[[Expedited]] Bill No.
13-10
Concerning: Emergency Medical Services
Transport Fee - Established
Revised: 5-19-10
Draft No.
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Introduced:
March 23, 2010
Enacted:
May 19. 2010
Executive: _ _ _ _ _ _ _ _ __
Effective: _ _ _ _ _ _ _ _ __
Sunset Date:
-:..!No:::.:n~e'__
_ _ _ _ __
Ch. _ _, Laws of Mont. Co. _ _ __
COUNTY COUNCIL
FOR MONTGOMERY COUNTY, MARYLAND
By: Council President at the Request of the County Executive
AN [[EXPEDITED]] ACT
to:
(1) authorize the County to impose and collect a fee to recover costs generated by
providing emergency medical service transports;
(2) 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;
(3) prohibit a Local Fire and Rescue Department from imposing a separate emergency
medical services transport fee;
(4) require the Executive to issue certain regulations to implement an emergency
medical services transport fee;
(5) require a certain annual transfer be made as payment of residents' uninsured portion
of the emergency medical services transport fee; and
(6) generally amend County law regarding the provision of emergency medical services;
By adding
Montgomery County Code
Chapter 21, Fire and Rescue Services
Section 21-23A. Emergency Medical Services Transport Fee
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Heading or defined term.
Addedto existing law
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original bill.
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Added by amendment.
Deletedfrom existing law or the bill by amendment.
Existing law unciffected by bill.
The County Council for Montgomery County, Maryland approves the following Act;
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[[ExPEDITED]] BILL
No. 13-10
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Sec.
1.
Section 21-23A is added as follows:
21-23A.
Emergency Medical Services Transport Fee.
Definitions.
In this Section the following terms have the meanings indicated:
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Emergency medical services transport
means transportation
Qy
the Fire and Rescue Service of an individual
Qy
ambulance or
other Fire and Rescue Service vehicle used for
.f!
similar
purpose.
Emergency medical services transport
does not
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include transportation of an individual under an agreement
between the County and
.f!
health care facility.
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Federal poverty guidelines
means the applicable health care
poverty guidelines published in the Federal Register or
otherwise issued
Qy
the federal Department of Health and
Human Services.
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®
Fire and Rescue Service
includes each local fire and rescue
department.
Imposition gffee.
The County must impose
.f!
fee for any emergency
medical services transport provided in the County and, unless
prohibited
Qy
other law, outside the County under
£!
mutual aid
agreement.
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!£}
Liability for fee.
Subject to subsection
(Q.1.
each individual who
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receives an emergency medical services transport is responsible for
paying the emergency medical services transport fee.
@
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Hardship waiver.
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The Fire Chief must WaIve the emergency medical servIces
transport fee for any individual whose household income is at or
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[[EXPEDITED]] Bill
No. 13-10
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below 300 percent of the· federal poverty guidelines.
An
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individual must request
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waiver on
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fonn approved
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the Fire
Chief.
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The Fire Chief may deny
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request for
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waiver if an individual
who claims financial hardship under this Section does not
furnish all infonnation required
Qy
the Fire Chief.
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Payment
gf
Residents' Uninsured Portion
gf
the Emergency Medical
Services Transport Fee.
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Tax revenues received
Qy
the County must be treated as
payment, on behalf of County residents, of the balance of each
resident's portion of the emergency medical services transport
fee that is not covered
Qy
the resident's insurance.
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The County Council must annually transfer from the General
Fund to the Consolidated Fire Tax District Fund an amount that
the Council estimates will not be covered
Qy
residents'
insurance as payment of all residents' uninsured portion of the
emergency medical services transport fee.
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Obligation to transport.
The Fire and Rescue Service must provide
emergency medical services transport in accordance with applicable
medical protocols to each individual without regard to the individual's
ability to
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(g)
Restriction on Local Fire and Rescue Departments.
A local fire and
rescue department must not impose
medical transport.
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separate fee for an emergency
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Use
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revenue.
Except for the transfer received from the General
Fund under subsection
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and in the first fiscal year this fee is
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implemented, the revenues collected from the emergency medical
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[[ExPEDITED]] BILL
No. 13-10
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servIces transport fee must be used to supplement, and must not
supplant, existing expenditures for emergency medical services and
other related fire and rescue services provided Qy the Fire and Rescue
Service.
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Regulations; fee schedule.
The County Executive must adopt
£!
to implement the emergency medical
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regulation under method
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services transport fee program. The regulation must establish
.f!
fee
schedule based on the cost of providing emergency medical services
transport.
The fee schedule may include an annual automatic
adjustment based on inflation, as measured Qy an index reasonably
related to the cost of providing emergency medical services transports.
The regulation may require each individual who receives an
emergency
medical
servIces
transport
to
provide
financial
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information, including the individual's insurance coverage, and to
assign insurance benefits to the County_
[[Sec. 2. Expedited Effective Date.
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The Council declares that this legislation is necessary for the immediate
protection of the public interest. This Act takes effect on the date when it becomes
law.]]
Sec. 2.
Implementation..
The emergency medical services transport fee
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authorized by Countv Code §21-23A. enacted by Section 1 of this Act. may be
collected for any emergency medical services transport that occurs on or after July
1,.
2010. Collection may occur retroactively to that date if necessary during the first
fiscal year the emergency medical services transport fee is implemented.
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[[EXPEDITED]] BILL
No. 13-10
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Approved:
Nancy Floreen, Pre
Approved:
Isiah Leggett, County Executive
Date
This is a correct copy ofCouncil action.
M. Lauer, Clerk of the Council
Date
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