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Home My WebLink AboutRESOLUTION 2006-55 FOR REVISION OF THE CITY-S FIREMED FEE SC f7 �T 2006 AUG 23 Fill 5: 08 Council/Agency Meeting Held: cl-v VIUINT GT C A 7 f,4 Deferred/Continued to: &I'Approved LJ Conditionally Approved Ll Denied City Clerk's 8-ignature Council Meeting Date: 9/5/2006 Department ID Number: FD 06-009 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY C NCIL MEMBERS SUBMITTED BY: PJE-tLL-O—PE�U 1-136R—Et%-�-GR n4, A, City Administrator PREPARED BY: DUANE OLSON, Fire Chief SUBJECT: ADOPT FEE RESOLUTION FOR REVISION OF THE CITY'S FIREMED FEE SCHEDULE FOR EMERGENCY MEDICAL SERVICES Statement ofIssue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachment(s) Statement of Issue: The Fire Department is requesting approval to adjust user fees to improve and/or maintain the Fire Department's emergency medical services. Funding Source: Not applicable. Recommended Action: Motion to: Adopt Fee Resolution 2006 -�, amending Resolutions No. 2005-48, A Resolution of the City Council of the City of Huntington Beach Modifying The Fees Charged By The Fire Department of the City of Huntington Beach For Ambulance Transportation, and No. 2004-49, Revision of the City's FireMed Fee Schedule for Emergency Medical Services. Alternative Action(s): 1) Hold the Public Hearing and adopt only a portion of the fees. 2) Do not adopt any of the recommended fees. REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 9/5/2006 DEPARTMENT ID NUMBER: FD 06-009 Analysis: FireMed user fees were last reviewed by the City Council during a Public Hearing held on August 1, 2005. At that time, fee revisions were authorized by the City Council to conform to changes approved by the County of Orange Health Care Emergency Medical Services Agency (OCEMSA) and to recover costs for Basic and Advanced Life Support (ALS) services and emergency ambulance transportation. Fees for Additional Specialized ALS Services were not increased in 2005 and retained rates established in 1997. The FireMed Program provides several benefits to the community by funding: • Complete cost of twelve (12) Firefighter Paramedic positions • Free CPR training to all FireMed members • Funding for all Ambulance Program costs • Funding for the Quality Assurance Program • Funding for a Mechanic III Position in the Fire Shop • Emergency Medical Information Program for better customer care • Funding for the purchase of emergency apparatus and equipment, including paramedic engines and ambulances • Funding for all emergency medical service and transportation supplies and medications • Enhancing the operational readiness of City fire stations through equipment and facility upgrades City Ordinance section 8.68.110 allows revenues derived from the FireMed Program to be used to improve and maintain the City's emergency medical services system. The proposed rate and fee adjustments will maintain response levels and activity in the Fire Department. Revision to FireMed Emergency Medical Services Fee Schedule Resolution 2006 - 55 (Attachment 1) includes the user fee schedule proposed by staff for approval by the City Council. A Notice of Public Hearing (Attachment 2) was published. This schedule represents fees for Ambulance Transportation, Basic and Advanced Life Support Services, Supplies and Medications, Additional Specialized ALS Services, Emergency Medical Assessment and Membership rates, effective September 7, 2006. Adjustment to Ambulance Program Rates To recover operating costs, staff proposes to adjust existing Ambulance Program fees to coincide with the OCEMSA ground ambulance service rates adjustment authorized by the County of Orange Board of Supervisors, effective July 1, 2006 (Attachment 3). Current and proposed Huntington Beach Fire Department ambulance rates are compared with the approved Orange County ambulance rates in Table 1 that follows. -2- 8/1/2006 5:32 PM • REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 9/5/2006 DEPARTMENT ID NUMBER: FD 06-009 Analysis (continued) Table 1: Current and Proposed Rates for Ambulance Program Fees TYPE OF CHARGE HBFD OCEMSA HBFD CURRENT Effective 7/1/06 PROPOSED Emergency BLS Basic Rate (transportation) $ 581.50 $601.50 $601.50 Mileage 13.25 13.75 13.75 Oxygen includes mask or cannula 65.50 68.25 68.25 Expendable Medical Supplies (inclusive fee for 25.75 26.75 26.75 various disposable items To determine rate adjustments, OCEMSA annually reviews the allowable ground emergency ambulance rates for San Bernardino County, Los Angeles County and the City of San Diego. OCEMSA utilizes this data to calculate the median rate rounded to the nearest twenty-five cents, and presents it to the County of Orange Board of Supervisors for approval. This year, these rates increased by 3.5% overall. For related support services provided by the City, and for the replacement of franchise fees, FireMed Administration transfers $533,144 from revenue to the General Fund, and the Ambulance Program transfers $181,000, for a total of$714,144 annually. Supplies and Medications Staff proposes an overall increase of 4.4% in the FireMed User Fee Schedule A for Advanced Life Support Supplies and Medications. These materials, used by the paramedics for patient treatment during emergency medical responses, are being adjusted due to purchasing costs that have increased and decreased in the past year, as well as due to changes in procedures and standards required by OCEMSA. Supplies and medications are priced at actual cost recovery plus administrative processing. Additional Specialized ALS Services Rates for Additional Specialized ALS Services have not changed since 1997. Staff proposes maintaining the rates for two services, Defibrillation and Advanced Airway, but increasing the rate for Additional Personnel to reflect the increased cost of personnel over the past ten years. Additionally, a new fee is proposed for 12-Lead EKG Acquisition, a recent Orange County EMS diagnostic protocol that provides information to paramedics so that cardiac patients may be transported directly to a cardiac center. The new fee reflects the cost of training paramedics and offsets the cost of new defibrillators. Current and proposed rates for Additional Specialized ALS Services are located in Table 2 that follows. Table 2: Current and Proposed Rates for Additional Specialized ALS Services TYPE OF CHARGE CURRENT PROPOSED Defibrillation $ 55.00 $ 55.00 (no change) Advanced Airway 70.00 70.00 no change) Additional Personnel 40.00 57.00 increase 12-Lead EKG Acquisition N/A 1 100.00 (new) -3- 8/1/2006 5:32 PM i RALIEST FOR CITY COUNCIL ACTION MEETING DATE: 9/5/2006 DEPARTMENT ID NUMBER: FD 06-009 Analysis (continued) In summary, the new rate schedule permits the City's emergency medical service programs to maintain current levels of service while reducing impacts on the General Fund. Staff recommends the adoption of the revised rate structure contained in the attached resolution. Environmental Status: None Attachment(s): City Clerk's Page Number No. Description 1. Resolution No. 2006 - S� , Revision of the City's FireMed Fee Schedule for Emergency Medical Services 2. Notice of Public Hearing — Revision of the City's FireMed Fee Schedule for Emergency Medical Services 3. County of Orange Health Care Emergency Medical Services Agency (OCEMSA) Revision to Maximum Emergency Ground Ambulance Rates Effective July 1, 2006 4. PowerPoint Presentation -4- 8/1/2006 5:32 PM ATTACHMENT # 1 RESOLUTION NO. 2 0 0 6—5 5 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH SETTING ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT, EMERGENCY AMBULANCE TRANSPORTATION, MEDICATIONS AND SPECIALIZED SUPPLY FEES TO BE CHARGED BY THE FIRE DEPARTMENT OF THE CITY OF HUNTINGTON BEACH WHEREAS, Section 8.68.070 of the Huntington Beach Municipal Code provides that the City Council shall by resolution establish fees for all recipients of Advanced Life Support, Basic Life Support and Emergency Ambulance Transportation services provided by the City of Huntington Beach Fire Department; and FireMed user fees were last revised by the City Council pursuant to Resolution_Nos. 2004- 49 and 2005-48; and In order to assist in defraying the cost of paramedic and ambulance services, the City Council desires to revise fees to be paid by persons who utilize or benefit from having said paramedic and ambulance services readily available; and The fees hereinafter established do not exceed the estimated reasonable cost of providing paramedic and emergency ambulance services in the City of Huntington Beach for which the fees are charged, NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Huntington Beach that the fees set forth herein below are hereby established as follows: Voluntary FireMed Membership Annual Fee Household $60.00 Low Income Household $30.00 Business—First three(3) employees $60.00 Each additional group of three employees $60.00 Fire Department ALS/BLS Fees Basic Life Support (BLS)- Emergencies requiring Basic Life Support services rendered by paramedics and/or EMT personnel $225.00 Advanced Life Support(ALS)- Emergencies requiring Advanced Life Support services rendered by paramedic personnel $325.00 06400/3939 Page 1 of 3 Resolution NO 2006-55 Additional Specialized ALS services provided: • Defibrillation $55.00 • 1V tubing; solutions; drugs; special supplies Schedule A • Advanced Airway $70.00 • Additional Personnel $57.00 • 12-Lead EKG Acquisition $100.00 Fire Department ALS/BLS Assessment Fees Basic Life Support(BLS)Assessment- Emergencies requiring Basic Life Support services rendered by paramedics and/or EMT personnel when the patient is not transported to a hospital and is released at scene $225.00 Advanced Life Support(ALS)Assessment- Emergencies requiring Advanced Life Support services rendered by paramedic personnel when the patient is not transported to a hospital and is released at scene $325.00 Fire Department Ambulance Transportation Fees Type Basis for Fee Emergency Applicable at time of request for Base Rate $601.50 ambulance response Mileage Per patient-transported mile or fraction $13.75 thereof Oxygen Applicable when oxygen is administered and $68.25 includes mask or cannula Medical Utilized by patient during incident Schedule A Supplies Expendable Medical Supplies $26.75 Advanced Life Support (ALS)Medications Schedule A Exemption And Reduction Of Charges Determination for an exemption or reduction of fees shall be made by the Fire Chief. His findings shall be based on the following criteria: 06400/3939 Page 2 of 3 0 Resolution No.#06-55 (a) FireMed Membership Fees-Low Income Household: Persons who wish to participate in the FireMed Membership program but are unable to pay the full membership fee because of hardship conditions may enroll at the "Low Income Household" rate. Determination shall be based on "HUD Income Guidelines - Very Low Income Category" currently on file at the City's office of Economic Development. (b) User Fees-Inability to Pay: Persons receiving emergency medical services from the Huntington Beach Fire Department and claim an inability to pay may apply to the Fire Chief for a reduction of charges. The Fire Chief will evaluate the availability of insurance, government assisted programs and total household income to determine the reduction of fees. The Fire Chief may reduce fees to no less than the annual membership fee. BE IT FURTHER RESOLVED that the effective date of the fees set forth in this resolution shall be on �C�t1T 7 oZOD(r . Nothing contained herein shall prohibit the combining of any Fire Department ALSBLS, ambulance transportation, medication, or supply fee for billing purposes. BE IT FURTHER RESOLVED that all resolutions in conflict herewith are hereby repealed. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting thereof held on the 5 -day of �� vr)(��r' 200 . G�cr Mayor REVIEWED AND APPROVED: APPROVED AS TO FORM: ' G City Adm nistrator Zity ttorne r, 08.1,4 V INITIATED AND APPROVED:. ire C ief 06400r939 Page 3 of 3 0 Resolution No.*06-55 FIREMED USER FEE SCHEDULE A ITEM PRICE 12 Lead $ 14 Aerosol Mask 2 Airway NP 6 Armboard 2 Bag Valve Mask 26 Bedding Pack 2 Blanket,Disposable 8 Blanket,Fabric 20 Bum Pack 156 Capnograpy 32 Cold Pack 2 Combitube 102 Communicable Disease Kit 16 Defib Pads 74 Electrode Set 2 Emesis Basin 4 S ET Kit 10 Glucose Strip 2 V Gloves,pair 2 P Irri abon Solution 4 !V Bag and ubin 10 P IV Kit and Cath 4 IV Needles,additional 2 L Minor Trauma Kit 2 ' Major Trauma Kit 4 N95 Mask 4 E Nebulizer 4 OB Kit 12 S Oral Airway 4 Pillow 8 Pulseoxymeter 36 Saline Lock 4 Sharps Container 10 Soft Restraints 8 Spinal Immobilization 32 Splint 4 Suction Kit 10 Syringe 2 Triangular Bandage 2 Urinal/Bed Pan 2 V Vac 30 ITEM PRICE Adenosine $ 90 M Albuterol 2 Atropine Syringe 8 E Atropine Vial 4 Benadryl 4 Dextrose 6 ' Dopamine 2 EPI 1:1,000- 1 cc AMP 2 C EPI 1:1,000-30cc VIAL 8 EPI 1:10,00-10cc SYR 14 A Giuca on 198 T Glucose,Oral solution/tablets 4 Lidocaine 6 ' Midazolam 30 Morphine Syringe 18 Q Morphine Vial 2 Naloxone 8 N Nitrospray 2 S Normal Saline Pillow nebulized 2 Normal Saline Vial 2 Sodium Bicarb 6 Res. No. 2006-55 STATE OF CALIFORNIA COUNTY OF ORANGE ) ss: CITY OF HUNTINGTON BEACH ) 1, JOAN L. FLYNN the duly elected, qualified City Clerk of the City of Huntington Beach, and ex-officio Clerk of the City Council of said City, do hereby certify that the whole number of members of the City Council of the City of Huntington Beach is seven; that the foregoing resolution was passed and adopted by the affirmative vote of at least a majority of all the members of said City Council at an regular meeting thereof held on the 5th day of September, 2006 by the following vote: AYES: Bohr, Green, Coerper, Sullivan, Hardy, Hansen, Cook NOES: None ABSENT: None ABSTAIN: None Ci lerk and ex-officio Merk of the City Council of the City of Huntington Beach, California ATTACHMENT #2 NOTICE OF PUBLIC HEARING CITY OF HUNTINGTON BEACH REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SERVICES FEE SCHEDULE NOTICE IS HEREBY GIVEN that a public hearing will be held by the City Council of the City of Huntington Beach in the City Council Chambers of the Civic Center located at 2000 Main Street, Huntington Beach, California, at the hour of 6 p.m. or as soon thereafter as possible on Tuesday, the 5t" of September, 2006, for the purpose of considering revisions to the City's FireMed user fee schedule. All proposed revisions are cost recovery in nature. It is proposed that a new rate schedule be adopted which will require higher fees to be paid by persons, or their respective insurance companies, that use the City's Emergency Medical Services system. The types of fees under consideration for revision include emergency ambulance transportation, specific medications, and related paramedic supply charges. The Huntington Beach Fire Department is proposing a revised user fee schedule that recovers the increased cost of these items or services. A complete report detailing proposed revisions to the FireMed Emergency Medical Services fee schedule is available for review by the public at City Hall, 2000 Main Street, in the City Clerk's office between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Interested persons may also contact the Fire Department at 2000 Main Street, Huntington Beach, California 92648 to receive additional information. All citizens are invited to attend the public hearing and provide the City Council with written and oral comments or ask questions concerning proposed revisions to the City's FireMed Emergency Medical Services fee schedule. The City of Huntington Beach endeavors to accommodate persons of handicapped status in the admission or access to, or treatment or employment in, City programs, or activities. The City of Huntington Beach is an equal opportunity employer. Dated: CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street Huntington Beach, CA 92648 Telephone: (714) 536-5227 ATTACHMENT #3 -7 16k JULIETTE A POULSON,RN,MN COUNTY O RANGE - DIRECTOR HEALTH CARE AGENCY GREGORY L.BOSWELL,RN EMS PROGRAM MANAGER BRUAYNES,MD MEDICAL & INSTITUTIONAL HEALTH SERVICES EMS MEDICAL DIRECTOR EMERGENCY MEDICAL SERVICES, '405W F&.H STREET,suITE301A SANTA ANA,CALIFORNIA 92701 Excellence TELEPHONE: (714)834-35M �' teg7 FAX: (714)834.3125 t emiece7ty July 11, 2006 To: Orange County Fire Chiefs Orange County City Managers Orange County Ambulance Service Providers From: Gregory L. Boswell, Program Manager Emergency Medical Services Subject: Revision to Maximum Emergency Ground Ambulance Rates: Effective July 1, 2006 This is to inform you that the Orange County Board of Supervisors approved the following revised emergency basic life support ambulance rates at its June 27,2006 meeting. s T yPF;)T4 FY ,. T.�r k5` k,K Applicable for urgent or Code 3 response Emergency BLS Base Rate at the request of a public safety $601.50 employee. Mileage Per patient mile or fraction thereof. $ 13.75 Oxygen(includes mask or cannula) Applicable when administered. $68.25 Standby Per 15 minutes after the first 15 minutes $33.50 and any fraction thereof. Expendable Medical Supplies Maximum per response or fair market $26.75 value, whichever is least. The rates are effective July 1, 2006. If you have any questions, please contact Patrick Powers, BLS Program Coordinator at(714) 834-6233. Attachment: Minute Order June 27,2006 GB:ksh #872.6-2-06 i ATTACHMENT #4 Revision of the City's FireMed Fee Schedule for Emergency Medical Services Huntington Beach Fire Department September 5,2006 Overview ■ FireMed Program Authorized by Municipal Ordinance in 1990 to: • Maintain Paramedic Delivery System Cost • Offset New Costs 1 9 0 FireMed Program Benefits ■ Paramedics in EVERY Fire Station ■ Faster Advanced Life Support Emergency Intervention ■ Improved Emergency Medical Equipment ■ Ambulance Personnel Trained in and Familiar with Fire Department Operations ■ Emergency Transport Ambulances ■ State-mandated Quality Assurance Program ■ Community CPR Classes Current Status ■ Funding Commitments for: • General Fund Personnel Savings • Quality Assurance Program • Fire Shop Staffing • Ambulance Personnel • Ambulance Units • Emergency Medical Supplies • Emergency Medical Equipment 2 • 0 Staff Recommendations ■ Orange County Emergency Medical Services Agency (OCEMSA) Fee Modification for Emergency Ambulance Transport Services overall increase of 3.5% • OCEMSA surveys surrounding counties and sets OC rate at median level(not highest,not lowest) • Adjustments due to higher operational costs,including fuel,employee healthcare and inflation • Yearly reviews result in moderate adjustments rather than substantial (though less frequent)increases ■ Fee Modification for Advanced Life Support Supplies and Medications overall increase of 4.4% • Adjustments due to increased costs • OCEMSA periodically changes protocols for medications and equipment due to treatment advancements,affecting overall costs Proposed FireMed Fee Schedule ■ Current and Proposed Ambulance Rates TYPE OF CHARGE HBFD OCEMSA RATE HBFD CURRENT Effective 71712006 PROPOSED Emergency BLS Basic $581.50 $601.50 $601.50 Rate(transportation) Mileage 13.25 13.75 13.75 Oxygen 65.50 68.25 68.25 Expendable Medical 25.75 26.75 26.75 Supplies Overall Increase of 3.5 3 Proposed FireMed Fee Schedule ■ Additional Specialized ALS Services TYPE OF CHARGE CURRENT PROPOSED Defibrillation $55.00 $55.00 (no change) Advanced Airway 70.00 70.00 (no change) Additional Personnel 40.00 57.00 (increase) 12-Lead EKG Acquisition N/A 100.00 (new) Summary ■ New OCEMSA Rate Schedule and Fee Modification provides the following City Benefits: • Cost savings to the General Fund by the Transfer of Paramedics to the FireMed Program • Overhead Payment to General Fund • Funding of the State-Mandated Quality Assurance Program • Funding of Equipment Replacement • Reduction in Medical Supplies Costs to the General Fund a 4 Recommendation ■ Motion to: • Adopt the proposed resolution revising the City's FireMed Fee Schedule for Emergency Medical Services Revision of the City's FireMed Fee Schedule for Emergency Medical Services Huntington Beach Fire Department September 5,2006 5 0 • RCA ROUTING SHEET INITIATING DEPARTMENT: Fire Department SUBJECT: Adopt Resolution for Revision of the City's FireMed Fee Schedule for Emergency Medical Services COUNCIL MEETING DATE: September 5, 2006 RCA ATTACHMENTS STATUS Ordinance (w/exhibits & legislative draft if applicable) Attached ❑ Not Applicable Resolution (w/exhibits & legislative draft if applicable) Attached Not Applicable ❑ Tract Map, Location Map and/or other Exhibits Attached ❑ Not Applicable Contract/Agreement (w/exhibits if applicable) Attached ❑ (Signed in full by the City Attorney Not Applicable Subleases, Third Party Agreements, etc. Attached ❑ (Approved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Attached ❑ Not Applicable Fiscal Impact Statement (Unbudgeted, over $5,000) Attached ❑ Not Applicable Bonds (If applicable) Attached ❑ Not Ap licable Staff Report (If applicable) Attached ❑ Not Applicable Commission, Board or Committee Report (If applicable) Attached ❑ Not Ap licable Findings/Conditions for Approval and/or Denial Attached ❑ Not Ap licable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FORWARDED Administrative Staff Assistant City Administrator Initial City Administrator Initial City Clerk ) EXJPLANATION FOR RETURN OF ITEM: (BelowOnly) 777 7 7-7 7.77 s - -'& ,> s A., RCA Author: Olson/Cameron/Justen P12�4 /0( NOTICE OF PUBLIC HEARING CITY OF HUNTINGTON BEACH REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SERVICES FEE SCHEDULE NOTICE IS HEREBY GIVEN that a public hearing will be held by the City Council of the City of Huntington Beach in the City Council Chambers of the Civic Center located at 2000 Main Street, Huntington Beach, California, at the hour of 6 p.m. or as soon thereafter as possible on Tuesday, the 5th of September, 2006, for the purpose of considering revisions to the City's FireMed user fee schedule. All proposed revisions are cost recovery in nature. It is proposed that a new rate schedule be adopted which will require higher fees to be paid by persons, or their respective insurance companies, that use the City's Emergency Medical Services system. The types of fees under consideration for revision include emergency ambulance transportation, specific medications, and related paramedic supply charges. The Huntington Beach Fire Department is proposing a revised user fee schedule that recovers the increased cost of these items or services. A complete report detailing proposed revisions to the FireMed Emergency Medical Services fee schedule is available for review by the public at City Hall, 2000 Main Street, in the City Clerk's office between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Interested persons may also contact the Fire Department at 2000 Main Street, Huntington Beach, California 92648 to receive additional information. All citizens are invited to attend the public hearing and provide the City Council with written and oral comments or ask questions concerning proposed revisions to the City's FireMed Emergency Medical Services fee schedule. The City of Huntington Beach endeavors to accommodate persons of handicapped status in the admission or access to, or treatment or employment in, City programs, or activities. The City of Huntington Beach is an equal opportunity employer. Dated: August 17, 2006 CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street Huntington Beach, CA 92648 Telephone: (714) 536-5227 0 CI7NCOUNCIL/REDEVELOPANT AGENCY ` PUBLIC HEARING REQUET 2006 AUG 10 F1 2= 14 SUBJECT: Revision to the City's FireMed Emergency Medical .Services Fee Schedule , DEPARTMEN Fire MEETING T DATE CONTACT Jane Cameron PHONE: 375-5097 Please refer to Section 3 of the "Agenda Process Manual" N/A YES NO ❑ ® ❑ Is the notice attached? ❑ M ❑ Do the Heading and Closing of Notice reflect City Council (and/or Redevelopment Agency) hearing? ❑ M ❑ Are the date, day, &time of the public hearing correct? ® ❑ ❑ If an appeal, is the appellant's name included in the notice? ❑ ❑ ® Is there an Environmental Status to be approved by Council? ❑ ❑ ® Is a map attached for publication? ❑ ❑ ® Is a larger advertisement required? Size ® ❑ ❑ Is the verification statement attached indicating the source and accuracy of the mailing list as prepared from the last available County Assesor's rolls? ® ❑ ❑ Are the applicant's name and address part of the mailing label? ® ❑ ❑ Are the appellant's name and address part of the mailing label? ® ❑ ❑ If a Coastal Development Permit, does the notice include appeal language? ® ❑ ❑ If Coastal Development Permit, is the Coastal Commission included on the mailing labels ® ❑ ❑ If Coastal Development Permit, are the residents labels attached? ® ❑ ❑ Is the Report 33433 attached? (Economic Development Items only) What is the minimum number of day from publication to the hearing date? 10 afil/o What is the minimum number of times to be published? r15,62 */D& What is the specified number of days between publications? 5 NOTICE OF PUBLIC HEARING CITY OF HUNTINGTON BEACH 2006 AUG 10 PH 2: 11 REVISION TO THE CITY'S FIREMED EMERGENCY MEDICAL SERVICES FEE SCHBDMB �� + 0 � NOTICE IS HEREBY GIVEN that a public hearing will be held by the City Council of the City of Huntington Beach in the City Council Chambers of the Civic Center located at 2000 Main Street, Huntington Beach, California, at the hour of 6 p.m. or as soon thereafter as possible on Tuesday, the 5th of September, 2006, for the purpose of considering revisions to the City's FireMed user fee schedule. All proposed revisions are cost recovery in nature. It is proposed that a new rate schedule be adopted which will require higher fees to be paid by persons, or their respective insurance companies, that use the City's Emergency Medical Services system. The types of fees under consideration for revision include emergency ambulance transportation, specific medications, and related paramedic supply charges. The Huntington Beach Fire Department is proposing a revised user fee schedule that recovers the increased cost of these items or services. A complete report detailing proposed revisions to the FireMed Emergency Medical Services fee schedule is available for review by the public at City Hall, 2000 Main Street, in the City Clerk's office between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Interested persons may also contact the Fire Department at 2000 Main Street, Huntington Beach, California 92648 to receive additional information. All citizens are invited to attend the public hearing and provide the City Council with written and oral comments or ask questions concerning proposed revisions to the City's FireMed Emergency Medical Services fee schedule. The City of Huntington Beach endeavors to accommodate persons of handicapped status in the admission or access to, or treatment or employment in, City programs, or activities. The City of Huntington Beach is an equal opportunity employer. Dated: CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street t Huntington Beach, CA 92648 �(• RM Telephone: (714) 536-5227 APPROVED EROVEC� BATH City jEriker1olli-ft Deputy 0ky Attorney MTWTOKIKW 11MON TO" PROOF OF PUBLICATION MOsED EmlIMPBW srs FIE st NOTICE IS HEREBY GIVEN that a public hearing .will be held by STATE OF CALIFORNIA) the ofHunti Huntington of the '.City of Hun#ingtod`Beaeh in the "City Council' ss. Chambers of the Civic COUNTY OF ORANGE ) Center located at 2ton Main Street, nia,Huntington Beach,California, at:the hour of 6 p.m. or as soon thereafter as pos- sible I am a Citizen of the United States and a epte Ubeda��e or resident of the County aforesaid; I am the purpose of consider- ing revisions to the City's FireMed user fee over the age of eighteen years and not a schedule. all proposed revisions are cost recov- erparty to or interested in the below entitled tnis proposed'that a new, rate. schedule be matter. I am a principal clerk of the adopted Which will re - .quire BEACH INDEPENDENT, quire higher ne,or it paid ec tive in or insurance respective insurance. a newspaper of general circulation companies, that use the � City's Emergency Medi- cal ' printed and published in the City ofhertypessaftees Huntington Beach, County of Orange, der consideration for re- vision lnclu�e emergency State of California, and that attached a m b u n n e transportation, specific Notice is a true and complete co as medications, and related r��/ paramedic supply p NJ charges. The Huntington was printed and published in the Beach Fire Department is proposing a revised user fee schedule that Huntington Beach issue of said recovers the increased cost of these Items or newspaper to wit the Issue(s) of: services. A complete report de- tailing proposed 'revi- sions to the FireMed Emergency,Medical Ser- vices fee "schedule is available for review by the public at City Hall, 2000 Main Street; in the City Clerk's office be AUGUST 1 7, 2 4, 2 0 0 6 tween the hours of 8:00 a.m.and 5:00'p.m,.Mon- day through'Friday. In- terested,persons may al- so contact the Fire Department at 2000 Main Street, Huntington Beach, California 926U to receive additional in- formation. 1 declare, under penalty of perjury, that all citizens are invited to attend the public' the foregoing is true and correct. hearing and provide the City Council with written and r oral comments or ask questions-concern- ing proposed revisions to Executed on AUGUST 2 4, 2 0 0 6 the City's FireMed Emer- geky Medical Services, at Costa Mesa, California. fITheCity.of Huntington Beach endeavors to ac- commodate persons,of handicapped status in the admission or access to, or treatment or em- ployment in, City pro- grams;or activities. The Signature City of Huntington Beach is an equal opportunity employer. Dated:August 17,2006 CITY OF WtWTIN6TON BEACN JOAN-1f NN'City Clerk' 200WNlain Street Wumiagton Beath,CA 9264, Telephone:Q 4)531i-5227 Published; Huntington 'Beach Independent August 17,24 2006 OB&574