Town of Stratford, CT
Fairfield County
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Table of Contents
Table of Contents
[HISTORY: Adopted by the Town Council of the Town of Stratford 5-29-2003 by Ord. No. 03-04. Amendments noted where applicable.]
GENERAL REFERENCES
Volunteer fire companies — See Ch. 38.
A. 
The Town is committed to meeting its responsibility for providing the best in emergency medical services to its citizens and visitors 24 hours a day, 365 days a year. The Town intends to provide this service at the lowest possible cost to our taxpayers. That goal may only be realized by the implementation of a billing policy and procedure that will result in charging a fee for emergency medical services provided through Stratford Emergency Medical Service (EMS) or any other provider used under a mutual aid agreement. The purpose underlying this chapter is to relieve the annual budget of the cost associated with the delivery of emergency medical services and to provide emergency medical services as required while continuing to preserve, support, and enhance the volunteer EMS system.
B. 
It is the intent of the Town Council that the costs (expenses, including depreciation) of providing EMS services to the Town of Stratford users shall be recovered primarily through user charges.
[Amended 3-12-2007 by Ord. No. 07-03]
The Town will charge a fee, as set by the State of Connecticut Office of E.M.S., for providing emergency medical transportation of patients to area hospitals in accordance with all applicable state and federal laws and regulations. The Mayor is authorized to secure all appropriate approvals from the State of Connecticut Office of E.M.S. The Mayor is also authorized to implement the billing policies described herein as efficiently as possible. The Mayor shall be required to issue a request for proposals to solicit bids from appropriate billing service providers. Those proposals must be presented to the Town Council for selection of a firm and separate authorization to enter into a contract.
A. 
The Town is authorized to render a bill to the patient's private insurance provider, Medicare, Medicaid, any supplemental policies held by the patient, and any other private or government assistance program that the patient may be eligible for.
B. 
Payments received from the above sources to the extent of their insurance coverage, on behalf of Town residents or employees of taxpaying businesses who need emergency ambulance transportation while working on the business premises (collectively referred to as "residents"), shall be considered payment-in-full and the Town will treat appropriations made to EMS from local tax revenue as payment of any otherwise applicable copayments and deductible due from the residents. Residents or taxpayers shall not be held liable for copays or any charges not covered by the above sources.
C. 
An industry-accepted collection procedure shall be utilized to collect all amounts due from patients who fail to meet the resident criteria of the Town.
D. 
Decisions regarding residency or taxpayer status shall be made by the Finance and Claims Committee upon receipt of a claim for payment of invoices received or reimbursement of charges paid.
[Amended 3-12-2007 by Ord. No. 07-03]
An E.M.S. Enterprise Fund is hereby created to receive all revenue derived under this chapter. The Mayor shall issue a monthly report to the Town Council and to the EMS Committee established herein detailing the amount of funds on deposit, rate of return on investments, monthly billing, year-to-date billing, monthly revenue, year-to-date revenue, and all expenditures from the Fund. Said Fund shall be held, managed and administered under the supervision of the Finance Director.
A. 
Establishment. A nine-member committee is hereby established and authorized to recommend, to the Town Council for approval and adoption specific expenditures from the EMS Enterprise Fund. Member's terms shall be concurrent with the Town Council and shall conduct all meetings in accordance with state law, and Robert's Rules of Order.
B. 
Responsibilities.
(1) 
To develop and activate a long-range capital improvement/capital equipment plan that will satisfy the needs of providing emergency medical services for the Town.
(2) 
To develop, in conjunction with the Town administration, an EMS department operating budget for recommendation to the Town Council.
(3) 
To annually review the emergency medical transport fee structure in conjunction with the State of Connecticut statutes pertaining to ambulance fees, for recommending changes to the fee structure to the Town Council.
(4) 
To review requests for funding that were not included in the adopted budget and refer requests to the Town Council with a recommended action.
C. 
Membership.
(1) 
Two Council members appointed by the Town Council which cannot be from the same political party, one of whom shall be designated as the Committee Chairman.
(2) 
Five active volunteer members of Stratford EMS to be appointed by the Town Council upon recommendation by the majority vote of all active volunteer members of Stratford EMS, such a vote to be conducted by the Board of Directors of the Stratford Volunteer EMS Association Incorporated.
[Amended 11-10-2008 by Ord. No. 08-10]
(3) 
Two members of the Stratford Fire Department, to be appointed by the Town Council upon recommendation of the President of the IAFF Local 998.
(4) 
The Mayor, or his/her designee, shall be a nonvoting member.
[Amended 3-12-2007 by Ord. No. 07-03]
A. 
The EMS Enterprise Fund Committee is hereby authorized to expend monies from the Fund to support the operation of EMS and the delivery of emergency medical services to those individuals requiring such services. Allowable expenditures will include any costs that this Committee deems beneficial to patient care including, but not limited to, EMS payroll, daily operating costs, capital equipment, EMS headquarters acquisition and/or maintenance, EMS volunteer training, uniforms, EMS volunteer benefits, volunteer recruitment and retention, administrative costs related to the Fund.
B. 
EMS Enterprise Fund monies shall not be used to fund any wages or benefits of paid Town employees in any departments other than EMS.
A. 
The E.M.S. Enterprise Fund Committee shall present a budget of all proposed expenditures and estimated revenues to the Mayor in accordance with the normal budget calendar provided by the Mayor's office. The Mayor will include the EMS Enterprise Fund budget in his proposed budget for Town Council approval and adoption.
[Amended 11-10-2008 by Ord. No. 08-10]
B. 
The Committee shall allocate funds according to the following priorities:
(1) 
EMS personnel, equipment, supplies, vehicles, training, volunteer benefits.
(2) 
Capital equipment.
(3) 
Capital improvement.
(4) 
Appropriation, not to exceed $15,000 annually, to the Stratford Volunteer EMS Association Inc. in lieu of contracted fundraising.
(5) 
Reserve fund.
(a) 
All surplus revenues will be placed into a reserve fund.
(b) 
The reserve fund may be utilized for budgeting purposes in future years.
(c) 
The reserve fund shall be capped at $5,000,000.
(d) 
The amount of the surplus that exceeds the cap shall be turned over to the Town's tax relief fund.
The enactment of this chapter hereby repeals Article IV, §§ 7-12 and 7-13 of the Stratford Town Code, and the current EMS donations account shall be maintained separately with the existing petition process for funding requests continued. The EMS Enterprise Fund Committee established herein shall take over the responsibilities of reviewing those requests and making a recommendation to the Town Council for approval.