Number
190257
Version
SUBSTITUTE 1
Reference
Sponsor
CHAIR
Title
A substitute ordinance relating to charges for patient services provided by the Milwaukee fire department.
Section
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 rc
75-15-17-d-2 rc
75-15-17-d-3 rc
75-15-17-e-1 rc
75-15-17-e-2 rc
75-15-17-e-3 rc
75-15-17-e-4 rc
75-15-17-e-5 rc
75-15-17-e-6 rc
75-15-17-e-7 rc
75-15-17-e-8 rc
75-15-17-e-9 rc
75-15-17-e-10 rc
75-15-17-e-11 rc
75-15-17-e-12 rc
75-15-17-e-13 rc
75-15-17-f am
75-15-17-h am
Analysis
This ordinance increases the amounts charged for various advanced life support (ALS) services by the Milwaukee fire department. These fee increases keep pace with the rising costs of EMS services.
Body
Whereas, The Milwaukee Fire Department annually recommends increases to Advanced Life Support (ALS) services; and
Whereas, By correspondence dated September 25, 2019, the Milwaukee Fire Chief recommends changes based upon adjustments in charges for patient services provided by the Fire Department; now, therefore,
The Mayor and Common Council of the City of Milwaukee do ordain as follows:
Part 1. Section 75-15-17-a-1 to a-4 of the code is created 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: [[$144.16]] >>$272.00<<.
a-2. Paramedic invasive service or treatment without conveyance: [[$144.16]] >>$272.00<<.
a-3. Paramedic service with transport Level ALS-1/ET3 Treat in place: [[$800.23]] >>$842.00<<.
a-4. Paramedic service with transport Level ALS-2: [[$879.59]] >>$926.00<<.
Part 2. Section 75-15-17-b-1 to b-4 of the code is amended to read:
b.
b-1. Paramedic non-invasive service or treatment without conveyance: [[$197.09]] >>$383.00<<.
b-2. Paramedic non-invasive service or treatment without conveyance: [[$202.72]] >>$383.00<<.
b-3. Paramedic service with transport Level ALS-1/ET3: [[$902.11]] >>$949.00<<.
b-4. Paramedic service with transport Level ALS-2: [[$1,040.64]] >>$1,092.00<<.
Part 3. Section 75-15-17-c-1 to c-6 of the code is amended to read:
c.
c-1. ALS supplies: [[$92.35]] >>$96.04<<.
c-2. Intubation: [[$86.71]] >>$176.71<<.
c-3. I.V. and supplies: [[$69.83]] >>$72.62<<.
c-4. Defibrillation: [[$116.01]] >>$216.01<<.
c-5. EKG: [[$116.01]] >>$186.01<<.
c-6. Oxygen and supplies: [[$86.71]] >>$102.04<<.
Part 4. Section 75-15-17-d-1 to d-3 of the code is repealed and recreated to read:
d.
d-1. Items approved in Drugs, Group 1: Acetaminophen (1000 mg tablet & 160 mg/5 mL Liquid), Albuterol 3 mL (.83%), Amioderone HCI (30 mg), Aspirin (chewable 81 mg), Atropine Sulfate (0.3 mg), Calcium Gluconate (10 ml), Dextrose 10% (D10), Dextrose 5% (D5), Duoneb, IV-D5W, Glucose (oral gel 15 g), IV-Sodium Normal Saline (bags & capped), Ondansetron Tabs, Ondansetron IV/IO, shall be charged a rate of $39.02.
d-2. Items approved in Drugs, Group 2: Diphenhydramine 50 mg, Dopamine, EPL 1 mg/10 mL IV, EPI 1 mg/cc IV, Lidocaine Drip 1 gm/25 mL, Lidocaine HCI (2%) 50 mg, Sodium Bicarbonate (50 CC), shall be charged a rate of $44.93.
d-3. Items approved in Drugs, Group 3: Fentanyl, Ketamine (Pediatric) Infusion, Ketorolac 30 mg/1 mL, Midazolam HCI 1 mg, Nitroglycerine Spray 0.4 mg IV, Norepinephrine 4 mg/4mL, shall be charged a rate of $57.94.
Part 5. Section 75-15-17-e-1 to e-9 of the code is repealed and recreated to read:
e.
e-1. Adenosine: $108.79.
e-2. Glucagon, up to 1 mg: $108.79.
e-3. Dexamethasone 20mg/5mL: $70.96.
e-4. E-Z IO: $145.46.
e-5. Patient ID & Tracking: $3.80.
e-6. Hydroxocobalamin (Cyano-kit): $1,092.67.
e-7. CPAP mask: $54.40.
e-8. Airway Supplies: $25.90
e-9. Ventilation and CPR Supplies: $379.60.
e-10. Bandaging and Trauma Supplies: $22.06.
e-11. Personal Protective Supplies: $28.23.
e-12. Obstetrics and Child Delivery Supplies: $234.65.
e-13. Splinting and Immobilization Supplies: $475.58.
Part 6. Section 75-15-17-f and h of the code is amended to read:
f. When the fire department performs a basic life support transport >>or provides lift assistance<< for a bariatric patient the department is authorized to charge the rate specified in sub. 14-c-1.
h. In addition to the charges provided in pars. a to e, a charge of [[$17.70]] >>$19.26<< per mile shall be assessed for the distance traveled with the patient in the ambulance from the point of patient origin to destination.
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
Drafter
LRB175133-1
Luke Knapp
09/30/2019