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ORDINANCE Page 4 of 8 <br /> <br />L. Civil Enforcement. The fire department transport service fees imposed by this section may be <br />collected by appropriate civil action instituted by the city attorney for that purpose. <br />M. Fee Determination Criteria. Fire department transport service fees shall be set at a level to <br />cover the actual costs incurred by the city in providing the fire department transport service. It is <br />the intent of the city that fire department transport service fees shall be charged in exchange for <br />targeted fire department transport service that alleviates the burden placed on such service by <br />its users. In classifying customers served, or ALS, or BLS fire department transport service, the <br />city may, in its discretion, consider any or all of the following factors: the difference in cost of <br />service to various customers; the location of the various customers within the city; the <br />difference of cost of maintenance, operation, repair and replacement of the various equipment <br />used for fire department transport service; the different character of service furnished various <br />customers; and any other criteria or matters which constitute a reasonable ground for <br />distinction. <br />N. Fire Department Transport Fee Imposed. Fire department transport fees shall be as follows: <br />1. Patients for whom the fire department provides ALS 1 transport shall be billed eight hundred <br />ninety dollars one thousand and thirty nine dollars and thirty two cents ($1039.32) per <br />transport, the cost of the medical supplies used in the transport, and eighteen dollars and fifty <br />cents twenty-one dollars and sixty cents ($21.60) per mile. For the purposes of this subsection, <br />“ALS 1” means the following: <br />Transportation by ground ambulance vehicle and the provision of medically necessary supplies <br />and services, including the provision of an ALS assessment or at least one ALS intervention, <br />which means a procedure that is, pursuant to state and local laws, beyond the scope of practice <br />of an emergency medical technician—basic (EMT—basic). <br />2. Patients for whom the fire department provides ALS 2 transport shall be billed nine hundred <br />eighty dollars one thousand one hundred forty-four dollars and forty-two cents ($1144.42) per <br />transport, the cost of the medical supplies used in the transport, and eighteen dollars and fifty <br />cents twenty-one dollars and sixty cents ($21.60) per mile. For the purposes of this subsection, <br />“ALS 2” means as follows: <br />Transportation by ground ambulance vehicle and the provision of medically necessary supplies <br />and services including either: <br />a. At least three separate administrations of one or more medications by intravenous <br />push/bolus or by continuous infusion in accordance with approved protocols, including, but not <br />limited to, the American Heart Association Advanced Cardiac Life Support (ACLS) protocol; or <br />b. At least one of the following ALS 2 procedures: <br />(1) Manual defibrillation/cardioversion; <br />(2) Endotracheal intubation;