The purpose of these provisions is to allow for the collection of fees related to the cost of providing advanced life support services, basic life support services, or other medical services requiring immediate transportation to the hospital. The emergency medical services first responder fee is required to cover the costs of advanced life support services, basic life support services, or other medical services resulting in immediate transportation to a hospital, that the fire department provides to both city residents and nonresidents.
(Ord. 6280 § 1, 2020)
For purposes of this chapter, the following definitions apply:
“Advanced life support services”
means special services designed to provide definitive prehospital emergency medical care, including, but not limited to, cardiopulmonary resuscitation, cardiac monitoring, cardiac defibrillation, advanced airway management, intravenous therapy, administration of specified drugs and other medicinal preparations, and other specified techniques and procedures administered by authorized personnel.
“Basic life support services”
means emergency first aid and cardiopulmonary resuscitation procedures which, as a minimum, include recognizing respiratory and cardiac arrest and starting the proper application of cardiopulmonary resuscitation to maintain life without invasive techniques until the victim may be transported or until advanced life support is available.
“City”
shall mean the City of Roseville.
“Emergency medical services first responder fee”
means the fee established pursuant to this chapter and charged to each recipient to whom the city provides advanced life support, basic life support, or other medical services requiring immediate transportation to a hospital, in order to recover the costs for providing such services.
“Fire chief”
means chief of the City of Roseville fire department or designee.
“Fire department”
means the city fire department, including its employees.
“Hospital”
shall have the same meaning as defined in California Health and Safety Code Section 1797.88, as may be amended from time to time.
“Insurer”
means the recipient’s medical insurance provider.
“Recipient”
means the person to whom the city provides advanced life support services, basic life support services, or other medical services requiring immediate transportation to a hospital.
(Ord. 6280 § 1, 2020)
A. 
The city council shall, by resolution, adopt and amend from time to time an emergency medical services first responder fee to recover the reasonable costs incurred by the fire department in providing advanced life support services, basic life support services, or other medical services requiring immediate transportation to a hospital, and processing the emergency medical service first responder fee, including administrative costs.
B. 
The emergency medical services first responder fee shall be charged to each recipient and/or a recipient’s insurer, whether a city resident or nonresident, who receives advanced life support services, basic life support services, or other medical services requiring immediate transportation to a hospital, from the fire department during a single incident.
(Ord. 6280 § 1, 2020)
A. 
Policies for Discharging Accountability.
1. 
The fire chief will develop policies and procedures for invoicing, billing, and receiving payments for each fee charged under this chapter and will coordinate the administration with any contracted third party service provider, if applicable. The policies and procedures will include a process to discharge from accountability accounts that are not collectible.
2. 
The fire chief may establish a compassionate billing policy. Such policy may include waiver of the emergency medical services first responder fee for recipients who qualify under the compassionate billing policy.
3. 
The city shall accept the payment from an insurer as the full payment for the recipient’s emergency medical services first responder fee obligation.
B. 
The fire chief may delegate all or some of the tasks required for the administration of the emergency medical services first responder fee. Administration of the emergency medical services first responder fee will consist of tasks, including, but not limited to, tracking of services provided by the fire department under this chapter, identification of financially responsible parties, calculation of total fees to be charged, invoicing and payment collection, and the processing of waiver requests and appeals, if permitted.
C. 
When the fire department provides advanced life support services, basic life support services, or other medical services requiring immediate transportation to a hospital, to a person, the fire chief, shall bill the recipient and the insurer, if any, for payment of the emergency medical services first responder fee. In the case of a minor, the fire chief shall bill the parent or guardian of the recipient who received the services and the insurer, if the person, or his or her representative, has identified to the fire department the insurer to which the invoice should be sent.
(Ord. 6280 § 1, 2020)
This chapter neither expands nor limits services. These services will continue to be provided without regard to whether a person is insured by an insurer, has the ability to pay the emergency medical services first responder fee, or has or has not paid the emergency medical services first responder fee in the past.
(Ord. 6280 § 1, 2020)
A. 
Notwithstanding the provisions of this chapter, the city shall not be prevented from taking any other civil or criminal action to abate the acts constituting a violation of this chapter.
B. 
Notwithstanding the provisions of this chapter, the city shall retain the option to utilize any other legal remedies for recovery of costs of the emergency medical services first responder fee.
(Ord. 6280 § 1, 2020)
A. 
Any recipient wishing to contest an invoice regarding the emergency medical services first responder fee imposed under this chapter must submit a written request for reconsideration to the fire chief, explaining the reasons for requesting a reconsideration, within 30 calendar days of the date of receiving the invoice for the emergency medical services first responder fee. The fire chief will review the written request, make a final decision on the request, and notify the party in writing within 30 calendar days of receiving the request to reconsider.
B. 
If the aggrieved party is unhappy with the fire chief’s decision, the party may appeal to the city manager, or designee, by filing a written notice with the city clerk within 14 calendar days of the fire chief’s written notice of decision.
(Ord. 6280 § 1, 2020)
The provisions of this chapter are hereby declared to be severable. If any provision, clause, word, sentence, or paragraph of this chapter or the application thereof to any person, establishment, or circumstances shall be held invalid, such invalidity shall not affect the other provisions or application of this chapter.
(Ord. 6280 § 1, 2020)