NUMB:
990131
VERS:
SUBSTITUTE 1
REF:
XXBY:
THE CHAIR
TITL:
A substitute ordinance relating to ambulance conveyance rates and ancillary fees for ambulance service equipment and procedures.
SECS:
75-15-14-b rc
75-15-14-c am
75-15-14-d am
75-15-15 rn
75-15-15 cr
75-15-16 rn
75-15-16 am
ANLS:
- Analysis -
This ordinance increases the ambulance conveyance rate that ambulance service providers may charge under the city-wide emergency medical service system from $231.50 to $244.15. The mileage rate per conveyance remains unchanged, $6.49 per mile.
This ordinance also codifies ambulance ancillary fees for service equipment and procedures (currently found in resolution file number 970812) and adds 2 new fees: combitube - $42.50, and epinephrine - $35.15.
BODY:
The Mayor and Common Council of the City of Milwaukee do ordain as follows:
Part 1. Section 75-15-14-b of the code is repealed and recreated to read:
75-15. AMBULANCE CERTIFICATION REGULATIONS.
14. AMBULANCE RATE.
b. Upon request, the legislative reference bureau shall provide the commissioner with information from health-related cost indexes, including the medical care component of the Milwaukee consumer price index issued by the U.S. bureau of labor statistics.
Part 2. Section 75-15-14-c and d of the code is amended to read:
c. A rate of [[$231.50]] >>$244.15<< shall be charged for conveyance plus a charge of $6.49 per mile, mileage to be defined as the distance traveled with the patient in the ambulance from the point of patient origin to destination.
d. In those instances where a certified ambulance provider has a contract with any health maintenance organization with respect to establishment of fees for ambulance services for persons insured through the organization, the fees established in the contract shall take precedence over those in [[sub. 12-s and this paragraph]] >> par. c and sub. 15 << and the provider shall charge only those fees established in the contract.
Part 3. Section 75-15-15 and 16 of the code is renumbered 75-15-17 and 18.
Part 4. Section 75-15-15 of the code is created to read:
15. AMBULANCE ANCILLARY CHARGES. Pursuant to sub. 12-s, certified ambulance providers are authorized to charge the following ancillary charges:
a. Airway
a-1. Oropharyngeal $. 1.69
a-2. Nasopharyngeal 6.68
b. Bag mask ventilator, adult or pediatric 33.41
c. Bandaging
c-1. Trauma dressing 3.98
c-2. Kling 4" 1.70
c-3. 5/9" dressing 0.41
d. Blanket 7.76
e. Burn sheet 8.03
f. Cervical collar 22.88
g. Cold pack 1.53
h. Combitube 42.50
i. Defibrillator pad 21.60
j. Electrodes 2.03
k. Epinephrine 35.15
L. Gloves 1.62
m. Head immobilizer 13.43
n. Hot pack 1.78
o. KED strap 20.18
p. Laryngoscope blades 6.41
q. Linens 4.95
r. Non-transport fee 75.00
s. OB kit with silver swaddler 19.85
t. Oxygen 33.00
u. Oxygen delivery devices
u-1. Tubing 0.81
u-2. Mask (Adult) 2.77
u-3. Mask (Pediatric) 3.71
u-4. Cannula (Adult) 2.70
u-5. Cannula (Pediatric) 3.71
v. Personal protective equipment
v-1. Gown 3.98
v-2. Goggles 8.03
w. Prosplints
w-1. Full arm, large 20.39
w-2. Full arm, small 19.71
w-3. Combo 27.27
w-4. Full leg, large 42.79
w-5. Full leg, small 36.78
w-6. Wrist and forearm 12.28
x. Pocket mask 17.55
y. Resuscitation bag & mask 33.41
z. Splints
z-1. 12" 3.04
z-2. 18" 4.52
z-3. 24" 6.08
za. Sterile saline or water 3.02
zb. Suction 5.06
zb-2. Suction tip 2.36
zb-3. Tubing 2.63
Part 5. Section 75-15-16 of the code is amended to read:
16. CONVEYANCE OF POLICE PRISONERS. Certified ambulance providers under contract with city for payment for conveyance of police prisoners for medical treatment in situations where a prisoner is unable to pay for conveyance shall be paid a rate equal to 60% of the conveyance rate and mileage charge in sub. 14 and 60% of the services fees charge in sub. [[12-s]] >>15<<.
Part 6. Resolution file number 970812, adopted September 23, 1997, relating to revision of ancillary fees for certified ambulance service providers, is rescinded.
LRB:
APPROVED AS TO FORM
____________________________
Legislative Reference Bureau
Date: _____________________
CATT:
IT IS OUR OPINION THAT THE ORDINANCE
IS LEGAL AND ENFORCEABLE
___________________________
Office of the City Attorney
Date: ____________________
ZDPT:
Health Department
DFTR:
99119-2
BJZ/tp
4/23/99