The city that I represent owns and operates the Ambulance Service for our
city and the surrounding area, the surrounding area being assigned to us by
OK State Department of Health, EMS Division. Recently it has become an issue
that our ambulance is responding to calls a considerable distance away from
the city limits only to have the call turn out to have no one treated or
transported and therefore the cost of having the ambulance respond with
personnel costs more than what we currently bill for that type of run.
The City Commission desires to increase the rate charged for these No
Treat, No Transport, calls that occur outside the city limits by $100.00
per call while charging the lower amount to city residents. I might also add
that all city electric customers, (primarily city residents,) are charged a
$4.00 monthly fee on their electric bill to help offset the cost of
operating the Ambulance Service.
My first question, Can the city charge more for runs that occur outside the
City Limits?
Second, Title 36, §6050 allows for ambulance services to sell membership
subscriptions to individuals who reside within the service area of the
provider. In these situations, the ambulance provider usually agrees to
accept any 3rd party payments i.e. insurance, Medicaid, Medicare, etc as
payment in full. Clearly the City can sell memberships under the authority
of this statute but my question is can the ambulance fee currently being
charged to city electric customers count as a membership subscription? And
if so, can a city utility customer opt out of paying said membership fee?
Thanks
W. Lee Stout
W.L. Stout, P.C.
P.O. Box 262
Newkirk, OK 74647
(580)-362-2032
(580)-362-2035 Fax
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