BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. REQUESTED BY: DEPARTMENT: PREPARED BY: Name: Joseph V. Ferrara Fire Rescue Margy Mills

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1 4D2 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY PLACEMENT: CONSENT PRESET: TITLE: (COPCN) AGENDA ITEM DATES: MEETING DATE: 10/28/2014 COMPLETED DATE: 10/16/2014 COUNTY ATTORNEY: 10/6/2014 ASSISTANT COUNTY ADMINISTRATOR: 10/13/2014 REQUESTED BY: DEPARTMENT: PREPARED BY: Name: Joseph V. Ferrara Fire Rescue Margy Mills Name: Fire Rescue Chief Procedures: None EXECUTIVE SUMMARY: Executive Aide In accordance with Chapter 87, Article 4, Emergency Medical Service and Transportation General Ordinances, Martin County Code, any ambulance service that engages in rendering emergency medical service and ambulance transportation in Martin County shall apply for the appropriate Certificate of Public Convenience and Necessity (COPCN) from the Board of County Commissioners. APPROVAL: LEG CA BACKGROUND/RELATED STRATEGIC GOAL: In accordance with Section , General Ordinances, Martin County Code, Emergency Medical Service providers must obtain a COPCN prior to operating in Martin County. Additionally, Section 80641c9c 1 of 9

2 87.110A (Renewal) states that, The certificates may be renewed by the Board after Emergency Medical Service Advisory Council review and recommendation. Renewal shall be made by application by the certificate holder. However, if the Board has reason to believe that the public health, safety, and welfare require it, a public hearing may be ordered by the Board to consider not renewing any certificate. Section B states that, Application for renewal of existing certificates of public convenience and necessity shall be made by written request to the Fire Rescue Chief, or his designee. This request shall be filed no less than 90 days prior to the expiration date of the provider certificate of public convenience and necessity. COPCNs for six (6) EMS providers expire on December 4th, There are two classifications of COPCNs for renewal. Class A: Covers government entities that use Advanced Live Support vehicles to conduct emergency, non-emergency, and inter-facility Advanced Life Support (ALS) or Basic Live Support (BLS) services. Class B: Covers business, agencies, and hospitals that use ambulances based in Martin County to conduct non-emergency, inter-facility medical transport or transfer services at the ALS or BLS level. By June 24, 2014, written requests for renewal of COPCNs were received from all current providers. On September 4, 2014, the Martin County EMS Advisory Council conducted a public meeting with agency, municipality and public notice pursuant to Section A of General Ordinance, Martin County Code and unanimously recommended the renewal of COPCNs for: Advanced Medical Transport Class B (ALS & BLS), American Medical Response (AMR) Class B (ALS & BLS), City of Stuart Fire Rescue Class A (ALS & ALS non-transport), Falck Southeast II, Corp., d/b/a All County Ambulance Class B (ALS & BLS), Martin County Fire Rescue Class A (BLS, ALS, ALS Air, ALS non-transport), We Care of the Treasure Coast Class B (ALS & BLS), All COPCNs will be effective December 4, 2014 and will expire on December 4, ISSUES: Section A provides: The certificates may be renewed by the board after Emergency Medical Service Advisory Council review and recommendation. Renewal shall be made by application by the certificate holder. However, if the Board has reason to believe that the public health, safety, and welfare requires it, a public hearing may be ordered by the board to consider not renewing any certificate. Before any such action can occur, the Board must first comply with the notice and hearing provisions of section LEGAL REVIEW: This item has been reviewed for legal sufficiency to determine whether it is consistent with applicable law. RECOMMENDED ACTION: RECOMMENDATION 80641c9c 2 of 9

3 Move to approve the following COPCN renewals: Class A: Martin County Fire Recue and City of Stuart Fire Rescue and Class B: Advanced Medical Transport, American Medical Response, Falck Southeast II, Corp., d/b/a All County Ambulance, and We Care of the Treasure Coast. ALTERNATIVE RECOMMENDATIONS 1. Pull this item from the Consent Agenda 2. Require a public hearing to consider non-renewal of certificate(s). FISCAL IMPACT: RECOMMENDATION n/a ALTERNATIVE RECOMMENDATIONS n/a DOCUMENT(S) REQUIRING ACTION: Budget Transfer / Amendment Chair Letter Contract / Agreement Grant / Application Notice Ordinance Resolution X Other: COPCNs (6) ROUTING: _ ADM _ BLD _ CDD _ COM _ ENG _ FRD _ GMD _ GSD _ ITS _ LIB _ MCA _ MPO _ PRD _ USD X CA _ ACA X LEG 80641c9c 3 of 9

4 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, American Medical Response has requested authorization to provide the services indicated below to the citizens of Martin County and: Class A Basic Life Support X Class B Basic Life Support Class A Advanced Life Support X Class B Advanced Life Support Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9

5 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, City of Stuart Fire Rescue has requested authorization to provide the services indicated below to the citizens of Martin County and: Class A Basic Life Support Class B Basic Life Support X Class A Advanced Life Support Class B Advanced Life Support X Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9

6 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, Falck Southeast II, Corp., d/b/a All County Ambulance, Inc. has requested authorization to provide the services indicated below to the citizens of Martin County and: Class A Basic Life Support X Class B Basic Life Support Class A Advanced Life Support X Class B Advanced Life Support Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9

7 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, Martin County Fire Rescue has requested authorization to provide the services indicated below to the citizens of Martin County and: X Class A Basic Life Support Class B Basic Life Support X Class A Advanced Life Support Class B Advanced Life Support X X Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9

8 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, We Care of the Treasure Coast, Inc. has requested authorization to provide the services indicated below to the citizens of Martin County and: Class A Basic Life Support X Class B Basic Life Support Class A Advanced Life Support X Class B Advanced Life Support Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9

9 WHEREAS, in accordance with Chapter 18, Code of Laws and Ordinances of Martin County, Advanced Medical Transport has requested authorization to provide the services indicated below to the citizens of Martin County and: Class A Basic Life Support X Class B Basic Life Support Class A Advanced Life Support X Class B Advanced Life Support Class A ALS Non-Transport Class C Non-Emergency Transport October 28, of 9