City of Piedmont COUNCIL AGENDA REPORT DATE: March 3, 2014 FROM: Warren (Bud) McLaren, Fire Chief SUBJECT: CONSIDERATION OF A RESOLUTION TO APPROVE AN AMENDMENT OF THE EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT AND AMBULANCE TRANSPORT SERVICES AGREEMENT RECOMMENDATION Approve the attached proposed amendment (Amendment) to the Emergency Medical Services First Responder Advanced Life Support and Ambulance Transport Services Agreement (Agreement) with Alameda County, establishing new maximum ambulance transport fee rates as follows: Bundled Base Rate - $1,895.00 Mileage/mile Rate - $45.00 Oxygen Rate - $149.00 BACKGROUND On October 3, 2011 the City Council approved the Agreement to provide ambulance transportation and advanced life support services to the sick and injured. Exhibit K to the Agreement sets the maximum rates the City can charge for its services. The full agreement approved by the Council is available on the City web site at http://www.ci.piedmont.ca.us/html/govern/staffreports/10-03-11/fralsagreement.pdf On October 15, 2013, the Alameda County Board of Supervisors approved an amendment to the ambulance provider contract with Paramedics Plus, a private provider, to provide 911 response and services throughout the County except in the Cities of Alameda, Albany, Berkeley and Piedmont. The contract amendment includes fee increases in the Base Rate, Mileage Rate and Oxygen Rate. Effective 11/1/2010 Effective 11/1/2013 Bundled Base Rate $1,740.35 $1,895.00 Mileage/mile $40.05 $45.00 Oxygen $131.21 $149.00
Agenda Report Page 2 Exhibit K to the Agreement states: These rates shall be frozen until the County Contracted Private Provider rates exceed the rates above. At that time an amendment to this Agreement shall be made to the User Fee s once an increase is approved by the Board of Supervisors. On January 28, 2014 the Alameda County Board of Supervisors gave preliminary approval for an amendment to its ambulance transport services agreements with the Cities of Alameda, Albany, Berkeley and Piedmont to increase the maximum rates under those agreements to match those allowed for the County Contracted Private Provider. Following City Council approval of the proposed Amendment, the County Board of Supervisors will take final action on the Amendment. Following final action by the Board of Supervisors, City staff will agendize for consideration at a future Council meeting, following proper notice as required under the Government Code, an increase in user rates as allowed by the Amendment. ATTACHMENTS Resolution Amendment to Ambulance Provider Agreement Alameda County Health Care Services January 28, 2014 Agenda Report
Agenda Report Page 3 RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PIEDMONT APPROVING AN AMENDMENT TO EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT AND AMBULANCE TRANSPORT SERVICES AGREEMENT WHEREAS, on October 3, 2011 the City Council by Resolution 89-11 approved the City entering into that certain Emergency Medical Services First Responder Advanced Life Support and Ambulance Transport Services Agreement between the City of Piedmont ( City ) and the County of Alameda ( County ) dated as of November 1, 2011 ( Agreement ); and WHEREAS, Exhibit K of the Agreement establishes maximum user fees that may be charged by the City as Contractor under the Agreement; and WHEREAS, Section 11.3 of the Agreement provides that Exhibit K shall be amended and such maximum user fees shall be increased if and when the rates for County Contracted Private Providers, as defined in the Agreement, exceed the rates set forth in Exhibit K; and WHEREAS, the City and County having determined that the County Contracted Private Provider rates do now in fact exceed the rates set forth in Exhibit K, the parties desire to amend Exhibit K as provided in Section 11.3 of the Agreement; NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Piedmont does hereby resolve, declare, determine and order as follows: SECTION 1. Incorporation of Recitals. The foregoing Recitals are true and correct and are incorporated herein and form a part of this Resolution. SECTION 2. Approval of Amendment. The City Council does hereby approve the Amendment to Ambulance Provider Agreement substantially in the form attached hereto as Attachment 1 and incorporated herein by this reference ( Amendment ). SECTION 3. Authority of City Administrator. The City Council authorizes the Mayor or City Administrator to execute the Amendment and to take such further actions and execute such further documents as may be necessary to effectuate the intent of this Resolution. SECTION 4. Consideration of Fee Increase. The City Council further directs staff, following execution of the Amendment by both parties, to agendize for consideration at a future City Council meeting, following proper notice under Government Code Section 66018, an increase in user rates as allowed by the Amendment. [END OF DOCUMENT]
Attachment A Agenda Report Page 4 AMENDMENT TO AMBULANCE PROVIDER AGREEMENT Reference is made to that contract made and entered into on the 1 st day of November, 2011, by and between the COUNTY OF ALAMEDA, a body corporate and politic of the State of California, and the CITY OF PIEDMONT. Said Contract is hereby amended so that Exhibit K is superseded and replaced in its entirety with the following Exhibit: AMENDED EXHIBIT K ALAMEDA COUNTY 911 SYSTEM CONTRACTOR S USER FEES Effective 11/1/2010 ++ Effective 11/1/2013* Bundled Base Rate $1,740.35 $1,895.00 Mileage/mile $40.05 $45.00 Oxygen $131.21 $149.00 **Treat, Non-transport rate $483.44 $483.44 * It is understood that these rate increases are conditional on each city s ability to demonstrate that the charges are not considered taxes under the California Constitution (art. XIIIC sec. 1e). Each city will be responsible for vetting this issue for their individual Councils. Actual effective date based on City Council approval. ++ These rates shall be frozen until the County Contracted Private Provider rates exceed the rates above. At that time, an amendment to this Agreement shall be made to the User Fees once an increase is approved by the Board of Supervisors. ** This rate shall be limited to patients who receive a medical intervention, such as intravenous medication administration, and subsequently refuse transport. Patient assessment, including ECG monitoring, does not constitute treatment. All other contract terms and conditions shall remain in full force and effect. In Witness Whereof, the parties hereto have executed this Amendment this, 2014. day of COUNTY OF ALAMEDA By President, Board of Supervisors Name: Title: Date: CITY OF PIEDMONT By Name: Title: Date: APPROVED AS TO FORM: By County Counsel Signature By Title:
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