. Emergency Medical Services: As the Village, through its fire department, currently
provides emergency medical service to the Village, and the corporate authorities of the
Village deem it appropriate to impose a user charge for such service in order to defray
partially the cost to the Village of providing such service, a fee is hereby imposed upon
any person receiving emergency medical service and transportation for each use
provided by the Village as follows:
1. Five hundred, fifty dollars ($550.00) for residents of the Village plus ten
dollars ($10.00) per mile from the point of pick up to the hospital for basic life
support services.
2. Seven hundred dollars ($700.00) for residents of the Village plus ten dollars
($10.00) per mile from the point of pick up to the hospital for advanced life
support level I services.
3. Eight hundred dollars ($800.00) for residents of the Village plus ten dollars
($10.00) per mile from the point of pick up to the hospital for advanced life
support level II services.
4. Six hundred, fifty hundred dollars ($650.00) for non - residents plus ten dollars
($10.00) per mile from the point of pick up to the hospital for basic life support
services.
5. Eight hundred dollars ($800.00) for non - residents plus ten dollars ($10.00)
per mile from the point of pick up to the hospital for advanced life support
level I services.
Ordinance 2011 -FD- EMS -G -948
Increasing Ambulance Fees
Page 2 of 3
6. Nine hundred dollars ($900.00) for non - residents plus ten dollars ($10.00) per
mile from the point of pick up to the hospital for advanced
life support level II services.
B. Extrication Fee: In addition to the fees required pursuant to subsections A and C
of this section, when members of the fire department are required to use
hydraulic, gas powered, electric powered, air powered, or any other specialized
rescue equipment to remove a resident or nonresident from a vehicle or other
structure, such person shall pay the village an additional service fee of three
hundred dollars ($300.00).
C. Cardiopulmonary Resuscitation And First Aid Classes: The village, through its fire
department, currently provides cardiopulmonary resuscitation and first aid
instruction to interested persons, and the corporate authorities of the village deem
it appropriate to impose a user charge for such service in order to defray partially
the cost to the village to provide such service. Fees, as determined by the village
board or such other fee established by the village manager upon consultation with
the village board are imposed per the table below:
CARDIOPULMONARY RESUSCITATION
Number Of Participants Course Fee
1 - 7 $250.00
8-14 500.00
15-21 I 750.00
Section 3: This ordinance shall be in full force and effect from and after its passage, approval and
publication in pamphlet form as provided by law.
Section 4: All ordinances or parts thereof in conflict with the provisions of this ordinance are
hereby repealed to the extent of such conflict.
APPROVED THIS 13th day of September, 2011.
PASSED THIS 13th day of September, 2011.
Ayes:
Nays:
Absent:
Gopal G. Lalmalani
Village President
Ordinance 2011 -FD- EMS -G -948
Increasing Ambulance Fees
Page 3 of 3
ATTEST:
Charlotte K. Pruss
Village Clerk