2007-11
ORDINANCE NO. 2007-11
AN ORDINANCE AJVl:ENDING C:H:APTE:R 42 OF T:H:E CODE OF T:H:E
CITY OF FAI:RFAX:. VI:RGINIA. TO ADD A NEVV A:RTICLE VI.
PE:RT AINING TO A SE:RVICE FEE FO:R T:RANSPO:RT BY FI:RE
DEPA:RTJVl:ENT EJVl:E:RGENCY JVl:EDICAL SE:RVICES VE:H:ICLE
BE IT ORDAINED, by the City Conncil of the City of Fairfax, Virginia, that
Chapter 42 of the Code of the City of Fairfax, Virginia, is hereby amended to
add thereto a ne'-V Article VI, vvhich shall read in its entirety as Iollo'VV's:
C:H:APTE:R 42. A:RTICLE VI. SE:RVICE FEE FO:R T:RANSPO:RT BY
FI:RE DEPA:RTJVl:ENT EJVl:E:RGENCY JVl:EDICAL SE:RVICES
VE:H:ICLE
Sect:ion 42-1.41.. Service Charge.
(1) Except as othervvise provided by Section 42-145 of this Chapter, a
service fee for Basic Life Support (BLS), Advanced Life Support Levell
(ALS 1), Advanced Life Support Level 2 (ALS2) and a ground transport
mileage fee is imposed on each person being tral:1sported by any emergency
medical services vehicle that is operated or maintained by the City Fire
Department" Fairfax Volunteer Fire Department Inc. or for """""hich a permit has
been issued to the City by the Virginia Office of Emergency I\..1:edical Services.
The term '"""'emergency medical services vehicle'" has the definiticH:1 specified in
Virginia Code ~ 32.1-111.1.
(2) The fee rates shall be determined by the City and established vvithin the
current schedule of Rates ar1d Levies. Such fees shall be revie~ed on a
periodic basis as determined by the City l\IIanager.
Sect:ion 42-142. Disbursement: oC Funds.
(1) Except as noted beloVitl'" in Sectiorl 42-142 (2), the funds received from
the payment orthis fee shall be paid into the general fund of the City to aid in
defraying the cost of providing such service.
(2) A percentage of the fee collected shall be distributed to the Fairfax
Volunteer Fire Department, Ir1c. (FVFD) to assist in defraying the capital cost:.s
of emergency vehicles and facilities oVitl'"r1ed by FVFD. The percentage shall be
negotiated betvveen the City and the FVFD.
Sect:ion 42-143. Definit:ions.
The folloVitl'"ing definitions shall apply to ambulance fees:
(I) Baszc Life Suppor~ (1~L.s~: Services shall be medical treatment or
procedures to a patient as defined by the National Emergency :M:edicine
Services (E1\I1:S) Education and Practice Blueprint for the Emergency I'\lledical
Technician ~ Basic (ElV[T).
(2) Advanced Life Supponr, Lever 1 rALS1.): Services shall be medical
treatment: or procedures provided to a patient: beyond the scope of an E:rv1:T-
Basic as defined by the National E:M:S Education and Practice Blueprint.
(3) Advanced Life Supporr. Lever 2 rALS2.): Services shall be defined as
advanced life support (ALS) services provided to a patient including one or
more of the follo~ing medical procedures: (i) defibrillation/cardioversion; (ii)
endotracheal intubation; (iii) cardiac pacing; (iv) chest decompression; (v)
intraosseous line, and/or (vi) the administration of three or more medications.
(4) Ground Transport Mileage GTM: Mileage shall be assessed in statute
miles from the location of the incident to a hospital or other facility where a
patient is transported. Only miles traveled with the patient on board shall be
considered billable miles.
(5) Determination of Fee Rates: As used in this section, allowable
ambulances fees for Advanced Life Support 2 (ALS2) transports shall be
determined based upon the current Medicare definition.
Section 42-144. Authority.
The City Manager is hereby authorized and directed to establish rules
and regulations for the administration ofthe fees imposed by this section,
including, but not limited to, payment standards for those persons who
demonstrate economic hardship.
Section 42-145. Exemptions.
No fee shall be imposed on persons in the following instances:
(1) Persons determined to be medically indigent by the City in
accordance with administrative policies established by the City Manager;
(2) Persons affected by fire, flood, storm, natural or man-made calamity
or disaster, or by widespread public disturbance or disorder when an
emergency medical services vehicle responds as a matter of City policy
without call; or
(3) Persons transported pursuant to any no-charge mutual aid
agreement with another jurisdiction.
This ordinance shall become effective as provided by law.
INTRODUCED: April! 0, 2007
PUBLIC HEARING: April 24, 2007
ENACTED: April 24, 2007
ayor
4;07
Date
ATIES~
'14. City Clerk
Vote
Councilwoman Cross Nay
Councilman Greenfield Aye
Councilwoman Lyon Aye
Councilman Rasmussen Aye
Councilman Silverthorne Aye
Councilwoman Winter Aye