Resolution No. 105-01

Amending Resolution 53-98

Concerning and Establishing the Ambulance Service Permit Fee

Recitals.

Pursuant to Article III, Section 18-93 of the Code of Ordinances the Grand Junction City Council shall set the fee for ambulance service provider permits. That fee is to be established to not exceed the reasonable cost of administering Article III of the Code and for the orderly provision of emergency medical services.

By Resolution 105-94 the Council set the ambulance service permit fee. The permit fee was last revised in September of 1998. The fee is based on a formula, adopted by Resolution 46-92, which analyzes the relationship between the number of calls for service and a factor which is a product of the number of calls for service which result in transportation of the patient to a hospital and the average rate of reimbursement for that service. Payment of the fee is necessary to pay costs incurred in dispatching ambulance services, administering the ambulance service permitting program and the administrative costs of coordinating Fire Department and ambulance service EMS. All users of dispatch services pay for the cost of dispatch service, ambulance service providers pay the cost as part of a permit fee. The Grand Junction ambulance service permit fee is structured to meet Medicare/Medicaid anti-kickback regulations yet provide an accurate assessment of associated system costs.

A decrease in reimbursement and transport rates partially offset increases in call volume, dispatch fees and administrative costs, resulting in a 16.1% increase in the ambulance service permit fee.

BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF GRAND JUNCTION, COLORADO:

That Resolution 53-98 is hereby amended to provide a Collections/cancellations factor of 0.2698, User Agency Per Call Charge of $19.47, and Administrative Cost of $664.58 /month. The prior figures/factors shall be and become part of the established calculation of the permit fee beginning on the 18th day of October, 2001.

PASSED and ADOPTED this 17^th day of October, 2001.

Attest:

               /s/ Cindy Enos-Martinez

         President of the Council

/s/ Stephanie Tuin

City Clerk