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File #: 180463    Version:
Type: Ordinance Status: Passed
File created: 6/20/2018 In control: COMMON COUNCIL
On agenda: Final action: 9/25/2018
Effective date: 10/12/2018    
Title: A substitute ordinance relating to ambulance conveyance rates and ancillary charges.
Sponsors: ALD. WITKOWSKI
Indexes: AMBULANCE SERVICE
Attachments: 1. Ambulance Fiscal Note 2018 (4%).pdf, 2. Letter from the MHD Commissioner, 3. Notice Published on 10-11-18

Number

180463

Version

SUBSTITUTE 1

Reference

131803, 170039

Sponsor

ALD. WITKOWSKI

Title

A substitute ordinance relating to ambulance conveyance rates and ancillary charges.

 

Sections

75-15-14-c-1                                          am

75-15-14-c-2                       am

75-15-14-c-3                       am

75-15-15-a                                          am

75-15-15-b                                          am

75-15-15-c                                          am

75-15-15-d                                          am

75-15-15-e                                          am

75-15-15-f                                          am

75-15-15-g                                          am

75-15-15-h                                          am

75-15-15-i                                          am

75-15-15-j                                          am

75-15-15-k                                          am

75-15-15-L                                          am

75-15-15-m                                          am

75-15-15-n                                          am

75-15-15-o                                          am

75-15-15-p                                          am

75-15-15-q                                          am

75-15-15-r                                          am

75-15-15-s                                          am

75-15-15-t                                          am

75-15-15-u                                          am

75-15-15-v                                          am

75-15-15-w                                          am

75-15-15-x                                          am

75-15-15-y                                          am

Analysis

This ordinance increases the amounts charged by private-sector ambulance service providers for Basic Life Support (BLS) and BLS-Emergency ambulance conveyances for patients who are city residents and  non-residents. The increases are as follows:

 

1.                     For residents, a 4% increase from $655 to $681.

2.                     For non-residents, a 4% increase from $758 to $788.

 

In addition, this ordinance decreases the mileage charge from $19.28 per mile to $19.27. Mileage is defined as the distance traveled with the patient in the ambulance from point of origin to destination.

 

Furthermore, the ordinance increases BLS ancillary charges that may be billed by private-sector providers.

Body

The Mayor and Common Council of the City of Milwaukee do ordain as follows:

 

Part 1. Section 75-15-14-c-1 to 3 of the code is amended to read:

 

75-15. Ambulance Certification Regulations.

 

14. DETERMINING RATES BILLED BY PRIVATE- SECTOR PROVIDERS.

 

c. The rate charged for conveyance shall be as follows:

c-1. For patients who are residents of the city of Milwaukee, for basic life support, [[$655]] >>$681<<and, for basic life support-emergency, [[$655]] >>$681<<. When patients require treatment without transport, a [[$155]] >>$161<< basic life support non-transport fee applies.

 

c-2. For patients who are not residents of the city of Milwaukee, for basic life support, [[$758]] >>$788<< and, for basic life support - emergency, [[$758]] >>$788<<. When patients require treatment without transport, a [[$222]] >>$231<< basic life support non-transport fee applies.

 

c-3. In addition to the charges provided in subs. c-1 and 2, a charge of [[$19.28]] >>$19.27<< per mile shall be assessed for mileage, mileage to be defined as the distance traveled with the patient in the ambulance from the point of patient origin to destination.

 

Part 2. Section 75-15-15-a to y of the code is amended to read:

 

15. BASIC LIFE SUPPORT ANCILLARY CHARGES BILLED BY PRIVATE SECTOR PROVIDERS.

a.                      Airway.

a-1.                     Oropharyngeal:                                           [[$  2.81]]                     >>$  3.04<<

a-2.                     Nasopharyngeal:                                          ]]$11.13]]                     >>$12.04<<

b.                     Bag mask ventilator,                                           

                      adult or pediatric:                                          [[$55.67]]                     >>$60.23<<

c                     Bandaging.

c-1                     Trauma dressing:                                          [[$  6.63]]                      >>$  7.17<<

c-2.                     Kling 4":                                                               [[$  2.84]]                     >>$  3.07<<

c-3.                     5/9" dressing:                                          [[$  0.68]]                     >>$  0.74<<

d.                     Blanket:                                                               [[$12.92]]                     >>$13.98<<

e                     Burn sheet:                                                               [[$13.37]]                     >>$14.47<<

f.                     Cervical collar:                                          [[$38.13]]                     >>$41.26<<

g.                     Cold pack:                                                               [[$  2.55]]                     >>$  2.76<<

h.                     Cambi-tube/

                     intubation charge:                                          [[$  94.19]]                     >>$101.91<<

i.                     Defibrillation supplies:                     [[$123.17]]                     >>$133.27<<

j.                     Electrodes:                                                               [[$    3.37]]                      >>$    3.65<<

k.                     Gloves:                                                               [[$    2.69]]                      >>$    2.91<<

L.                     Head immobilizer:                                          [[$  22.37]]                      >>$  24.20<<

m.                     Hot pack:                                                               [[$    2.97]]                      >>$    3.21<<

n.                     KED strap:                                                               [[$  33.63]]                      >>$  36.39<<

o.                     Laryngoscope blades:                     [[$  10.68]]                      >>$  11.56<<

p.                     Linens:                                                               [[$    8.25]]                      >>$    8.93<<

q.                     OB kit with silver

                      swaddler:                                                               [[$  33.09]]                      >>$  35.80<<

r.                     Oxygen and supplies:                     [[$108.68]]                     >>$117.59<<

s.                     Personal protective

                      equipment.                                           

s-1.                     Gown:                                                                                    [[$   6.63]]                      >>$   7.17<<

s-2.                     Goggles:                                                               [[$ 13.37]]                      >>$ 14.47<<

t.                     Prosplints.                                           

t-1.                     Full arm, large:                                          [[$ 33.98]]                      >>$ 36.77<<

t-2.                     Full arm, small:                                          [[$ 32.85]]                      >>$ 35.54<<

t-3.                     Combo:                                                               [[$ 45.44]]                      >>$ 49.17<<

t-4.                     Full leg, large:                                          [[$ 71.31]]                      >>$ 77.16<<

t-5.                     Full leg, small:                                          [[$ 61.29]]                      >>$ 66.32<<

t-6.                     Wrist and forearm:                                          [[$ 20.46]]                      >>$ 22.14<<

u.                     Pocket mask:                                          [[$ 29.24]]                      >>$ 31.64<<

v.                     Resuscitation bag

                      and mask:                                                               [[$  5.67]]                      >>$ 60.23<<

w.                     Splints.                                           

w-1.                     12":                                                                                    [[$  5.07]]                      >>$  5.49<<

w-2.                     18":                                                                                    [[$  7.54]]                      >>$  8.16<<

w-3.                     24":                                                                                    [[$10.12]]                      >>$ 10.95<<

x.                     Sterile saline or water:                     [[$  5.03]]                      >>$  5.44<<

y.                     Suction.                                           

y-1.                     Canister:                                                               [[$ 8.44]]                      >>$  9.13<<

y-2.                     Suction tip:                                                               [[$ 3.93]]                      >>$  4.25<<

y-3.                     Tubing:                                                               [[$ 4.38]]                      >>$  4.74<<

 

 

LRB

APPROVED AS TO FORM

 

 

____________________________

Legislative Reference Bureau

Date:  ______________________

 

Attorney

IT IS OUR OPINION THAT THE ORDINANCE

IS LEGAL AND ENFORCEABLE

 

 

____________________________

Office of the City Attorney

Date:  ______________________

 

Requestor

Health Department

Drafter

Ali Reed

Teodros W. Medhin

LRB172292-2

6/20/2018