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HomeMy WebLinkAboutResolution 2009-23 for revision to the City’s FireMed fee sc Council/Agency Meeting Held: Deferred/Continued to: A pro ed Conditio al=ed ❑ Denied City CI�r s Si nature Council Meeting Date: 5/4/2009 Department ID Number: FD 09-005 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and y Council Members SUBMITTED BY: Fred A. Wilson, City nis r for PREPARED BY: Duane Olson, Fire C f -b SUBJECT: ADOPT FEE RESOLUTION FOR REVISION OF THE CITY'S FIREMED FEE SCHEDULE FOR EMERGENCY MEDICAL SERVICES S tatement of Issue,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 2009 - 23 , amending Resolutions No. 2006-55, 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: 5/4/2009 DEPARTMENT ID NUMBER: FD 09-005 Analysis: FireMed user fees were last reviewed by the City Council during a Public Hearing held on September 5, 2006. 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, including personnel, equipment and apparatus, and emergency ambulance transportation. 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 two Mechanic III positions in the Fire Shop • Emergency Medical Information Program for better customer care • Funding for all emergency medical service and transportation supplies and medications • Enhancing the operational readiness of City fire stations through paramedic 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 2009 - 23 (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 emergency transport, basic and advanced life support, supplies and medications, additional specialized ALS services, emergency medical assessment and membership rates, effective June 1, 2009. For the remainder of FY 2008/09 it is estimated that these changes will provide $67,000 in additional general fund revenue to the city. The total amount of additional revenue for FY 2009/10 is estimated to be $200,000. Adjustment to Emergency Transportation Rates To recover operating costs, staff proposes to adjust existing emergency transportation fees to coincide with the OCEMSA ground ambulance service rates adjustment authorized by the County of Orange Board of Supervisors, effective July 1, 2008 (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. 4/23/2009 1:55 PM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 5/4/2009 DEPARTMENT ID NUMBER: FD 09-005 Analysis (continued) Table 1: Current and Proposed Rates for Ambulance Program Fees TYPE OF CHARGE HBFD OCEMSA HBFD CURRENT Effective 7/1/2008 PROPOSED Emergency BLS Basic Rate (transportation) $640.00 $671.75 $671.75 Mileage 14.75 15.50 15.50 Oxygen includes mask or cannula 72.50 76.00 76.00 Expendable Medical Supplies (inclusive fee for 28.50 30.00 30.00 various disposable items To determine rate adjustments, OCEMSA used a new methodology for determining emergency ground ambulance rates. The County of Orange Board of Supervisors approved their recommendation, which was to use 150% of the Los Angeles-Riverside-Orange County "All Items" Consumer Price Index. Supplies and Medications For the FireMed User Fee Schedule A for Advanced Life Support Supplies and Medications, staff proposes a 7% increase of the fees charged for existing supplies and medications. This increase is a result of increased purchasing costs in the past year. Orange County Emergency Medical Services Agency continues to add new supplies and medications as a result of new procedures and standards for prehospital emergency medical care. With the inclusion of the supplies and medications needed to comply with county standards, the overall fee schedule increases by 12%. Supplies and medications are priced at actual cost recovery plus administrative processing. Additional Specialized ALS Services Staff proposes increasing the Additional Personnel rate to reflect the increased cost of MOU wages, but maintaining all other Additional Specialized ALS Services at existing rates. These fees recover costs of training and equipment costs for vital diagnostic protocols, such as the 12-Lead EKG Acquisition that provides information to paramedics so that cardiac patients may be transported directly to a cardiac center. 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 58.00 66.00 (increase) 12-Lead EKG Acquisition 100.00 100.00 (no change -3- 4/16/2009 4:47 PM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 5/4/2009 DEPARTMENT ID NUMBER: FD 09-005 Analysis (continued) In summary, the new rate schedule permits the City's emergency medical service programs to maintain current levels of service while reducing economic impacts on the General Fund. Staff recommends the adoption of the revised rate structure contained in the attached resolution. Strategic Plan Goal: C-2 City Services: Provide quality public service with the highest professional standards to meet community expectations and needs, assuring that the city is sufficiently staffed and equipped overall. Environmental Status: None Attachment(s): . . - kbm-ber 1 N. e - 1. Resolution No. 2009 — 23 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, 2008. -4- 4/23/2009 1:55 PM ATTACHMENT # 1 ©ij RESOLUTION NO. 2009-23 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 No. 2008-01; 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 and on the attached Schedule A 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 ALSBLS 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 07-1379,001/32830 Page I of') Resolution No. 2009-23 Additional Specialized ALS services provided: • Defibrillation $55.00 • IV tubing; solutions; drugs; special supplies Schedule A • Advanced Airway $70.00 • Additional Personnel $66.00 • 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 Emergency'Transport Fees Type Basis for Fee Emergency Applicable at time of request for Base Rate $671.75 ambulance response Mileage Per patient-transported mile or fraction $15.50 thereof Oxygen Applicable when oxygen is administered and $76.00 includes mask or cannula Medical Utilized by patient during incident Schedule A Supplies Expendable Medical Supplies $30.00 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: 07-1379.001/32830 Page 2 of 3 Resolution No. 2009-2.3 (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 \2Gc4 e, f , a 009. Nothing contained herein shall prohibit the combining of any Fire Department ALS/BLS, 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 4th day of May 2009. 00 Mayor REVIE APPROVED: INITIATED AND APPROVED: City ' trator Fir Chief tlJ G� APPROVED AS TO FORM: Cit Attorhey AV _ L -C)q 07-1379.001/32830 Page 3 of') Resolution No. 2009-23 FIRE DEPARTMENT EMERGENCY TRANSPORT FEES, SCHEDULE A SUPPLIES ITEM PRICE ITEM PRICE 12 Lead $ 8 Major Trauma Kit 4 Aerosol Mask 2 Minor Trauma Kit 2 Airway NP 6 MCI ns 25 Bag Valve Mask 22 N95 Mask 4 Bedding Pack 2 Nebulizer 2 Blanket, Disposable 8 Needle Thoracostomy 172 Blanket, Fabric 18 OB Kit 14 Burn Pack 56 Oral Airwa 4 Capnography 28 Pillow 8 Cold Pack 2 Pulseox meter 2 Combitube 106 Saline Lock 6 Communicable Disease Kit 16 Sharps Tube sin le use 10 Defib Pads 62 Soft Restraints 8 Electrode Set 2 Spinal Immobilization 24 Emesis Basin 4 Sit Sock 8 ET Kit 18 Splint 2 Flexible Intubation Guide 32 Suction Kit 12 Gloves, pair 2 Syringe 2 Glucose Strip 4 Tourniquet, Combat A 28 Hip Wrap 60 Triangular Bandage 2 Irrigation Solution 4 Urinal/Bed Pan 2 IV Bag and Tubing 10 V Vac 38 IV Kit and Cath 12 Vacuum Splint 42 IV Needles, additional 2 MEDICATIONS ITEM PRICE - ITEM PRICE Adenosine 6m /2ml $ 92 EPI 1:10,000 — 10cc SYR 4 Adenosine 12m /2ml 174 Gluca on 228 Albuterol 2 Glucose, Oral el 10 Amiodarone 30 Midazolam 30 Aspirin, low dose 2 Morphine Syringe 18 Atropine 4 Morphine Vial 2 Atropine Vial 2 Naloxone 40 Benadryl 4 Nitrospray 4 Dextrose 6 Normal Saline Pillow 2 Do amine 4 Normal Saline Vial 2 EPI 1.1,000 — 1 cc AMP 4 Sodium Bicarb 6 EPI 1:1,000— 30cc VIAL 8 Sodium Thiosulfate 40 32833 Res. No. 2009-23 STATE OF CALIFORNIA COUNTY OF ORANGE ) ss: CITY OF HUNTINGTON BEACH ) I, 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 a regular meeting thereof held on May 4, 2009 by the following vote.- AYES: Carchio, Dwyer, Bohr, Coerper, Hardy, Hansen NOES: None ABSENT: Green ABSTAIN: None City rk and ex-officio CZA 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 Monday, the 4t" of May, 2009, 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 OF COUNTY F ® � JULtETTEA POOLS DIRECTOR o HEALTH H CARE AGENCY ROBERT C.GATES DEPUTY AGENCY DIRECTOR MEDICAL&INSTITUTIONAL HEALTH " 1P HEALTH DISASTER MANAGEMENT gCiFpR1s TERRE DUENSING EMERGENCY MEDICAL SERVICES DIVISION MANAGER HEALTH DISASTER MANAGEMENT Excellence GREGORY L.(—�1Pt877ty 2 �"'�y(���(I� EMS PROGRAM ANAGER Service D I r � C� � 4J u SAMUEL J.STRATTON,MD,MPH 11 55 MEDICAL DIRECTOR JUL ®� 2008 405 W FIFTH STREET,SUITE 301 SANTA ANA,CALIFORNIA 92701 July 1, 2008 TELEPHONE: 7114)834-3125 By 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, 2008 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 17, 2008 meeting. TYPE OF. HARG� BASF FGR CHAR(sE RATE. Applicable for urgent or Code 3 response Emergency BLS Base Rate at the request of a public safety $671.75 employee. Mileage Per patient mile or fraction thereof. $ 15.50 Oxygen (includes mask or cannula) Applicable when administered. $ 76.00 Standby Per 15 minutes after the first 15 minutes $ 37.50 and any fraction thereof. Expendable Medical Supplies Maximum per response or fair market $ 30.00 value, whichever is least. The rates are effective July 1, 2008 by Board of Supervisors' Resolution 08-075. If you have any questions, please contact Patrick Powers, BLS Program Coordinator at(714)834-6233. GB:ksh:#1068 RCA ROUTING SHEET INITIATING DEPARTMENT: FIRE SUBJECT: ADOPT FEE RESOLUTION FOR REVISION OF THE CITY'S FIREMED FEE SCHEDULE FOR EMERGENCY MEDICAL SERVICES COUNCIL MEETING DATE: May 4, 2009 RCA ATTACHMENTS � STi4TUS 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 Attorne ) 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) Not Attached Applicable Staff Report (If applicable) Attached t Applicable Commission, Board or Committee Report (If applicable) Attached ❑ Not Applicable Findings/Conditions for Approval and/or Denial Attached ❑ Not Applicable_ REVIEWED RETURNED FOR RDE® Administrative Staff j Deputy City Administrator (Initial) `''J�' z U ZU0 City Administrator Initial L CITY oF�.. CAN BEA �� E Cit Clerk ,n EXPLANATION FOR RETURN OF ITEM: Only RCA Author: Olson/Justen/Cameron 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 Monday, the 4t" of May, 2009, 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: April 16, 2009 CITY OF HUNTINGTON BEACH JOAN FLYNN, City Clerk 2000 Main Street Huntington Beach, CA 92648 Telephone: (714) 536-5227 Huntington Beach Independent has been adjudged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior Court of Orange County, State of California,under date of Aug.24, 1994,case A50479. PROOF OF PUBBLICATION STATE OF CALIFORNIA ) ) SS. COUNTY OF ORANGE ) I am the Citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party NOTICE OF PUBLIC HEARING 1 to or interested in the below entitled matter. CITY OF HUNTINGTON BEACH j am a principal clerk of the HUNTINGTON REVISIobTO THE CITYSFIREMED EMERGENCY MEDICAL SERVICES FEE SCHEDULE BEACH INDEPENDENT, a newspaper of NOTICE IS HEREBY GIVEN that a public hearing i will be held by the City Council of the City'of general circulation, printed and published in Huntington Beach'in the City Council Chambers I of the Civic Center located at 2000•Main Street, I the City of Huntington Beach, County of Huntington Beach,,California, at the,hour of 6 p.m. or as soon thereafter as :possible on Orange, State of California, and the Monday, the 4th of May, 2009, for the purpose of considering revisions to the City's FireMed attached Notice is a true and complete copy user fee schedule.All proposed revisions are cost recovery in nature. as was printed and published on the It is proposed that a new rate schedule be adopted which will require Higher fees to be'paid following date(s): by persons, or their respective insurance com- panies,, that use`the City's..Emergency Medical i Services system., i The, types of fees under consideration for j 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 1 these items or services.. A complete report detailing proposed revisions i to:-the FireMed Emergency Medical Services fee April 16, 23, 2009 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:Wa.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 j hearing and provide the City Council with written and oral comments or ask questions concerning proposed,revisions to the City's_FireMed Emer- gency Medical Services fee schedule. . declare, under penalty of perjury, that the j The City.of Huntington Beach endeavors to accommodate persons of handicapped status in foregoing is true and correct. 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:April 16,2009 CITY OF HUNTINGTON BEACH Executed on April 23, 2009 10AN FLYNN,City Clerk I 2000 Main Street at Costa Mesa, California Huntington Beach,CA92648 Telephone:(714)536-5227 Published Huntington Beach Independent April i6,23;2009 043-565 Signat Huntington Beach Independent has been adjudged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior Court of Orange County, State of California,under date of Aug. 24, 1994,case A50479. PROOF OF PUBLICATION STATE OF CALIFORNIA ) ) SS. COUNTY OF ORANGE ) I am the Citizen of the United States and a resident of the County aforesaid; I am over NOTICE OFPUBUCHEARING the age of eighteen years, and not a party CITYNOTICE UNGCHETONARI G CH to or interested in the below entitled matter. REVISION TO THE CITYrSFIREMED I am a principal clerk of the HUNTINGTON EMERGENCY MEDICAL SERVICES FEE SCHEDULE NOTICE IS HEREBY GIVEN that l.public City of BEACH INDEPENDENT, a newspaper of will be held by the City Council.of the City of general circulation, printed and published in of the Beach in the City Council.Chambers of the Civic Center located at;2000 Main Street, ' Huntington Beach, California, at.;the hour.of 6 the City of Huntington Beach, County of p.m: or as soon thereafter. as possible on Monday, the May, zoos, for the purpose Orange, State of California, and the of consideringg revisions sions to the City's FireMed user fee schedule..All proposed revisions are cost attached Notice is a true and complete copy recovery in nature. as was printed and published on the adopted is proposed that new rate schedule be. opted which will require higher fees to be paid by persons, or their respective insurance com- following date(s): panies, 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 April 16, 23, 2009 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 Emer- gency Medical Services fee schedule. The City of'Huntington Beach endeavors to declare, under penalty of perjury, that the accommodate persons of handicapped`status in foregoing is true and correct. the admission or access s or treatment o employment in, City programs,,or activities.The City of Huntington Beach is an equal opportunity employer.. . Dated:April 16,2009 CITY Of HUNTINGTON BEACH JOAN FLYNN,City Clerk Executed on April 23, 2009 2000 Main Street at Costa Mesa, California HuntingtonB714) 36-5228 Telephane:(714)536-5227, Published Huntington Beach.Independent April ' 16,23,2009 043-565 Signat