AGENDA ITEMS 4&13
Faden, Senior Legislative Attorney
Minna Davidson, Legislative Analyst
Expedited Bill 13-10, Emergency Medical Services Transport Fee - Established
Executive Regulation 6-10, Emergency Medical Services Transport Fees
Public Safety Committee recommendation: The Committee recommended against
enacting the bill (2-1, Councilmember Eirich supported the Bill).
Although the Council had not received Regulation 6-10 at the time
review (the Executive had included a draft regulation with his transmittal of the bill), the
Committee's recommendation against Bill 13-10 would mean that no EMST fee would be
authorized, and the fee regulation should be
Expedited Bill 13-10, Emergency Medical Services Transport Fee - Established,
sponsored by the Council President at the request of the County Executive, was introduced on
March 23, 2010. A public hearing was held on April 13 and a Public Safety Committee
worksession was held on April 26.
Bill 13-10 would authorize the County to impose and collect a fee to recover costs
generated by providing emergency medical service transports. This bill would also provide for a
schedule of emergency medical services, transport fees, fee waiver criteria, permitted uses of fee
revenues and other procedures to operate the emergency medical services fee program. Bill
13-10 would prohibit a local Fire and Rescue Department from imposing a separate emergency
medical services transport fee. The Executive would be required to issue regulations to
implement the fee; draft regulations were provided when the bill was transmitted to the Council.
On May 13, the Council received Regulation 6-10 which is attached on ©10-12.
Bill 13-10 would treat tax revenues received by the County as payment, on behalf of
County residents, for the balance of each resident's EMST fee that is not covered by insurance.
Thus, County residents who are insured would not be required to pay any co-pays or deductibles,
and uninsured County residents would not be required to pay the fee. Non-County residents
would be required to pay any portion of the fee that is not covered by insurance. A hardship
waiver would be available for individuals whose household income is at or below 300 percent of
the federal poverty guidelines.