HomeMy WebLinkAbout103-0-23 Amending Title 9, Chapter 2, Section 3 “Fees Charged” to Increase Ambulance Fees10/12/2023
103-O-23
AN ORDINANCE
Amending Title 9, Chapter 2, Section 3 “Fees Charged” to Increase
Ambulance Fees
WHEREAS, the current fee for ambulance transport service is $1500
dollars and $10 dollars per mile; and
WHEREAS, the actual cost to the City of Evanston per ambulance
transport service is in excess of $3000 dollars; and
WHEREAS, due to the rising cost of equipment, vehicles and fuel used for
emergency response, the City Council has determined it is the best interest of the City
of Evanston to increase the ambulance fee to $2000 dollars and the mileage fee to $15
dollars; and
WHEREAS, the increased ambulance transport fee is in line with similar
municipalities fees.
NOW BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
EVANSTON, COOK COUNTY, ILLINOIS, THAT:
SECTION 1: Section 9-2-3 of the Evanston City Code of 2012, as
amended (“City Code”), is hereby amended as follows:
9-2-3 FEES CHARGED
(A) The Fire Chief may charge a reasonable fee for all salvage and overhaul work
performed; and for standby use of fire equipment and personnel. Such fees shall
not exceed actual costs plus ten percent (10%) and all fees collected shall be
remitted to the City Collector.
(B) Both nonresidents and residents of the City of Evanston who have been provided
emergency ambulance transport service by the City shall be required to pay a fee
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to the City, for each incident. All persons requiring transport to a hospital by the
Evanston Fire Department (or its designees) and related services hereafter defined,
shall be charged, per person, as follows:
BLS Transport $1,500.00 $2,000.00
ALS Transport $1,500.00 $2,000.00
ALS2 Transport $1,500.00 $2,000.00
Mileage $10.00 $15.00
Definitions:
BLS TRANSPORT: Transportation that requires basic life support service.
ALS TRANSPORT: Transportation that requires advanced life support service.
ALS2
TRANSPORT:
Transportation that requires more extensive/invasive advanced
life support services.
MILEAGE: Charge per mile of transport in ambulance.
(C) Each property owner or vehicle owner that receives any of the following emergency
services from the City shall be charged the corresponding recovery fee for such
services:
1. Fire Department response to a motor vehicle accident shall be charged a fee of
five hundred twenty dollars ($520.00);
2. Fire Department response to a vehicle fire shall be charged six hundred five
dollars ($605.00);
3. Fire Department response to a structure fire shall be charged five hundred
dollars ($500.00);
4. Fire Department response to an incident requiring a special rescue, including
but not limited to: industrial or vehicle extrication, above and below grade,
confined space, structural and/or trench collapse incidents, shall be charged a
fee of four hundred dollars ($400.00).
(D) The City Manager or designee shall cause a bill to be issued and sent to the
appropriate entity or person responsible for payment for said person having been
transported by ambulance, having received emergency medical services, or Fire
Department Response specified in this Section. The City Manager shall, with the
consultation of the Fire Chief and the Director of Finance, establish a schedule of
the applicable fees for all services received by a person with regard to ambulance
transportation and emergency medical services. The City Manager is authorized to
modify or change the fees that may be charged from time to time after
consideration of certain factors. Such factors that may be considered by the City
Manager include, but are not limited to, applicable Medicare rates, reimbursement
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rates, cost standards in the insurance or health care industry, and actual cost of
services and supplies. The City Manager shall cause such schedule of fees to be
printed and made available to the public.
The City Manager way waive or reduce the fees charged in Section 9-2-3 if the
individual demonstrates financial hardship. Waiver or reduction in fees shall not create a
precedent and shall be performed at his/her sole discretion.
(E) The City Manager or designee is hereby authorized to accept payment from
Medicare, Medicaid, any Federal health care program, insurers, or other third party
payers for any fee charged under this Section. The fees that are to be charged to
persons shall differentiate between nonresidents and residents.
1. In relation to residents, the City will charge and collect only those amounts that
are covered by Federal health care programs, including but not limited to
Medicare and Medicaid, insurers, or any other third party payers. Such bills will
be sent directly to the third parties, with a statement to the resident indicating
that the City will accept the payment by the third party as payment in full. Any
and all payments made by the aforesaid third parties for residents, will be
accepted by the City as paid in full and the resident will have no obligation to
make any additional payment as a co-payment, deductible, or otherwise.
2. In relation to nonresidents, the nonresident shall be liable and responsible for
full payment of the transportation and services provided.
3. All fees collected in conformance with this Section shall be deposited in the
general fund of the City.
(F) The City Manager is hereby authorized to promulgate rules, regulations, and
procedures for the implementation of this Section.
(G) Nonemergency use of Fire and Life Safety Services Department personnel,
vehicles, equipment or building shall not be permitted without written approval by
the Fire Chief or his/her duly authorized representative.
SECTION 2: All ordinances or parts of ordinances in conflict herewith are
hereby repealed.
SECTION 3: If any provision of this ordinance or application thereof to
any person or circumstance is held unconstitutional or otherwise invalid, such invalidity
shall not affect other provisions or applications of this ordinance that can be given effect
without the invalid application or provision, and each invalid provision or invalid
application of this ordinance is severable.
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Introduced:_________________, 2023
Adopted:___________________, 2023
Approved:
__________________________, 2023
_______________________________
Daniel Biss, Mayor
Attest:
_______________________________
Stephanie Mendoza, City Clerk
Approved as to form:
_______________________________
Alexandra B. Ruggie, Interim Corporation Counsel
October 12
November 13
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November 21