HomeMy WebLinkAbout6.3 Waive the rules requiring two readings of an ordinance and adopt AN ORDINANCE AMENDING APPENDIX A - DIVISION II ENTITLED "FEES ESTABLISHED" OF THE VILLAGE CODE OF MOUNT PROSPECTM+awn �'xyt�lts�=e
Item Cover Page
Subject Waive the rules requiring two readings of an ordinance and
adopt AN ORDINANCE AMENDING APPENDIX A - DIVISION II
ENTITLED "FEES ESTABLISHED" OF THE VILLAGE CODE OF
MOUNT PROSPECT
Meeting December 17, 2024 - REGULAR MEETING OF THE MOUNT
PROSPECT VILLAGE BOARD
Fiscal Impact (Y/N)
Dollar Amount
Budget Source
Category CONSENT AGENDA
Type Ordinance
Information
The Village adopted a budget for the year 2025 on November 6, 2024. The budget included
increasing the ambulance billing fees from $1,500 to $3,000. The current ambulance billing
fee consists of a base fee of $1,500 and a mileage rate of $15 per mile, which is added to the
base fee for any level of medical care provided. Fees were last raised in 2019. The Village does
not collect balance bills from its residents. The amount received from insurance companies
and Medicare/Medicaid is considered final, and the Village writes off the balance of the unpaid
amount. The Village does balance bill for calls and services provided (including mutual aid) to
nonresidents. This practice was adopted by the Village and all surrounding towns. The Village
collected $3,271,918 in 2023, and projects $3,350,000 for 2024.
Discussion
The Village started receiving revenue from the Ground Emergency Medical Transport program
in 2021. This federally funded program bridges the gap between the actual cost per transport
and the actual fees collected from Medicare and Medicaid programs. Based on the most recent
data, the Village has a total of 7,685 calls and an annual budget of $22.1 million, costing
$2,973 per call. The amount is expected to increase to $3,153 per call based on the 2025
budget. Please see the attached report showing the cost per call.
Many surrounding towns have recently increased ambulance billing fees due to increased
operating costs. According to the attached survey, most towns charged between $1,500 and
$4,670, with an average billing rate of $2,434. A few towns are in the process of increasing
their fees in the near future. The Village of Arlington Heights and the City of Des Plaines
recently raised their fees from $1,500 to $2,305 and $2,647, respectively. A list of ambulance
billing fees for the surrounding towns is attached.
This increase in the fees will not impact Mount Prospect residents as the Village will continue
its practice of writing off unpaid/balance bills. The proposed increase in the billing fees will
increase the total collections from $3.4 million to $4.1 million for 2025.
Alternatives
1. Waive the rules requiring two readings of an ordinance and approve the attached
ordinance raising the ambulance billing fee from $1,500 to $3,000.
2. Action at the discretion of the Village Board.
Staff Recommendation
Staff recommends waiving the rules requiring two readings of an ordinance and approving the
attached ordinance, raising the ambulance billing fee from $1,500 to $3,000 per call. The
mileage fee is not changed, as it is already at the market rate. This item formally adopts the
ambulance billing fee adjustments as approved in the annual budget for the year 2025.
Attachments
1. Ambulance Billing Rate Ordinance
2. Fire Cost per Call
3. Ambulance Fee Survey - 120624-3
ORDINANCE NO.
AN ORDINANCE AMENDING APPENDIX A - DIVISION II ENTITLED "FEES
ESTABLISHED" OF THE VILLAGE CODE OF MOUNT PROSPECT
BE IT ORDAINED BY THE PRESIDENT AND BOARD OF TRUSTEES OF THE
VILLAGE OF MOUNT PROSPECT, COOK COUNTY, ILLINOIS, ACTING IN THE
EXERCISE OF THEIR HOME RULE POWERS:
SECTION ONE: Appendix A, Division II of the Village Code of the Village of Mount
Prospect shall be amended to delete Section 8.1003 in its entirety, and a new section
8.1003 is inserted and reads as follows:
Section 8.1003: FEE ESTABLISHED:
A. All transports will be billed a base fee of $3,000, and a mileage rate of
$15.00 per mile will be added to the base fee for any level of medical
care received.
B. Same as for A
C. Same as for A.
D. Same as for A.
SECTION TWO: That this Ordinance shall be in full force and effect from and after its
passage, approval and publication in pamphlet form in the manner provided by law.
AYES:
NAPES:
ABSENT:
PASSED and APPROVED this day of December 2024.
Paul Wm. Hoefert, Mayor
ATTEST
Karen Agoranos
Village Clerk
Department Description Fire
Account Type Expenses
Row Labels
2023 Actual
2024 Budget
2024 Estimated
2025 Finance
General Fund
Personal Services, Salaries & Wages
11,137,275
11,276,566
11,517,967
12,358,778
Employee Benefits
6,316,285
6,156,316
6,430,118
6,655,769
Building Improvements
2,000
2,500
2,500
2,500
Commodities & Supplies
52,088
82,700
83,446
74,250
Contractual Services
2,679,919
1,871,871
2,374,441
3,189,428
Insurance
202,375
201,236
201,236
160,393
Office Equipment
-
1,000
500
750
Other Employee Costs
153,475
154,812
159,757
186,000
Other Equipment
179,447
182,875
186,036
199,222
Utilities
13,618
14,000
14,000
14,000
General Fund Total
20,736,482
19,943,876
20,970,001
22,841,090
Foreign Fire Tax Board Fund
Commodities & Supplies
67,376
-
50,000
90,000
Contractual Services
15,182
16,000
10,500
11,000
Other Employee Costs
1,712
10,000
11,000
20,000
Other Equipment
13,266
115,000
30,000
30,000
Foreign Fire Tax Board Fund Total
97,536
141,000
101,500
151,000
Pension Stabilization Fund
Employee Benefits
375,000
1,000,000
1,000,000
1,000,000
Pension Stabilization Fund Total
375,000
1,000,000
1,000,000
1,000,000
Grand Total
21,209,019
21,084,876
22,071,501
23,992,090
Add:
Debt Service - 27% of $1,444,250
Less: Rural Levy
Property Tax levies
Total Expenditures
Call Volume
389,948 389,948
21,598,966 21,474,824
7,296 7,685
389,948 389,948
22,359,949 24,231,038
7,685 7,685
Cost Per Call $ 2,960 $ 2,794 $ 2,910 $ 3,153
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