HomeMy WebLinkAbout(0053) Ordinance - City Council.PDFORDINANCE NO.
AN ORDINANCE AMENDING CHAPTER 5
"AMBULANCES/EMERGENCY MEDICAL SERVICES," OF THE CODE
OF THE CITY OF FORT WORTH, TEXAS (2015), AS AMENDED, BY
REPEALING ARTICLE I "IN GENERAL," ARTICLE II "EMERGENCY
PHYSICIANS ADVISORY BOARD," AND ARTICLE III "AREA
METROPOLITAN AMBULANCE AUTHORITY" AND ENACTING A NEW
ARTICLE I "IN GENERAL," ARTICLE II "BOARDS; THE AUTHORITY,"
AND ARTICLE III "VIOLATIONS; PENALTIES; TRAFFIC LAW
EXEMPTION"; PROVIDING THAT THIS ORDINANCE SHALL BE
CUMULATIVE OF ALL PRIOR ORDINANCES AND REPEAL
CONFLICTING ORDINANCES; PROVIDING FOR A SEVERABILITY
CLAUSE; PROVIDING FOR A SAVINGS CLAUSE; PROVIDING A
PENALTY CLAUSE; PROVIDING FOR PUBLICATION IN THE OFFICIAL
NEWSPAPER OF THE CITY; AND PROVIDING AN EFFECTIVE DATE.
WHEREAS, the City Council of the City of Fort Worth ("City Council") seeks to protect
the public safety, preserve the quality of life, and promote efficiency within the City; and
WHEREAS, it is in the best interests of the public health and welfare of the people of the
City of Fort Worth 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 the City of Fort Worth in order to maximize clinical proficiency, enhance
operational effectiveness, and maximize economies of scale for providing such services; and
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WHEREAS, it is the desire of the City of Fort Worth and the other Member Jurisdictions
to amend and restate the Uniform EMS Ordinance in its entirety as set forth herein to reflect
necessary changes in accordance with the Restated and Amended Interlocal Cooperative
Agreement approved by City Council on even date herewith;
WHEREAS, the City Council finds this Ordinance to be reasonable and necessary;
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF FORT WORTH, TEXAS, THAT:
SECTION 1.
Chapter 5 "Ambulances/Emergency Medical Services" of the Code of the City of Fort
Worth is hereby amended by repealing Article I "In General," Article II "Emergency Physicians
Advisory Board," and Article III "Area Metropolitan Ambulance Authority" and enacting a new
Article I "In General," Article II "Boards; The Authority," and Article III "Violations; Penalties;
Traffic Law Exemption," the text of which shall read as follows:
"ARTICLE I: GENERAL
§ 5-1 STATUTORY AUTHORITY.
This chapter is enacted by the City of Fort Worth ("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.
§ 5-2 GENERAL PURPOSES AND INTENT OF ORDINANCE.
It is the purpose of this Ordinance:
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;
To establish a mobile integrated healthcare program with effective medical
direction and quality assurance and review;
To form an administrative agency to administer and operate the prehospital
emergency medical services and medical transportation system in a service area
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comprised of member jurisdictions and to administer and operate the mobile
integrated healthcare program;
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;
To provide for effective medical direction by establishing a multi jurisdictional
emergency physicians advisory board to advise the administrative agency's board
and to provide independent medical oversight for 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
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.
§ 5-3 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 his or her duties under this Ordinance and the Restated
and Amended Interlocal Cooperative Agreement.
(f) Authority (Metropolitan Area EMS Authority). The public administrative
agency established to administer and operate the Medical Transportation and
prehospital emergency medical services system and the program for MIH (as
hereinafter defined) 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).
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(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 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 retained through a contract with or
employed by the Board who is responsible for carrying out his or her duties under
this Ordinance and the Restated and Amended Interlocal Cooperative Agreement
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) 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.
(p) Office of Medical Director. The clinical office of the Authority through which
the Medical Director carries out his/her rights and duties under this Ordinance and
the Restated and Amended Interlocal Cooperative Agreement. The Office of the
Medical Director is comprised of the Medical Director, and any Associate Medical
Directors, and the employees of the Authority in the Office of the Medical Director
to assist the medical directors in carrying out the Medical Director's rights and
duties under this Ordinance and the Restated and Amended Interlocal Cooperative
Agreement.
(q) Paramedic. A person qualified as a certified or licensed "paramedic" as defined
by Tex. Health and Safety Code Sections 773.049 and 773.0495.
(r) 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.
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(s) Person. Any individual, firm, association, partnership, corporation, governmental
entity, or other group, or a combination of the same acting as a unit.
(t) Restated and Amended 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).
(u) 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 and Amended Interlocal
Cooperative Agreement.
(v) 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.
(w) 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.
(x) 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.
§ 5-4-5-15 Reserved
ARTICLE II: BOARDS; THE AUTHORITY
§ 5-16 EMERGENCY PHYSICANS ADVISORY BOARD
(a) There is hereby created an Emergency Physicians Advisory Board
("EPAB") which shall, on behalf of this Jurisdiction, provide independent medical
oversight for and advise and inform the Authority on 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 and Amended Interlocal Cooperative Agreement and in the Bylaws
adopted by EPAB.
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§ 5-17 METROPOLITAN AREA EMS AUTHORITY
By adopting this Ordinance and executing and approving the Restated and
Amended Interlocal Cooperative Agreement, this Jurisdiction has joined the
Authority, which shall now be known as the Metropolitan Area EMS Authority.
§ 5-18 POWERS AND DUTIES OF METROPOLITAN AREA EMS
AUTHORITY
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 and Amended Interlocal Cooperative
Agreement, except for those services exempted by Section 5-31(b).
(2) The Authority shall comply with all terms of the Restated and Amended
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 the Medical Director 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 the Medical Director and subject to rights of appeal to the
Board.
(6) The Authority shall adopt standards approved by the Medical Director
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 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 the Medical Director
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 the
Office of the Medical Director, may issue, suspend, revoke, and renew permits for
the operation of such units as required by this Ordinance.
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(8) The Authority shall adopt standards approved by the Medical Director
governing the provision of Special Event ambulance standby service within the
Service Area, and, subject to the credentialing process by the Medical Director,
may issue, suspend, revoke, and renew permits for the provision of such
ambulance standby service; provided, however, nothing contained in this Chapter
5 establishes the Authority as the sole provider of non -ambulance standby
emergency medical services, nor shall it limit the authority of the city to regulate,
manage, or govern standby emergency medical services and the provider(s)
thereof.
§ 5-19 MEMBERSHIP OF METROPOLITAN AREA EMS AUTHORITY
The Authority Board's membership and other matters relating to the Authority
shall be set forth in the Restated and Amended Interlocal Cooperative Agreement
and in the Bylaws adopted by the Authority's Board.
§ 5-20 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 and Amended Interlocal Cooperative Agreement and in the
Bylaws adopted by the FRAB.
§ 5-21-5-30 Reserved
ARTICLE III: VIOLATIONS; PENALTIES; TRAFFIC LAW
EXEMPTION
§ 5-31 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
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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) As a 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;
(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.
§ 5-32 PENALTIES.
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(a) Any person convicted of violating the provisions of Section 5-31 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.
§ 5-33 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.
§ 5-34-5-39 Reserved"
SECTION 2.
This ordinance shall be cumulative of all provisions of ordinances of the Code of the City of
Fort Worth, Texas (2015), as amended, except where the provisions of this ordinance are in direct
conflict with the provisions of such ordinances and such Code, in which event conflicting provisions
of such ordinances and such Code are hereby repealed.
SECTION 3.
It is hereby declared to be the intention of the City Council that the phrases, clauses, sentences,
paragraphs and sections of this ordinance are severable, and, if any phrase, clause, sentence, paragraph
or section of this ordinance shall be declared unconstitutional by the valid judgment or decree of any
court of competent jurisdiction, such unconstitutionality shall not affect any of the remaining phrases,
clauses, sentences, paragraphs and sections of this ordinance, since the same would have been enacted
by the City Council without the incorporation in this ordinance of any such unconstitutional phrase,
clause, sentence, paragraph or section.
SECTION 4.
All rights and remedies of the City of Fort Worth, Texas, are expressly saved as to any and
all violations of the provisions of the Code of the City of Fort Worth, or any other ordinances of
the City, that have accrued at the time of the effective date of this ordinance; and, as to such accrued
violations and all pending litigation, both civil and criminal, whether pending in court or not, under
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such ordinances, same shall not be affected by this ordinance, but may be prosecuted until final
disposition by the courts.
SECTION 5.
Any person convicted of violating the provisions of the Code of the City of Fort Worth
Section 5-31 as enacted by this Ordinance shall be guilty of a Class C misdemeanor and shall be
punished by a fine not to exceed $500 (Tex. Penal Code §.12.23). This Section does not serve to
limit any other remedies available to the Jurisdiction in law or equity. Each violation of this
Ordinance shall constitute a separate offense.
SECTION 6.
The City Secretary of the City of Fort Worth, Texas is hereby directed to publish the
caption, penalty clause and effective date of this ordinance for two (2) days in the official
newspaper of the City of Fort Worth, Texas, as authorized by Texas Local Government Code,
Section 52.013.
SECTION 7.
All other provisions of Chapter 5 of the Code of the City of Fort Worth, as amended, shall
remain in full force and effect, save and except as amended by this ordinance.
SECTION 8.
This ordinance shall take effect upon adoption and publication as required by law, and it is
so ordained.
APPROVED AS TO FORM AND LEGALITY: ATTEST:
Assistant City Attorney
Date:
ADOPTED:
EFFECTIVE:
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Mary J. Kayser, City Secretary