HomeMy WebLinkAboutC.054.93009_0774ADMINISTRATIVE MATTERS
EMS FEES (CONTINUED FROM 12/20/94): Mr. Al Upton, EMS
Director, gave additional information regarding the adjustment of
the EMS fees. At this time he gave three options, which were: (1)
No change. (2) Eliminate oxygen fee and/or mileage charge and
include the cost into the base charge. (3) Establish a Basic
(BLS) charge in addition to the current ALS charge.
Based on 8000 calls a year, it currently costs the county
$238.67 per call, Upton said. Our charges are considerably below
that at $175.00. In order to keep pace with charges Medicaid
allows, the fees have been adjusted. The county will have to
subsidize the fee at a higher rate if the fees are not adjusted.
Only about 1 or 2 percent do not have insurance to cover ambulance
cost. There is a payment plan for those who cannot afford to pay
all the cost at one time.
MOTION from Commissioner Madison to accept Mr. Upton's
recommendation of $225 per trip for the Advanced Life Support
Charge (ALS) (all calls); $125 per trip for out -of -county return
trips with return trip the same day; $20 oxygen fee; and reinstate
the $3 per mile for out -of -county mileage.
Mr. Upton said it takes Medicaid almost a year to recognize
changes in the fee charge.
Commissioner Boone inquired if the charge for a call without
ALS would remain what it is now. Commissioner Madison said there
is no separate charge for BLS.
VOTING: Ayes - 4; Nays - 1 (Boone).
LETTER OF CREDIT REDUCTION - OAK HARBOR (%BB90734): Mr. Lundy
presented this request for a reduction of an irrevocable Letter of
Credit from First Citizens Bank in the amount of $167,840 to
$102,000 with a new expiration date of 12/31/95. H. Edward and
Frances S. Knox have requested a reduction in the original Letter
of Credit. The L/C is to insure completion of street improvements,
utilities, and engineering costs of the project.
NOTION to reduce the Letter of Credit as proposed and
recommended by the planning staff.
VOTING: Ayes - 5; Nays - 0.
CONSIDERATION OF RESOLUTIONS FROM OTHER COUNTIES: There was
no interest in considering any of the resolutions presented.
RESOLUTION FROM DAVID BOONE FOR CONSIDERATION: Mr. Boone
discussed his resolution. He thought the Iredell County
Commissioners should adopt their own goals which are sometime
different from the NCACC. Mr. Boone saidhe tried to frame goals
that would reflect the county commissioners general philosophy and
yet not be specific, because they do not know what bills will be
introduced. NOTION from Commissioner Boone to adopt the
following resolution:
WHEREAS, the people have made it clear that they want lower
taxes and a smaller, less intrusive, less expensive government; and
WHEREAS, the Board of Directors of the N. C. Association of
County Commissioners on November 29, 1994 adopted 55 Legislative
Goals, many of which call for additional spending or the authority
to levy more taxes; and
WHEREAS, we disagree with many of these goals, and feel that
the majority of Iredell citizens would likewise disagree; and
WHEREAS, we believe it proper to adopt Legislative Goals we
AN 319% 155