Number
131514
Version
SUBSTITUTE 1
Reference
130302
Sponsor
ALD. WITKOWSKI
Title
A substitute ordinance relating to charges for patient services provided by the fire department.
Sections
75-15-17-a-1 am
75-15-17-a-2 am
75-15-17-a-3 am
75-15-17-a-4 am
75-15-17-b-1 am
75-15-17-b-2 am
75-15-17-b-3 am
75-15-17-b-4 am
75-15-17-c-1 am
75-15-17-c-2 am
75-15-17-c-3 am
75-15-17-c-4 am
75-15-17-c-5 am
75-15-17-c-6 am
75-15-17-d-1 am
75-15-17-d-2 am
75-15-17-d-3 am
75-15-17-e-1 am
75-15-17-e-2 am
75-15-17-e-3 am
75-15-17-e-4 am
75-15-17-e-5 am
75-15-17-e-6 am
75-15-17-e-7 am
75-15-17-e-8 am
75-15-17-e-9 am
75-15-17-h am
Analysis
This ordinance revises the charges authorized for Advanced Life Support (ALS) services provided by the fire department to reflect recommendations by the Milwaukee County Association of Fire Chiefs (MCAFC) based upon a 1.4% increase reported in the Medical Care Commodities and Medical Care Service Consumer Price Index (CPI) for 2013. The charges for basic paramedic services, with and without transport, are increased for Milwaukee county residents as follows:
1. Paramedic non-invasive service or treatment without conveyance from $128 to $129.79.
2. Paramedic invasive service or treatment without conveyance from $128 to $129.79.
3. Paramedic service with transport (Level ALS-1) from $678 to $687.49.
4. Paramedic service with transport (Level ALS-2) from $781 to $791.93.
The rate schedule for non-residents of Milwaukee county includes similar increases.
Charges for paramedic services and for pharmaceuticals and supplies are the same for Milwaukee county residents and non-residents and have been increased, rounded to the nearest dollar, to reflect the overall 1.4% CPI increase in 2013. This ordinance also increases the mileage rate for transport from $15 to $15.21.
Whereas, The Milwaukee County Association of Fire Chiefs (MCAFC) annually recommends rates to be charged by municipalities for advanced Life Support (ALS) services.
Whereas, By correspondence dated February 7, 2014, the MCAFD advised the Milwaukee County Intergovernmental Cooperation Council of proposed rate changes together with a schedule of specific changes based upon adjustments reflecting a 1.4% increase reported in the Medical Care Commodities and Medical Care Service Consumer Price Index for 2013; now, therefore
Body
The Mayor and Common Council of the City of Milwaukee do ordain as follows:
Part 1. Section 75-15-17-a-1 to 4, b-1 to 4 and c-1 to 6 of the code is amended to read:
75-15. Ambulance Certification Regulations.
17. CHARGES FOR PATIENT SERVICES DELIVERED BY THE FIRE DEPARTMENT.
a.
a-1. Paramedic non-invasive service or treatment without conveyance: [[$128]] >>$129.79.<<
a-2. Paramedic invasive service or treatment without conveyance: [[$128]] >>$129.79.<<
a-3. Paramedic service with transport Level ALS-1: [[678]] >>$687.49.<<
a-4. Paramedic service with transport Level ALS-2: [[$781]] >>$791.93.<<
b.
b-1. Paramedic non-invasive service or treatment without conveyance: [[$175]] >>$177.45.<<
b-2. Paramedic invasive service or treatment without conveyance: [[$180]] >>$182.52.<<
b-3. Paramedic service with transport Level ALS-1: [[$801]] >>$812.21.<<
b-4. Paramedic service with transport Level ALS-2: [[$924]] >>$936.94.<<
c.
c-1. ALS supplies: [[$82]] >>$83.15.<<
c-2. Intubation: [[$77]] >>$78.08.<<
c-3. I.V. and supplies: [[$62]] >>$62.87.<<
c-4. Defibrillation: [[$103]] >>$104.44.<<
c-5. EKG: [[$103]] >>$104.44.<<
c-6. Oxygen and supplies: [[$77]] >>$78.08.<<
Part 2. Section 75-15-17-d-1 to 3 and e-1 to 9 of the code is amended to read:
d.
d-1. Items approved in Drug Group 1, including Albuterol, [[Amidoerone (30 mg)]] >>Amiodarone (30mg)<<, [[Altropine]] >>Atropine<<, Aspirin [[(up to 324 mg)]], Benadryl, Heparin Sodium by I.V., Lasix, Lidocaine, Ativan, Versed, [[Sodium Normal Chloride]]>>Sodium Normal Saline<<, [[Solumedrol (up to 40 mg)]] >>Solu-Medrol (up to 40 mg)<<, Terbutaline, Diazepam, Dextrose 50%, Nitro Spray SL, Normal Saline (capped), D50 and D5W, shall be charged a rate of [[$33]] >>$33.46.<<
d-2. Items approved in Drug Group 2, including Calcium Chloride, Epinephrine (I.M. or I.V., not by EPI-PEN), Dopamine, Lidocaine and Sodium Bicarbonate, shall be charged a rate of [[$38]] >>$38.53.<<
d-3. Items approved in Drug Group 3, including Fentanyl, Morphine, Narcan and Normal Saline, shall be charged a rate of [[$49]] >>$49.69.<<
e.
e-1. Epinephrine by EPI-PEN: [[$98]] >>$99.37.<
e-2. Adenosine: [[$92]] >>$93.29.<<
e-3. Glucagon, up to 1 mg: [[$92]] >>$93.29.<<
e-4. Solu-Medrol, 41-125 mg: [[$60]] >>$60.84.<<
e-5. E-Z IO: [[$123]] >>$124.72.<<
e-6. Spinal [[Immobolization]] >>Immobilization<<: [[$128]]>>$129.79.<<
e-7. Triage barcode wristbands: [[$3]] >>$3.04.<<
e-8. Cyanokit: [[$924]] >>$936.94.<<
e-9. CPAP mask: [[$46]] >>$46.64.<<
Part 3. Section 75-15-17-h of the code is amended to read:
h. In addition to the charges provided in pars. a to e, a charge of [[$15]] >>$15.21<< per mile shall be assessed for the distance traveled with the patient in the ambulance from the point of patient origin to destination.
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:____________________
Fire Department
Emma J Stamps
LRB 151204-2
Teodros W. Medhin:lp
2/12/2014