HomeMy WebLinkAboutContract 49275 CITY SECRETARY
CONTRACT N0. jqj
RESTATED INTERLOCAL COOPERATIVE AGREEMENT
WHEREAS,the State of Texas, in the Interlocal Cooperation Act,has provided in Chapter 791 of the Tex.
Government Code that this jurisdiction (hereinafter, "this Jurisdiction") may jointly exercise with other
local governments the power to provide governmental services for the public health and welfare, and such
services include Ambulance Services; and
WHEREAS, it is in the best interests of the public health and welfare of the people of this Jurisdiction to
have available to them a regulated prehospital emergency medical services and medical transportation
system which can provide quality clinical care with performance measures and standards, with the goal of
facilitating the best possible outcomes for each patient;
WHEREAS, through the adoption of a Uniform EMS Ordinance and Interlocal Cooperative Agreement
between local governments ("Member Jurisdictions"), the Area Metropolitan Ambulance Authority (the
"Authority") was created in 1988 as a governmental administrative agency to administer and operate a
prehospital emergency medical services and medical transportation system in a service area comprised of
the Member Jurisdictions ("Service Area"); and
WHEREAS, due to the relatively low population and low population density of some portions of the
Service Area and the extremely high, start-up and fixed operating costs of a state-of-the-art prehospital
emergency medical services and medical transportation system, it is necessary to designate a single
provider of emergency and nonemergency ambulance transportation within this Jurisdiction in order to
maximize clinical proficiency, enhance operational effectiveness, and maximize economies of scale for
providing such services; and
WHEREAS, it is the desire of this Jurisdiction and the other Member Jurisdictions to amend and restate
the Restated Interlocal Cooperative Agreement in its entirety as set forth herein and to change the name
of the Authority to the "Metropolitan Area EMS Authority";
WHEREAS, establishing a multi jurisdictional first responder advisory board will facilitate coordination
and communication between first responder agencies in the service area, the Emergency Physicians
Advisory Board and the Board of Directors of the Authority:
WHEREAS, it is in the best interests of the public health and welfare of the people of this Jurisdiction to
have available to them a mobile integrated healthcare program operated by the Authority;
THEREFORE, be it resolved that this Jurisdiction, which has joined with the other Member Jurisdictions
to adopt this Restated Interlocal Cooperative Agreement (the "Agreement"), agrees as follows:
ARTICLE I. MEMBERSHIP/CONTINUATION
1.1 This Jurisdiction has elected to continue to be a member of the Authority by the adoption of this
Agreement and the concurrent adoption of the Uniform EMS Ordinance (which is attached hereto as
Page 1
Exhibit A and incorporated herein by reference). Capitalized terms used in this Agreement shall have the
same meaning as used in the Uniform EMS Ordinance unless otherwise defined. Other terms are defined
in this Agreement as follows:
1.1.1 EMS Base Station Physician. A physician licensed to practice medicine in the State of
Texas and knowledgeable in the emergency medical protocols, emergency medical service radio
procedures and general operating policies of the prehospital emergency medical services and
Medical Transportation system, from whom system personnel may take medical direction by radio
or other remote communications device.
1.1.2 Medical Protocol. Any diagnosis-specific or problem-oriented written statement of
standard procedure, or algorithm,promulgated by the Medical Director as the standard of care and
course of treatment for a given clinical condition.
1.1.3 Mobile Integrated Healthcare Provider(MIH Provider). A person who has additional
training in physiology, disease processes, injury and illness prevention, and medical system
navigation; and who focuses on providing out-of-hospital services to clients who may benefit from
effective management of out of hospital care (including without limitation the elderly,
underserved, and chronic condition-patient populations); by providing primary care under the
direction of a physician or by acting as the enrolled client's advocate to connect them to a variety
of beneficial social and medical services outside the emergency department or hospital.
1.2 The existence of the Authority is perpetual unless and until all Member Jurisdictions withdraw.
The withdrawal of less than all the Member Jurisdictions shall not cause the dissolution of the
Authority.
1.3 The name of the Authority is hereby changed to the"Metropolitan Area EMS Authority."
1.4 A Member Jurisdiction may withdraw, for any reason, on (i) the renewal or termination date of a
contract for Ambulance Service if a competitively selected contractor is the provider of Ambulance
Services, or (ii) the last day of the fiscal year of the Authority, if the Authority is the operator of the
Ambulance Service. Notice of such intention to withdraw shall not be effective unless given in writing to
the Authority and to each Member Jurisdiction not less than twelve months before the proposed effective
date of withdrawal.
1.5 To ensure the continuation of the Authority's services to other Member Jurisdictions, any Member
Jurisdiction that withdraws from the Authority pursuant to Section 1.4 above forfeits all rights, title,
interest or claim to any asset or combination of assets of the Authority except as specifically provided in
Section 4.4 below.
Page 2
ARTICLE IL BOARD OF DIRECTORS
2.1 The Authority shall be administered by a Board of Directors which shall provide overall direction
with respect to all matters within the scope of this Agreement.
2.2 The Authority's Board shall be composed of six voting members and four non-voting ex-officio
members, subject to Sections 2.4.4 and 2.5 below.
2.3 Voting members of the Board are required to have knowledge or experience in healthcare, finance
or accounting, business administration, or law, and to have been a resident of the Service Area for at least
three years and currently reside in a Member Jurisdiction.
2.4 The Board shall be constituted as follows:
2.4.1 The City of Fort Worth shall appoint four directors, at least one of whom shall be a
physician who will also serve as the Authority's representative to EPAB. The four directors shall
serve at the pleasure of the City of Fort Worth and may be replaced by the City of Fort Worth at
any time, with or without cause.
2.4.2 One director shall be elected by the combined vote of the other Member Jurisdictions as
follows:
(a) Whenever the term of a director is expiring or open, each Member Jurisdiction other than Fort
Worth shall be entitled to nominate one candidate for the available position. The candidates
nominated by the Member Jurisdictions shall be named on the "Candidates List."
(b) The Candidates List shall be submitted to the governing body of each Member Jurisdiction,
with the exception of Fort Worth.
(c) Each Member Jurisdiction other than Fort Worth shall cast all of its votes for one (1) of the
eligible candidates on the Candidates List. Each Member Jurisdiction shall be entitled to the
number of votes which corresponds to the number of residents residing in that Member
Jurisdiction, based on then-current population estimates reported by the North Central Texas
Council of Governments.
(d) The candidate for the available position receiving the most votes shall be certified by Chair of
the Board as the winner of the election to that seat.
2.4.3 The Emergency Physicians Advisory Board ("EPAB") shall designate a member of
EPAB's Executive Committee to serve as a voting director.
2.4.4 The Chief Executive Officer of the Authority, the Medical Director, and two
representatives of the Member Jurisdiction's First Responders selected in accordance with the
Page 3
Authority's bylaws, shall all be ex-officio members of the Board,without voting rights. The Board
may add other non-voting members as it deems appropriate. Non-voting members of the Board
shall not be counted for purposes of determining a quorum.
2.5 The Board may add additional voting directors to provide additional representation of new
Member Jurisdictions by unanimous vote and may provide the mechanism for electing or appointing the
additional voting directors in the Authority's bylaws; provided that the addition of any new director must
maintain proportional representation among the Member Jurisdictions in accordance with their
populations (based on the then-current population estimates reported by the North Central Texas Council
of Governments). Any other changes to the number of voting members of the Board must be unanimously
approved by the Member Jurisdictions.
2.6 Non-voting members of the Board do not have a fixed term. The terms of office of all voting
members of the Board shall be three years, except for the representative of EPAB, whose term will be
determined by EPAB. No other voting member of the Board shall be appointed for or elected to more than
two consecutive terms in office. No later than sixty days prior to the expiration of the three year term of
a Board member appointed or elected by a Member Jurisdiction, the Authority will send written notice to
the Member Jurisdiction(s)of the expiration of such Board member's term with a request that the Member
Jurisdiction(s) either re-appoint the existing director for a second term or appoint a new director for the
next three year term.
2.7 No member of the Board shall have any interest,financial or otherwise,either directly or indirectly,
in any firm or organization which is a bidder for a competitively awarded contract with the Authority or
in any firm or organization which contracts to provide Ambulance Service or other goods and service to
the Authority.
2.8 Any voting member of the Board who fails to attend any three consecutive, regularly scheduled
Board meetings or who fails to attend at least six regularly scheduled meetings in any twelve month period
without good cause may be removed from the Board at the request of a majority of their appointing
jurisdiction(s) and their position will be filled for the remainder of their term as provided in by Section
2.4 above.
ARTICLE III. NEW MEMBERS
3.1 Requirements for a new member("New Member") to join the Authority shall be as follows:
3.1.1 The New Member must be a "Local Government" (as such term is defined in Chapter 791
of Tex. Government Code).
3.1.2 The New Member must be approved by the Board of the Authority. The Board shall set
the terms and conditions of the New Member's admission based on the services required by the
Page 4
New Member and the fiscal and operational impact that providing such services would have on
the Authority.
3.1.3 The New Member shall concurrently adopt this Agreement and the Uniform EMS
Ordinance (attached hereto as Exhibit A) and select a pricing option from the Uniform Schedule
of Pricing Options (attached hereto as Exhibit B).
ARTICLE IV. RESPONSIBILITIES OF MEMBERS
4.1 Each Member Jurisdiction agrees to the following as a condition of membership in the Authority:
4.1.1 To adopt and enforce the Uniform EMS Ordinance;
4.1.2 To establish, operate, and fund a First Responder program in support of the Uniform EMS
Ordinance, which may be an Emergency Care Attendant program approved by the Authority.
4.1.3 To abide by the Medical Protocols and credentialing requirements for First Responders
established by EPAB through the Office of the Medical Director("OMD"),
4.1.4 PaMent: No later than June 30th of each year, the Member Jurisdiction shall select one of
the Authority's Uniform Schedule of Pricing Options to be effective as of October 1 st of that year
for the Member. Upon selection of a pricing option, the Member Jurisdiction will pay any annual
offset fee to the Authority for each fiscal year in twelve equal monthly payments (the "Pricing
Offset Payments"). Pricing Offset Payments shall be due no later than the last day of each month,
commencing with the first month of the fiscal year.
4.1.5 Support Infrastructure: Each Member Jurisdiction agrees to provide a mechanism for
transferring 911 calls requesting medical assistance from the Member's 911 center to the
Authority's designated EMS Communications Center and shall transfer 911 callers in accordance
with system performance standards adopted by the Authority.
4.2 This Jurisdiction accepts no financial responsibility or commitment in exchange for its
membership in the Authority except for the cost of furnishing a mechanism for transferring 911 callers
requesting medical assistance from the Jurisdiction's 911 communications center to Authority's
designated EMS Communications Center, and except as provided in Subsection 4.1.4. Any decision by
the Authority affecting the financial obligations of a Member Jurisdiction, contingent or otherwise, shall
be subject to prior approval by the governing body of the affected Member. In no event shall this
Agreement be construed to mandate the appropriation of specific funds by any Member Jurisdiction
beyond the Member's next fiscal year without the annual approval of the Member's governing body.
4.3 A Member Jurisdiction is in default if it fails to substantially comply with any of its obligations
under this Agreement and such failure continues for a period of six months without an ongoing good faith
attempt to cure the default after it receives written notice of such failure from the Board of the Authority.
Page 5
If a Member Jurisdiction is in default under this Agreement, the Board may terminate that Member
Jurisdiction's membership in the Authority and any services provided to that Member Jurisdiction by the
Authority shall cease. In such event, the removed Member Jurisdiction forfeits any financial or other
interest in the Authority.
4.4 In the event of repeated and chronic failure of the Authority to provide adequate Ambulance
Service (whether directly or by contract) within a Member Jurisdiction, and after written notice to the
Authority and reasonable opportunity to correct such deficiencies,that Member Jurisdiction may withdraw
from the Authority, subject to the following terms:
4.4.1 The Member Jurisdiction must give written notice to the Authority that it intends to invoke
this Section of this Agreement;
4.4.2 Upon a continued failure for the following three consecutive full calendar months, or four
of the following six full calendar months, after receipt by the Authority of the written notice
described above,the Member Jurisdiction may withdraw by giving written notice to the Authority,
such notice to be effective ten days after receipt by the Authority.
4.4.3 Upon the effective date of the withdrawal, the Authority shall cease being the exclusive
provider of Ambulance Service in the withdrawing Member Jurisdiction and the Authority shall
remit to the withdrawing Member Jurisdiction its pro rata share of the Authority's Net Worth, as
defined in Subsection 4.4.4 below. In the event that more than one Member Jurisdiction gives
notice of its intent to withdraw under this Section 4.4 during a three month notice period and there
are not sufficient cash reserves to remit the share of"Net Worth" of each withdrawing Member
Jurisdiction in full, the available funds will be distributed pro rata to the withdrawing Member
Jurisdictions. Notwithstanding the forgoing, any Member Jurisdiction who is admitted after the
date of this Agreement and who does not pay to the Authority an initial fee for start-up of services,
shall not be entitled to Net Worth distributions as provided in Subsection 4.4.4 or to any other
distribution of the assets of the Authority under any circumstances.
4.4.4 Net Worth shall be defined as the cash or cash equivalents of the Authority, exclusive of
funds specifically allocated for operations or debt service, or budgeted for capital improvements
by the Board, and exclusive of the amount of prudent operating reserves required under Subsection
5.5.2 below. Each Member Jurisdiction's pro-rata share of the Net Worth shall be calculated at
least once every fiscal year based upon the current population estimate of each Member
Jurisdiction compared to the total population of all Member Jurisdictions(as reported by the North
Central Texas Council of Governments).
ARTICLE V: POWERS AND DUTIES OF AUTHORITY
5.1 To ensure delivery of quality Ambulance Service and prehospital emergency medical services,
the Board shall determine whether the Authority shall directly provide Ambulance Service or engage a
Page 6
contractor to provide Ambulance Service or any part thereof by way of a request for proposals. The
provider of Ambulance Service, be it the Authority or the Authority's private contractor, shall be required
to provide all such service in each Member Jurisdiction, except for those services exempted in Section 7
of the Uniform EMS Ordinance adopted concurrently herewith.
5.2 Whether the Authority is providing Ambulance Service directly or through a contractor, the
Authority shall:
5.2.1 Set system performance standards for the Service Area and, if a competitively selected
contractor is the operator of the Ambulance Service, enforce compliance therewith through
contractually imposed financial penalties.
5.2.2 Provide each Member Jurisdiction with emergency and non-emergency Advanced Life
Support and Basic Life Support Ambulance Service; such service to comply with all applicable
laws, rules and regulations, and with the clinical standards and credentialing requirements that
EPAB may from time to time promulgate through the Office of the Medical Director.
5.2.3 Fund the Authority's Office of the Medical Director in an amount approved by the Board
that is sufficient to fulfill EPAB's powers and duties.
5.3 If the Authority is providing Ambulance Service directly, the Authority shall provide Member
Jurisdictions' First Responders opportunity to participate in the Authority's continuing education training
without charge to the Member Jurisdictions.
5.4 The Authority is authorized to enter into contracts to provide additional related services that the
Board deems appropriate in its discretion to advance the public health and welfare or financial stability of
the Authority, including without limitation:
5.4.1 Mobile integrated healthcare services ("MIH Services") that are designed to enhance,
coordinate, effectively manage, and integrate out of hospital care, in order to improve outcomes,
enhance an enrolled client's experience of care, and improve the efficiency and effectiveness of
healthcare services provided to the client. MIH Services may include,but are not limited to,patient
education and navigation services that promote patient self-management of disease processes,
injury prevention programs, admission/readmission prevention programs, chronic disease
management, a demand management system, and any other related services; and
5.4.2 Other services related to Ambulance Service, such as 911 nurse triage programs, event
medical standby, nurse or physician-staffed critical transports, or wheel chair or ambulatory non-
emergency transports.
5.5 To fund the Authority's financial obligations and to ensure use of sound business controls and
financial management practices, the Authority shall:
Page 7
5.5.1 Adopt sound business practices and accounting methods, in accordance with generally
accepted accounting standards applicable to independent enterprise agencies, as prescribed by the
Governmental Accounting Standards Board.
5.5.2 Establish and maintain a prudent operating reserve of cash or cash equivalents in an amount
set by the Board in the Authority's Bylaws, which shall be at least three months of operating
capital.
5.5.3 Adopt a fiscal year beginning October 1 st.
5.5.4 Develop and implement a financial management plan designed to ensure long-range
financial stability.
5.5.5 Secure annual audits of the Authority by an independent certified public accounting firm.
5.6 If the Authority is providing Ambulance Service directly, it shall:
5.6.1 Present written reports of the operational performance of the Medical Transportation, MIH,
and prehospital emergency medical service system at meetings of the Board of the Authority and
to make the reports available to Authority members upon request;
5.6.2 For each fiscal year, prepare and provide to each Member Jurisdiction a comprehensive
review and summary of the financial,clinical and operational performance of the Authority during
such fiscal year. This report must be submitted to the Member Jurisdictions no later than 120 days
after the end of the fiscal year;
5.6.3 Upon the written request of a majority of Member Jurisdictions or the request of Member
Jurisdiction(s) whose combined population exceeds 50% of the total population of all Member
Jurisdictions (based on the then-current population estimates reported by the North Central Texas
Council of Governments), provide to each Member Jurisdiction an audit of the clinical and
operational performance of the Authority during the preceding fiscal year prepared by a qualified
and independent third party. This audit must be completed no later than one hundred twenty(120)
days after the date of such written request.
5.7 The Authority shall manage accounts, subscriptions, payments and billing practices related to the
services it provides as follows:
5.7.1 No later than April 30th of each year,the Authority shall prepare and distribute a"Uniform
Schedule of Pricing Options" to each Member Jurisdiction, which options shall range from a zero
level offset with full cost user fees to full-cost annual per capita offsets with zero-level user fees.
No later than June 30th of each year, each Member Jurisdiction shall notify the Authority of that
Member Jurisdiction's selection of an option from the Uniform Schedule of Pricing Options. The
Authority shall set the rate schedule for each Member Jurisdiction according to that Member
Page 8
Jurisdiction's decision and the newly selected option and corresponding rate schedule shall both
be effective as of the first day of the next fiscal year.
5.7.2 The Authority shall bill patients, third-party payors or other responsible parties, and collect
the revenue from such bills, for all services provided.
5.7.3 The Authority shall implement an Ambulance Service subscription program (unless
otherwise prohibited by law) and shall offer memberships in the program to all residents of the
Member Jurisdictions.
5.8 The Authority is authorized to purchase, lease, acquire, accept, own or hold real or personal
property, to operate or maintain the same, to borrow or incur debt in its own name, to accept gifts, grants
or bequests, to insure itself and its Member Jurisdictions for any liabilities which might be incurred
through performance of this Agreement, to contract in its own name and to sue or be sued in its own name;
provided that nothing in this grant of authority shall be construed to waive any immunity otherwise
afforded by law to the Authority and its officers, employees and agents or the Member Jurisdictions or
their officers, employees and agents.
5.9 The Authority shall adopt performance goals and standards for the prehospital emergency medical
services and Medical Transportation system and shall review such goals and standards on at least an annual
basis, acting on recommendations from a system performance task force as described below.
5.9.1 Upon the adoption of this Agreement, the Authority shall convene a task force consisting of
representatives of EPAB, FRAB, and the executive staff of the Authority to develop performance
standards for the entire prehospital emergency medical services and Medical Transportation
system. The proposed standards shall include but not be limited to: reasonable and medically
appropriate response times for the ambulance service; response time goals for First Responders;
call processing time goals for participating communication centers; clinical performance
standards; standards for data collection and sharing; and standards for reporting system
performance. The proposed goals and standards shall be presented to the Board of the Authority
for review and approval.
5.9.2 The task force shall thereafter meet as needed, but no less than on a semi-annual basis, to
review system performance, address any deficiencies, and make appropriate recommendations for
modification of the standards.
5.10 In addition to the powers set forth in this Agreement or the Uniform EMS Ordinance, the
Authority shall have all of the powers allowed or provided by Chapter 791 of the Tex. Government Code,
the "Interlocal Cooperation Act."
5.11 To the extent permitted by law, the Authority shall indemnify and hold harmless EPAB, its
members, and the Medical Director, MIH Associate Medical Director, and Associate Medical Directors
Page 9
from liability for actual damages, including costs and attorney's fees, arising from any claim, lawsuit, or
judgment resulting from their acts or omissions in the scope and course of their office, provided that such
liability arises out of, or in connection with, the provision of prehospital emergency medical services,
Medical Transportation, or MIH services through the Authority; provided that nothing in this Agreement
shall limit or waive any defense or immunity as to claims by third parties that is otherwise available to the
Authority and its officers, employees and agents or to the Member Jurisdictions or their officers,
employees and agents.
ARTICLE VI: EMERGENCY PHYSICIANS ADVISORY BOARD
6.1 EPAB's membership shall be composed as follows:
(a) The Medical Director of the Emergency Department of each full-service hospital located
in the Service Area (or the Medical Director's designee), who must be a physician who has
attained Board Certification in Emergency Medicine or Pediatric Emergency Medicine.
(b) Up to seven (7) additional physicians with currently or formerly active specialties or sub-
specialties of benefit in developing standards for emergency pre-hospital care,all of whom shall
be appointed by and serve at the pleasure of the Tarrant County Medical Society, provided that
the number of physicians appointed by the Medical Society shall not exceed one less than the
number of medical directors with voting rights under paragraph (a) above.
(c) The Authority shall designate a physician member of the Authority's Board to serve as a
voting member of EPAB who is not otherwise a member of EPAB.
6.2 EPAB may elect from among its members an executive committee which shall exercise such
powers and duties of EPAB as are set forth in written by-laws approved by a two-thirds majority vote of
the entire EPAB membership.
6.3 EPAB shall appoint a Medical Director for the Authority who shall be responsible for carrying out
EPAB's duties under this Ordinance and for directing the Office of the Medical Director. The Medical
Director shall be a licensed physician who is board-certified in emergency medicine. The Medical Director
shall serve at the pleasure of EPAB and shall be retained through a contract with the Board of the Authority
that is recommended by EPAB.
6.4 Upon request of the Board of the Authority, EPAB shall appoint an MIH Associate Medical
Director acceptable to the Board who shall, under the direction of the Medical Director, be specifically
responsible for carrying out EPAB's duties under this Ordinance concerning MIH, including overseeing
the clinical aspects of the MIH program in coordination with the medical directors of MIH partners and
with the physicians of clients enrolled in the MIH program - including but not limited to protocol review,
quality assurance, and credentialing of MIH Providers. The MIH Associate Medical Director shall be a
licensed physician who is board-certified in a specialty appropriate to MIH and qualified to give medical
Page 10
direction for the MIH program. The MIH Associate Medical Director shall serve at the pleasure of EPAB
and shall be retained through a contract with the Board that is recommended by EPAB.
6.5 The Medical Director and MIH Associate Medical Director may provide additional services to the
Authority under a written agreement with the Authority.
6.6 The Authority may contract with other Associate Medical Directors appointed by EPAB to assist
the Medical Director in carrying out the Medical Director's duties.
6.7 EPAB shall have the following powers and duties:
(a) To recommend to the Authority medically appropriate performance measures and standards for
the Service Area, including but not limited to standards for equipment on ambulances and First
Responder vehicles in the Service Area;
(b) To establish patient care standards for Medical Transportation,the Authority's MIH program, and
prehospital emergency care;
(c) To develop Medical Protocols for emergency medical service for the Authority and First
Responders and periodically revise the same; and to provide necessary training to the Authority and
First Responders regarding the Medical Protocols;
(d) To provide medical direction to the EMS Communication Center, including quality assurance
and protocol review;
(e) To conduct quality assurance reviews of the delivery of Medical Transportation, MIH, and
prehospital emergency medical service, and to review individual cases as appropriate;
(0 To develop and periodically revise and administer both written and practical tests for the
credentialing of Medical Transportation, MIH, and prehospital emergency medical service personnel
in the Service Area, including ambulance personnel, MIH Providers, First Responders, and EMS
Communication Center personnel; to provide training for purposes of credentialing, and to credential
qualified personnel;
(g) To ensure that EMS Base Station Physicians are knowledgeable concerning the prehospital
emergency medical services and Medical Transportation system, its medical protocols, radio
procedures, and transport protocols, and, at the Medical Director's discretion, to develop a program
for credentialing qualified physicians as EMS Base Station physicians;
(h) At the Medical Director's discretion, to conduct inspections of Authority and First Responder
vehicles, equipment and supplies, on both an announced and unannounced basis;
Page 11
(i) To monitor the clinical performance of the delivery of Medical Transportation, MIH, and
prehospital emergency medical service in the Service Area;
0) To periodically conduct intensive reviews of the Medical Transportation, MIH, and prehospital
emergency medical service system's performance relative to specific clinical modalities and to revise
Medical Protocols and such other standards of the system as may be appropriate in light of the
findings;
(k) To present written and oral reports of the clinical performance of the Medical Transportation,
MIH, and prehospital emergency medical service system at meetings of the Board of the Authority
and to make the written reports available to Authority members upon request;
(1) To approve standards governing the operation of Specialized Mobile Intensive Care units within
the Service Area, including standards limiting the types of Patients which may be transported thereby;
(m) To approve standards governing the operation of Aeromedical Transportation Units within the
Service Area,including standards defining the circumstances under which such units may be deployed
to emergency scenes and, through the OMD;
(n) To credential First Responders, Medical Transportation providers, and ambulance standby
providers.
(o) Subject to the Authority's standard employment policies and procedures and to the OMD's
approved budget, the Medical Director has the sole discretion and authority in all decisions regarding
the hiring and continued assignment of individual Authority employees to the OMD to assist the
Medical Director; provided that the Medical Director may from time to time delegate this authority to
the Executive Director.
(p) To conduct meetings in compliance with Chapter 551 of the Tex. Government Code (the Open
Meetings Act).
6.8 Upon the agreement of EPAB and the Board of the Authority, EPAB may assign its rights and
duties concerning the MIH program to third parties.
6.9 In accordance with the Authority's budgeting cycle, EPAB and the Medical Director shall submit
an annual operating budget to the Authority for approval. The Board shall include funding for the OMD
in its budget in an amount sufficient to carry out the power and duties of the OMD and EPAB. Expenditure
of budgeted OMD funds shall be in accordance with the Authority's policies and procedures. The
Authority shall maintain a separate account for funds belonging to EPAB prior to the enactment of this
Ordinance and those funds shall be expended solely for the purposes set forth in this Ordinance in
accordance with the bylaws and policies of EPAB.
Page 12
ARTICLE VII: FIRST RESPONDERS ADVISORY BOARD
7.1. The First Responder Advisory Board ("FRAB") shall advise the Authority and EPAB on matters
related to first response and prehospital emergency medical services in the Service Area.
7.2 FRAB's membership shall include:
(a) One First Responder agency representative from every Member Jurisdiction.
(b) One non-voting ex-officio member representing the Authority.
7.3 FRAB shall:
(a) Participate with EPAB and the Office of the Medical Director and the executive staff of the
Authority in the development of recommended system performance standards.
(b) Facilitate the collection and reporting of information related to system performance by First
Responders.
(c) Coordinate training and credentialing activities for First Responder personnel with EPAB.
(d) Inform and advise the Board of the Authority regarding issues related to medical first response
in the Service Area.
--------------------------------------------------------------------
Agreed and entered into by the following Member Jurisdictions:
CITY OF BLUE MOUND, TEXAS
Executed on the 1a day of, `�.. -,. 2017 pursuant to an action of the City Council so authorizing;
BY: ATTEST:
Alan hooks, Mayor Kathryn Sanchez,TRMC-City e7fetary
City of Blue Mound, Texas f ,/
Page 13
CITY OF BURLESON, TEXAS
Execute on the day of , 2017 pursuant to an action of the City Council so authorizing;
BY:_ BY:_
C
AMANDA McgRORY ' DALE CHEATHAM
CITY SECRETARY CITY MANAGER
TOWN OF EDGECLIFF VILLAGE, TEXAS
Executed on theVCW%-day of f7 2017 pursuant to an action of the City Council so authorizing;
BY: BY:
VERONICA GAMBO MICKEY RIGNEY
CITY SECRETARY MAYOR
CITY OF FOREST HILL,TEXAS
Executed on the :_day of _, 2017 pursuant to an actioACit il so authorizing;
BY: OTHEL MURPHRE SH I AYE -
CITY SECRETARY CITY ANAG
CITY OF FORT WORTH
By: yV�
Assistant City Manager
ATTEST: FART
' 0
By. City Se a U `_
Page 14
City of Fort Worth Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Name of Employee
�S.SZSiffi✓i f�.P� l��,e��rr�,�
Title
APPROVED AS TO FORM AND LEGALITY:
41� tjo
Assistant City Attorney
CITY OF HALTOM) CITY, TEXAS
Executed on the /-�hday of IVA Y 2017 pursuant to an action of the City Council so authorizing;
BY:
BOB W TKINS, MAYOR PRO TEM
BY:_
KEITH L NE, ANAGER 0A C1
BY:_ /�* I
ART CAMACHO, CITY SECRETARY ( gh
Page 15
CITY OF HASLET, TEXAS
Executed on theJkday of 2017 pursuant to an action of the City Council so authorizing at the
Regular Meeting held February 6, 2017.
BY: `a�� 6 0
BOB GOLDEN, MAYOR
DATE: awe a C. 20 t-
ATTEST:
BY: #Ag _
DIANNA BUCHANAN, CITY SECRETARY
TOWN OF LAKESIDE, TEXAS
ATTEST:
Patrick Jacob Ken East
Mayor Town Attorney
Orman Craven
Town Administrator
CITY OF LAKE WORTH, TEXAS ����"`'4®t1L$ '�.,,
Executed on the ay of N �, 2017 pursuant to an action of the City Coir* s r¢zTrig
e �
s
By:_ _ ATTES .
Stacey ond, City Man er Mon a <o, i y Secretarr@af' 5\�e����
�81GIi131v1
APPROVED AS TO FORM AND LEGALITY:
Dr w Lark n, Cit Attorney
Page 16
CITY OF SAGINAW, TEXAS ,
Executed on theAkday of 2017 pursuant to an action of the City Council so authorizing;
A01A 0
ATTEST: \�\���i�ntiuuruurrrrr
G y Brinks ayor, Jan England, City Secretary +`\" c-,Q,c?iNA�y.T
APPROVED AS TO FORM AND LEGALITY: y o�Q0RATF yN�rt
U v .,• A _
s
Br Meredith, City Attorney �''�.,
fill
CITY OF SANSOM PARK, TEXAS:
Executed on the-"-day of 2017 pursuant to an action of the City Council so authorizing;
t
5 A BY:
WENDY B OCKEF ANGELA NKLE
CITY SECRETARY CITY ADMINISTRATOR
CITY OF WESTOVER HILLS, TEXAS
Executed on the q day of h t , 2017 pursuant to an action of the City Council+ so authorizing;
BY:_ J-9�
St hen L.Tatum, Mayor
ATTEST:
Penny Spike ,Town Secretary
CITY OF WESTWORTH VILLAGE, TEXAS:
Executed on the 2Akday of APA 2017 pursuant to an action of the City Counc;l < U h rizing;
BY- BY.
S EMAN
CITY SECRETARY -ABR
Page 17
CITY OF WHITE SETTLEMENT, TEXAS:
Executed on theZLe of r; 2017 pursuant to an action of the City Council so authorizing;
APPROVED: ATTEST:
l c.
lio
Wald A. White Amy Arn TRMC, CMC
Mayor City Secr ary
CITY OF RIVER OAKS, TEXAS
Executed on the I_4—day of �- �fr� 2017 pursuant to an action of the City Council so authorizing;
Herman Earwoo ayor
ATTEST: �
City Secretary
Page 18
DATES AGREEMENT APPROVED BY JURISDICTIONS
Jurisdiction Date Approved
City of Blue Mound January 16, 2017
City of Burleson February 20, 2017
Town of Edgecliff Village February 16, 2017
City of Forest Hill February 21, 2017
City of Fort Worth February 21, 2017
City of Haltom City March 13, 2017
City of Haslet February 6, 2017
Town of Lakeside March 9, 2017
City of Lake Worth February 14, 2017
City of River Oaks February 28, 2017
City of Saginaw February 21, 2017
City of Sansom Park February 2, 2017
City of Westover Hills February 21, 2017
City of Westworth Village February 14, 2017
City of White Settlement March 14, 2017
EXHIBIT A To RESTATED INTERLOCAL COOPERATIVE AGREEMENT
UNIFORM EMS ORDINANCE
Be it ordained by [name of jurisdiction]:
SEC. 1 STATUTORY AUTHORITY.
This Ordinance is enacted by ("this Jurisdiction"),pursuant to Tex.Health and
Safety Code § 773.051, which provides that local governments may establish standards for
ambulances, and pursuant to Tex. Government Code Chapter 791, which authorizes combinations
of local governmental units to contract for the provision of governmental services, including the
creation of administrative agencies to promote public health and welfare.
SEC. 2 GENERAL PURPOSES AND INTENT OF ORDINANCE.
It is the purpose of this Ordinance:
(a) To establish a regulated prehospital emergency medical services and medical
transportation system which can provide quality clinical care with performance measures
and standards, with the goal of facilitating the best possible outcomes for each patient;
(b) To establish a mobile integrated healthcare program with effective medical direction and
quality assurance and review;
(c) To form an administrative agency to administer and operate the prehospital emergency
medical services and medical transportation system in a service area comprised of member
jurisdictions and to administer and operate the mobile integrated healthcare program;
(d) To designate the administrative agency as the sole-provider of emergency and non-
emergency ambulance service within this jurisdiction to maintain consistent, high-quality
service while controlling costs through efficiencies and economies of scale;
(e) To provide for effective medical direction by establishing a multi jurisdictional emergency
physicians advisory board to advise the administrative agency's board and, through the
agency's office of the medical director, to oversee and regulate all clinical aspects of
prehospital emergency medical services, the administrative agency's mobile integrated
healthcare program, and medical transportation which affect patient care in the service
area; and
(f) To provide for effective coordination and communication between first responder agencies
in the service area, the emergency physicians advisory board, and the board of the
administrative agency by establishing a multi-jurisdictional first responder advisory board.
SEC. 3 DEFINITIONS.
For the purposes of this Ordinance,the following words and phrases shall have the meanings
respectively ascribed to them by this section:
(a) Advanced Life Support. Out-of-hospital care that uses invasive medical acts (as defined
in Tex. Health and Safety Code § 773.003(1).
(b) Aeromedical Transportation Unit. Any rotary or fixed wing aircraft providing basic or
advanced life support services and patient transportation that originates within the Service
Area.
(c) Ambulance Mutual Aid Agreement.A written agreement between the Authority and one
or more entities whereby the signing parties agree to provide backup ambulance service to
one another under the terms and conditions specified in the agreement.
(d) Ambulance Service. The transportation of Patients by emergency or non-emergency
ambulance.
(e) Associate Medical Director. A licensed physician who assists the Medical Director in
carrying out EPAB's duties under this Ordinance through the OMD.
(f) Authority (Metropolitan Area EMS Authority). The public administrative agency,
formerly known as the Area Metropolitan Ambulance Authority, established to administer
and operate the Medical Transportation and prehospital emergency medical services
system and the MIH program established by this Ordinance.
(g) Basic Life Support.Out-of-hospital care that uses noninvasive medical acts(as defined in
§ 773.003(2), Tex. Health and Safety Code).
(h) Board. The Board of Directors of the Authority.
(i) Emergency Care Attendant. A person certified as an"emergency care attendant"under
§ 773.046 of the Tex. Health and Safety Code,
(j) Emergency Medical Technician (EMT). A person certified as an "emergency medical
technician" under § 773.047 or an "advanced emergency medical technician" under §
773.048 of the Tex. Health and Safety Code, and any other class of EMT recognized by
state law or regulation.
(k) EMS Communications Center. The single facility designated by the Authority as the
central communications center from which all services offered by the Authority shall be
dispatched and controlled.
(1) First Responder. Any agency that provides first response to requests for emergency
medical services and, in cooperation with the Ambulance Service, provides immediate on-
scene care to ill or injured persons but does not transport those persons to healthcare
facilities.
(m)Medical Director. The licensed physician appointed by EPAB who is responsible for carrying
out EPAB's duties and for directing the Office of the Medical Director.
(n) Medical Transportation. The transportation of Patients by ambulance, Specialized
Mobile Intensive Care Unit, Specialty Care Transport, or Aeromedical Transportation
Unit, including both emergency and non-emergency transports, where such transportation
originates within the Service Area.
(o) MIH Associate Medical Director. An Associate Medical Director who is specifically
tasked with assisting the Medical Director in overseeing the clinical aspects of the
Authority's MIH program.
(p) Mobile Integrated Healthcare (MIH). Services provided by the Authority that are
designed to enhance, coordinate, effectively manage, and integrate out of hospital care, in
order to improve outcomes, enhance the client's experience of care, and improve the
efficiency and effectiveness of healthcare services provided to the enrolled clients.
(q) Office of Medical Director. The clinical office of the Authority through which EPAB
carries out its rights and duties under this Ordinance. The Office of the Medical Director
is comprised of the Medical Director, the MIH Associate Medical Director and any other
Page 2
Associate Medical Directors, and the employees of the Authority who are assigned to the
Office of the Medical Director to assist the medical directors in carrying out EPAB's rights
and duties under this Ordinance.
(r) Paramedic. A person qualified as a certified or licensed "paramedic" as defined by Tex.
Health and Safety Code Sections 773.049 and 773.0495.
(s) Patient. An individual who is ill, sick, injured, wounded, or otherwise incapacitated, and
in need of or at risk of needing medical care at the scene of a medical emergency or during
transport to or from a healthcare facility.
(t) Person. Any individual, firm, association, partnership, corporation, governmental entity,
or other group, or a combination of the same acting as a unit.
(u) Restated Interlocal Cooperative Agreement. The interlocal contract, as it may be
amended from time to time, adopted by this Jurisdiction concurrently with the passage of
this Ordinance pursuant to Chapter 791 of the Tex. Government Code (the Interlocal
Cooperation Act).
(v) Service Area. That geographical area which is contained within the boundaries of all the
jurisdictions which become members of the Authority by adopting this Uniform EMS
Ordinance and executing the Restated Interlocal Cooperative Agreement.
(w)Special Event. Any public event located within the Service Area for which standby
ambulance service is arranged in advance, and for which an ambulance is hired by the
sponsor of the event or other interested party.
(x) Specialty Care Transport. The transportation of a critically injured or ill patient at a
level of service beyond the scope of the EMT-Paramedic when the patient's condition
requires ongoing care that must be furnished by one or more health professionals in an
appropriate specialty area; for example, emergency or critical care nursing, emergency
medicine, respiratory care, cardiovascular care, or a paramedic with additional training.
(y) Specialized Mobile Intensive Care Unit. A vehicle which is specially constructed,
equipped, staffed, and employed in the inter-facility transport of patients whose
requirements for en route medical support are likely to exceed the clinical capabilities of
an Advanced Life Support ambulance.
SEC. 4 EMERGENCY PHYSICIANS ADVISORY BOARD.
(a) There is hereby created an Emergency Physicians Advisory Board("EPAB")which, acting
through the Office of the Medical Director, shall, on behalf of this Jurisdiction, oversee and
regulate all clinical aspects of Medical Transportation, the Authority's MIH program, and
prehospital emergency medical services in this Jurisdiction, including such services provided by
the Authority and First Responders, and shall exercise independent professional judgment in all
matters related to Patient care.
(b) . EPAB's membership and other matters relating to EPAB shall be set forth in the Restated
Interlocal Cooperative Agreement and in the Bylaws adopted by EPAB.
Page 3
SEC. 5 METROPOLITAN AREA EMS AUTHORITY.
(a) By adopting this Ordinance and executing and approving the Restated Interlocal
Cooperative Agreement, this Jurisdiction has joined the Authority, which shall now be known
as the Metropolitan Area EMS Authority.
(b) The Authority shall have the following powers and duties:
(1) The Authority is hereby designated as the sole provider of Ambulance
Service and Special Event ambulance standby service within this Jurisdiction,
whether directly or indirectly through contractors,pursuant to the terms,conditions
and provisions of the Restated Interlocal Cooperative Agreement, except for those
services exempted by Sec. 7(b) of this Ordinance.
(2) The Authority shall comply with all terms of the Restated Interlocal
Cooperative Agreement and have all the powers and duties enumerated therein.
(3) The Authority is required to provide this Jurisdiction with Basic and
Advanced Life Support Ambulance Service in accordance with system
performance standards and all applicable law, rules and regulations, as well as all
patient care standards that EPAB may from time to time promulgate;
(4) The Authority is authorized to operate an MIH program on a non-exclusive
basis in this Jurisdiction.
(5) The Authority shall enter into a First Responder Agreement with this
Jurisdiction and may issue, suspend, revoke, and renew permits for the delivery of
First Responder services in this Jurisdiction by other agencies, subject to the
credentialing process by EPAB and the Office of the Medical Director and subject
to rights of appeal to the Board.
(6) The Authority shall adopt standards approved by EPAB governing the
operation of Specialized Mobile Intensive Care units and for Specialty Care
Transport within the Service Area,including standards limiting the types of patients
which may be transported thereby, and, subject to the credentialing process by
EPAB and the Office of the Medical Director, may issue, suspend, revoke, and
renew permits for the operation of such units as required by this Ordinance.
(7) The Authority shall adopt standards approved by EPAB governing the
operation of Aeromedical Transportation Units within the Service Area, including
standards defining the circumstances under which such units may be deployed to
emergency scenes and, subject to the credentialing process by EPAB and the Office
of the Medical Director, may issue, suspend, revoke, and renew permits for the
operation of such units as required by this Ordinance.
(8) The Authority shall adopt standards approved by EPAB governing the
provision of Special Event ambulance standby service within the Service Area and,
subject to the credentialing process by EPAB and the Office of the Medical
Director, may issue, suspend, revoke, and renew permits for the provision of such
ambulance standby service.
(c) The Authority Board's membership and other matters relating to the Authority shall be set
forth in the Restated Interlocal Cooperative Agreement and in the Bylaws adopted by the
Authority's Board.
Page 4
SEC. 6. FIRST RESPONDER ADVISORY BOARD.
(a) There is hereby created a First Responder Advisory Board ("FRAB")which shall advise
and inform the Authority and EPAB on matters related to first response and prehospital
emergency medical services in the Service Area.
(b) The FRAB's membership and other matters relating to the board shall be set forth in the
Restated Interlocal Cooperative Agreement and in the Bylaws adopted by the FRAB.
SEC. 7 VIOLATIONS.
(a) It shall be unlawful:
(1) To knowingly give false information to induce the dispatch of an ambulance
or Aeromedical Transportation Unit.
(2) To perform duties as an ECA, EMT, Paramedic or emergency ambulance
dispatcher without current credentials issued by the Office of the Medical Director,
unless participating in a training program approved by Office of the Medical
Director;
(3) To permit a person to work as an ECA, EMT, Paramedic or emergency
ambulance dispatcher without current credentials issued by the Office of the
Medical Director, unless participating in a training program approved by Office of
the Medical Director;
(4) To use,or cause to be used,any ambulance service other than the Authority,
except as permitted in subsection (b) below;
(5) For any person or entity other than the Authority to provide Ambulance
Service within this Jurisdiction, unless pursuant to a written agreement with the
Authority;
(6) For any person to provide Medical Transportation originating in the Service
Area without a permit issued by the Authority;
(7) For any agency to provide First Responder services without a First
Responder permit issued by the Authority, unless pursuant to a First Responder
Agreement with the Authority or a written automatic aid or mutual aid agreement
with this Jurisdiction;
(8) To use an ambulance for the transportation of persons other than in
connection with the transportation of a Patient.
(b) It shall be a defense to any alleged violation of this section that a vehicle is being used or
service is provided solely in any of the following manners:
(1) Asa privately owned vehicle not ordinarily used in the business of transporting
persons who are sick, injured, wounded, incapacitated or helpless;
(2) Rendering service as an ambulance at the request of the EMS Communications
Center upon the declaration of a disaster by this Jurisdiction,the State of Texas, or
the United States; or a declaration of a major catastrophe or extreme system
overload by the Chief Executive Officer of the Authority;
Page 5
(3) Any ambulance owned or operated by the federal or state government;
(4) Ambulance mutual aid calls when rendered pursuant to an Ambulance Mutual
Aid agreement approved by the Authority;
(5) Special Event ambulance standby coverage, so long as such service is provided
without charge by an emergency medical services volunteer provider, as defined in
Tex. Health and Safety Code § 773.003(13), or the Authority has first declined to
provide coverage and the entity providing coverage has been issued a permit by the
Authority;
(6) Wheelchair transport services for persons other than Patients,when the service
is not provided by ambulance; and
(7) Medical Transportation of a Patient where the transport originates outside the
Service Area.
SEC. 8 PENALTIES.
(a) Any person convicted of violating the provisions of Section 7 shall be guilty of a Class C
misdemeanor and shall be punished by a fine not to exceed$500(Tex. Penal Code §.12.23).
(b) This Section does not serve to limit any other remedies available to the Jurisdiction in law
or equity.
(c) Each violation of this Ordinance shall constitute a separate offense.
SEC. 9. TRAFFIC LAWS; EXEMPTION.
When the driver of an emergency medical response vehicle has reasonable grounds to believe that
an emergency exists, as determined by the EMS Communication Center, the vehicle shall be
treated as an "authorized emergency vehicle" within the meaning of Chapter 546 of the Tex.
Transp. Code and shall be exempt from traffic laws as provided therein.
Page 6
M&C Review Page I of 3
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FORTORTII
COUNCIL ACTION: Approved on 2/21/2017-Ordinance No.22613-02-2017
DATE: 2/21/2017 REFERENCE„*C-28120 NAME:LOG 36MEDSTARORDINANCElNTERLOCALAGREEMENT
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Adopt Uniform Emergency Medical Services Ordinance and Authorize Execution of the Restated
Interlocal Cooperative Agreement for Ambulance Services By the Metropolitan Area Emergency
Medical Services Authority d/b/a Medstar(ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council:
1.Adopt the attached Uniform Emergency Medical Services Ordinance; and
2. Authorize the execution of the Restated Interfocal Cooperative Agreement to be entered into with
qualifying local governmental entities for ambulance services to be provided by the Metropolitan Area
Emergency Medical Services Authority d/b/a Medstar, an administrative agency, in substantial form to the
attached Agreement.
DISCUSSION:
In 1988, an administrative agency was created, pursuant to Sec. 791.013 of the Interlocal Cooperation Act
through an interlocal cooperation agreement, called the Area Metropolitan Ambulance Authority d/b/a
Medstar, to ensure the provision of ambulance service to the City of Fort Worth. In December 1998, the City
entered into a Council-approved Restated Emergency Medical Services Interlocal Agreement(M&C C-
17191)to further define the Authority's term of existence, makeup of the Board of Directors, requirements
for Authority membership, financial responsibilities and the Authority's duties and powers. Until 2005,
Medstar provided ambulance service through a contractor, then due to contractor default Medstar took over
the direct operation of the ambulance service.
It is now necessary to update the previous interlocal agreement with a Restated Interlocal Cooperative
Agreement("ILA")and to adopt a new Uniform EMS Ordinance("Ordinance"). Primary terms of the
Ordinance and ILA include:
•A shift to more clearly develop and enhance the original "system" approach to medical
transportation and out of hospital emergency medical services.With this in mind, the Authority Board
has authorized a name change from the"Area Metropolitan Ambulance Authority"to the"Metropolitan Area
EMS Authority" ("MAEMSA").
•The First Responders of member jurisdictions will be fully integrated into the system through the
establishment of a First Responder Advisory Board ("FRAB")that will inform and advise the Authority
Board. The FRAB will also have two ex officio non-voting seats on the Authority Board. The First
Responders will participate in a standing "system performance"task force with the Emergency Physicians
Advisory Board (EPAB) and the Authority's Executive Team. The task force will develop performance goals
and standards for all aspects of the system and make annual recommendations of the same to the
Authority Board. The task force will also continually monitor and address performance improvement
opportunities and make recommendations to modify performance goals where appropriate.
•Additional clarity regarding the relationship between EPAB and the Authority to better reflect recent
changes to the organizational structure agreed upon by EPAB and the Board. EPAB will continue to
exercise medical oversight of medical transportation and prehospital emergency care through the Medical
Director and the Office of the Medical Director, using the Authority's legal authority. The Authority will
directly fund EPAB and the Office of the Medical Director in lieu of the per transport fee used in the past.
The Authority and EPAB will each have a voting member on the other's board.
http://apps.cfwnet.org/council_packet/me_review.asp?ID=24387&councildate=2/21/2017 7/13/2017
M&C Review Page 2 of 3
•The Authority maintains its status as the direct provider of ambulance services but continues to
have the discretion to use a subcontractor should the member jurisdictions so choose through their
representatives on the Authority Board.
•The Authority will continue its current practices that enhance fiscal and operational transparency,
including independent financial audits on a yearly basis. EPAB and the Office of the Medical Director will be
part of the Authority budget and financial reports.
•The member cities continue to have discretion in providing subsidies to the Authority. The subsidy
may be in any amount, with no subsidy as a required option in the Interlocal Agreement.
•The Authority's voting board seats will remain at their current number because that distribution
continues to reflect the population ratio among the member jurisdictions. The Board is empowered to add
additional voting seats in connection with the admission of new member jurisdictions, but only if population
proportionality is maintained. Any other change in voting members requires unanimous member consent.
•The previous provisions requiring capital contributions for joining the Authority have been
removed.A current member jurisdiction withdrawing due to the Authority's failure to provide adequate
service to that jurisdiction (a "for cause"withdrawal)will continue to be entitled to a pro rata share of the net
worth of the Authority, as defined in the revised Interlocal Agreement.
•The Authority will provide mobile integrated healthcare. The Authority is currently providing a number
of programs under this service, including 911 Nurse Triage and Home Health Partnership, and it will
continue to do so.
•The Ordinance continues to carry a penalty of a Class C Misdemeanor for violations
thereof. Under the Ordinance, it is unlawful, among other things, to knowingly give false information to
induce the dispatch of an ambulance or to use or cause to be used any ambulance service other than the
Authority (except in an expressly authorized manner). If found guilty of a Class C Misdemeanor for a
violation as set out in the Ordinance, a person shall be punished by a fine not to exceed $500 per violation.
This contract will be with a governmental entity, state agency or public institution of higher education: Other
local governments.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that approval of the above recommendation will not result in any impact to
the Fiscal Year 2017 Budget.
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
FROM
Fund I Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
Submitted for City Manager's Office
by-Valerie Washington (6199)
Originating Department Head: Rudy Jackson (6801)
http://apps.cfwnet.org/council_packet/mc_review.asp?ID=24387&councildate=2/21/2017 7/13/2017
M&C Review Page 3 of 3
Additional Information Contact: Mark Rauscher(6803)
ATTACHMENTS
Final Interlocal.pdf
Ordinance.docx
http://apps.cfwnet.org/council_packet/mc review.asp?ID=24387&councildate=2/21/2017 7/13/2017