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HomeMy WebLinkAbout07-3478 ord4~4 ORDINANCE AMENDMENT - ORDINANCE 07-3478 AN ORDINANCE AMENDING CHAPTER 4, AMBULANCES, OF THE CITY OF PLAINVIEW CODE OF ORDINANCES; CUMULATIVENESS CLAUSE; CONFLICTS CLAUSE; SEVERABILITY CLAUSE; AND EFFECTIVE DATE. WHEREAS, the City of Plainview, Texas, by and through its City Council, has the authority to govern and regulate the permitted uses of its streets and public ways; and WHEREAS, the City of Plainview, Texas has the right, duty and obligation to protect and regulate ambulance services occurring within its corporate limits, as such are governmental functions of as set forth in V.A.T.S., Civil Practice and Remedies Code § 101.0215(2); and WHEREAS, the City Council finds that such regulations have been designed to lessen congestion by emergency vehicles on the public streets and to secure safety to pedestrians and vehicles using the public streets and thoroughfares, such regulations are necessary to protect health, life and property; and WHEREAS, the City Council further finds that such regulations apply to all providers of ambulances as a whole operating for hire under emergency conditions, or otherwise, on the streets and public thoroughfares in such a manner as to minimize the hazards and dangers inherent in the operations of ambulances under emergency conditions; and WHEREAS, the City Council also determines that such regulations be adopted to preserve and enforce the health, safety, welfare, and the security of the City and its citizens; and WHEREAS, the City Council has determined after reviewing and hearing the evidence that Chapter 4 will be amended to increase the schedule of rates; and WHEREAS, the City Council has determined that changes should be made to the requirements for ambulance permits within the City of Plainview, Texas to provide for the public health, safety, and general welfare of its citizens; and WHEREAS, the City Council finds that it would not be detrimental or injurious to public health, safety or general welfare of the citizens of the City of Plainview, Hale County, Texas. NOW, THEREFORE, the City of Plainview Hereby Ordains That: Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 1 of 14 465 SECTION I Chapter 4, Ambulances, Article I, General Provisions, is hereby amended as follows: Sec. 4-1. Ambulances, response. The driver or operator, as the term is defined in Section 4-14, of an ambulance, other than a city EMS vehicle, shall not respond to any call to pick up an ill, injured or dead person in any public street, public alley or public park except in compliance with the terms of a fr~~„s~ ermit granted by the city council. (Ord. No. 88-2738, § 4-1, 1- 26-88) SECTION II Chapter 4, Ambulances, Article II, Emergency Medical Services, is hereby amended as follows: Sec.4-11. Generally. (a) The Plainview Fire Department shall provide emergency medical services within the city. This department shall provide "basic life services" and "advanced life services". (b) Fees for such services shall be as follows: (1) Basic Life Support $ ~2~-99 250.00 (2) Basic Life Support $ 350.00 (Emergency) (3) Advanced Life Support-1 $ 2:99 350.00 (4) Advanced Life Support-1 $ 499:-99 450.00 (Emergency) (5) Advanced Life Support-2 $ x:99 soo.aa (6) Specialty Care Transport (SCT) $ 700.00 (7) Mileage $ 9:-99/~ile 9.50/mile (8) Waiting Time $ 50.00/1/2 hour (9) Extra Attendant $125.00 (10) Non-Resident Fee $100.00 (11) Medical Attention Only $125.00 (12) First Response / no transport $125.00 (13) Supplies and Medical Procedures Varies at recommended rates (14} Oxygen 75.00 (c) The city emergency medical services departmen t and operations shall conform and comply with any and all applicable federal and state law. Minimum equipment and personnel standards shall be established by the Texas Department of State Health Services and the area Medical Director. (Ord. No. 87-2731, 11-24-87; Ord. No. 88-2738, § Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 2 of 14 466 4-4, 1-26-88; Ord. No. 92-2896, 1-28-92; Ord. No. 93-2964, 8-10-93; Ord. 00-3273, 11-14- 00; Ord 02-3342, 9-10-02). Sec. 4-14. Private service emergency medical services. (a) It shall be unlawful for any person, including the holder of the transfer service #l~as#~+se ep rmit, or anyone other than a member of the Plainview Fire Department emergency medical services department officially on duty, or an agency of the United States, to furnish, operate, conduct, maintain, advertise for, or otherwise be engaged or profess to be engaged in the operation of an emergency ambulance or the providing of emergency service upon the streets of the city except in the following circumstances: (1) It shall not be unlawful for a person operating a transfer ambulance ' with a city permit, upon responding to a direct call for non-emergency conditions, to use emergency equipment after notifying the central dispatcher and receiving permission to make an emergency run, when a determination is made by the transfer ambulance attendant that an emergency exists requiring the sick or injured person to be transported with all practical speed to a hospital. (2) It shall not be unlawful for any person operating a transfer ambulance ' with a city permit., who is performing the service of maintaining an ambulance at a particular location for a sporting event, to operate such ambulance under emergency conditions, using emergency equipment, after notifying the central dispatcher and receiving permission to make an emergency run, when a determination is made by the transfer ambulance attendant that an emergency exists requiring the sick or injured person to be transported with all practical speed to a hospital. (3) It shall not be unlawful for any person to operated an emergency ambulance to a hospital within the city, if the place of emergency at which the sick or injured person was picked up by the ambulance is outside the city limits and the ambulance making the emergency run is licensed and operated in accordance with all applicable state laws. On each emergency run into the city, ambulance personnel must notify the central dispatcher and receive permission to make an emergency run, unless otherwise notified by the fire chief of the Plainview Fire Department EMS. (4) It shall not be unlawful for any person to operate a transfer ambulance ' with a city permit on an emergency run when Plainview Fire Department EMS ambulances are not available, and the central dispatcher requests the eper operator furnish backup emergency ambulance service for the Plainview Fire Department EMS. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 3 of 14 467 (b) The transfer service #~;afls#~ise with a city permit shall be subject to revocation if it is found that the holder of said fr^, a,,o~„~ ep rmit or any company, service, or corporation that the holder is affiliated or in partnership with is duplicating emergency service in areas outside the city, in which the city is under contract to provide such service. If the transfer #l+se ambulance holder of said permit receives an emergency call from any source to respond either in the city or these areas under contract with the city, fr^~h,~c permittee shall immediately notify the EMS communication center and shall not respond unless requested to do so by the emergency medical service department dispatcher. Duplication of emergency service is responding without the request of the dispatcher to the same call as a city emergency medical services department unit. (Ord. No. 88-2738, §4-7, 1-26-88) SECTION III Chapter 4, Ambulances, Article III, Private Transfer Ambulance Service, is hereby amended as follows: Sec. 4-22. ~r,~~e Permit required. It is unlawful for any person, firm, corporation or operator to engage in furnishing a transfer service by operating, driving or causing to be operated or driven a transfer ambulance vehicle upon the public streets of the city without first having obtained a ep rmit in accord with the terms and provisions of this article. (Ord. No. 88-2738, § 4-9, 1-26-88) Sec. 4-23. €~a-r~~+se Permit application; contents. (a) Application fora #raesh+se ep rmit shall be filed with the city secretary upon the form furnished by the city secretary. Such application shall be subscribed and sworn to before a notary public. The applicant shall furnish the following information: ~~- The name, and address of the owner or operator of the ambulance service. E~ ^nh ~r^ncfor ~iohinlo• ~v~n rrp7i.,, v. . vrc., ~) The names and addresses of the true owners of the transfer ambulance service and, if the business is a corporation the names and addresses of the corporate officers. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 4 of 14 468 ~) A statement from the city tax assessor-collector that all city taxes on the permit applicant's property both real and personal to be used in the business are current. choir n~ irren~ con}o .,f Tov~c ronic•tr~~ c~.~~i is ~ni-1 choir rl~fo .,f A statement that the applicant has obtained liability insurance in accordance with the requirements provided by this article before commencing service. pr~~f of C~~+~o n{o}~~ ir~cnor~i~n c~inLor fr,r oonh ~iohinlo L5) A statement of the number of vehicles which the applicant proposes to operate and the make model, and vehicle identification number of each transfer vehicle, with a minimum of two (2) units. Proof that the applicant has been issued a permit by the state board of health and pursuant to authorization of Texas Health and Safety Code Section 773.041 (Vernon's 2003) must be shown. No emergency ambulance permit will be issued unless the applicant has obtained such a permit. Also the City requires proof that the ambulance service is in__compliance with all requirements of the area Medical Director. ~7) Each ambulance shall be staffed with no fewer than two (2) persons. At the minimum one person shall be certified at the level of Emergency Medical Technician and/or Emergency Medical. Technician-Intermediate and one person shall be certified or licensed at the level of Emergency Medical Technician-Paramedic by the Texas Department of State Health Services. A list of persons who will act as ambulance attendants and drivers, their current- -State of Texas registry status and their date of employment must be submitted. Proof of State safety inspection sticker for each vehicle. (9~ All mortar vehicles used for the purpose of providing ambulance service hereunder shall be in compliance with the Texas Health and Safety Code and rules promulgated by the Texas Department of State Health Services. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 5 of 14 469 10) Applicant shall attach to the application a current financial statement 11 A schedule of rates charges and fees to be charged by the applicant for the transfer ambulance service. (b) Copies of each application for ambulance service shall be forwarded to the city manager, or his/her designate, and he/she shall review applications for ambulance service and make recommendations to the city council. (c) Any person who gives false information regarding any statements made in subsection (a) of this section, shall be guilty of a Class C misdemeanor and subject to punitive measures, which may include suspension or revocation of any fr~n~~nrhi~c ermlt granted. (Ord. No. 88-2738, § 4-10, 1-28-88; Ord. No. 00-3273, 11-14-00) Sec. 4-24. ~r~,~ Permit Fees. Every applicant for a transfer ambulance operator's permit shall pay to the City of Plainview the following nonrefundable fees upon the filing of the application with the city secretary: (a) An annual permit fee of two hundred dollars ($200.00), which fee shall entitle a fr~?cpermit holder meeting the requirements of this e~ia~ter-Article and state law to operate a transfer ambulance service for a period of ~ one (1) year from the issuance date of t#° fr~~~ a permit. T!;e frunnhico ~,,,on~o permits shall be prominently displayed at the frt`}~ ep rmit holder's principal place of business within the city. (b) In addition to the annual permit fee required to be paid to the city as set forth in this section, each applicant for a transfer ambulance operator's permit shall pay to the city an annual inspection fee of ten dollars ($10.00) for each ambulance vehicle operated or to be operated by the fra~s~+~.~-"r~~ applicant. sa+d +r}s~est+er} This inspection fee is assessed to defray part of the certification and inspection costs by the city under this sl~apter Article. This fee may be waived by the Ccity ~4manager or his/her designee upon review. (Ord. No. 88-2738, § 4-11, 1-26-88; Ord. No. 00-3273, 11-14-00) Sec. 4-25. Permit application; review hearing_ (a~ Upon application for a permit, the City Council will set the time for a public hearing and receive evidence as to whether clear and convincing evidence shows that the community has a need for additional services and current services within the City and the community will not be adversely affected The applicant shall not be granted a permit unless the City Council finds and determines that the public convenience and necessity will be served by the issuance of such permit. The City Council shall also have the right to call any witnesses that may be deemed necessary or appropriate to determine whether the Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 6 of 14 470 applicant is qualified to render good services and has or will have sufficient equipment of suitable type and condition as well as any other relevant facts bearing on whether the additional services are needed and in the interest of the public as a whole. (b) In all hearings the burden of proof shall be upon the applicants to establish by clear and convincing evidence that a need in the community exists for their services. (Ord. No. 88-2738, § 4-12, 1-26-88, Ord No. 04-3436, §12, 11-04-04) Sec. 4-26. Insurance. /01 _ P_ I~~ inlo h~+ll ho nn~;~~,~_~o n~ ~hlin c+roo+~ r+f +ho ~i+v ~ ~nlocc +ha ~"./ e of +hic con+inn ja) No ambulance shall be operated in the City unless there is at all times in full force and effect insurance coverage as follows: (~ Commercial General Liability: Coverage for claims for damages because of bodily injury, sickness or disease or death of any person other than ambulance service provider's employees, claims insured by usual bodily injury liability coverages, and claims for damages because of injuries to or destruction of tangible property, including loss of use resulting therefrom in an amount of not less than One. Million and No/100 Dollars ($1,000,000.00) per occurrence; (2} Automobile Liability: Coverage for claims for damages resulting from an automobile accident resulting in property damage and/or personal injury or death in an amount not less than One Million and No/100 Dollars ($1,000,000.00) per occurrence; ~3} Professional Liability: Coverage for claims for damages resulting from. professional malpractice liability in an amount of not less than One Million and No/100 Dollars ($1,000,000.00) per occurrence;, +tiT o +orm of +ha frr±nnhicn liohili+~i inci ~r~nna I~Jn~~h.~^-n , ., +r nc~n+ h~ ~cino c in Tovr+ r+nrJ ~nnrnvoi-1 by fr~nrhic {~}(b) Such insurance policy shall not contain a passenger liability exclusion. (c) Every insurance policy required shall extend for the duration of the ambulance service operation and the insurance policy shall contain a provision obligating the insurer to give not less than thirty (30) days written notice to the City and the fire chief prior to the Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 7 of 14 471 date of any reduction or cancellation of that polite ~[~i) E~rh Ii~h~G+~ inc~ m.~.n~o N~linv c,h~ll n~n~~ir, .~+ nrwi inn nhlinr+~inn Oho in ~ Frei-J } ~liy~?-th2rit~~srsrr~+~r.~`,.,,-i++o., nntiw of n~nnollo~inn ~r ro~~ ~n}inri nn~ to }h.~r~ }ors r1~.v r~ri~r (d) No emergency ambulance operator's permit will be issued until such insurance is in effect and a certificate of insurance has been filed with the application. (Ord No. 88-2738, §4-13, 1-26-88; Ord No. 00-3273, 11-14-00) Section 4-27. Attendants and drivers, requirements. (a) Attendants employed with an ambulance service must be currently certified with the Texas Registry of the Texas Department of State Health Services, Emergency Medical Services Division, as an Emergency Medical Technician, EMT-I (Intermediate), EMT - P (Paramedic), or EMT-LP (Licensed Paramedic), Each transfer ambulance shall be staffed with at least one (1) paramedic at all times. (b) Attendants and drivers employed with an ambulance service must meet atl minimal State and Federal requirements, Medical Control requirements, and: (1) No later than six months from the date of employment, must provide evidence showing completion of the National Safety Council approved defensive driving course or comparable driver safety course approved by the city. An extension may be granted by the city m#tanager or his/her designee; (2) Possess a license valid to operate an emergency vehicle and transfer ambulance in the state; and (3) When asked by the city mA~4anager or designee, aAmbulance service will be able to provide proof that any or all employees are free of communicable diseases and are physically capable of performing the required duties. Ambulance service will also be able to provide, {upon request by cGity mAAanager or designee, proof that employee(s) have immunity to the following diseases by immunization or, when applicable, by the history of prior infection: (A) Rubella (German Measles) (D) Hepatitis B (B) Red Measles (E) Tetanus-Diphtheria (C) Mumps EMS personnel shall be tested for tuberculosis annually (semi-annually preferred) unless seat~+stert required by State law to test more Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 8 of 14 472 frequently. Positive reactors should be referred to the public health authorities for appropriate follow-up. (Ord. No. 88-2738, § 4-14, 1-26-88; Ord. No. 00-3273, 11-14-00) Section 4-28(d). (d) Ambulance service operators, their agents, or their employees, shall not hold out to the public in any manner that their personnel are trained emergency medical technicians or paramedics unless they have been so certified or licensed by the Texas Department of State Health Services Emergency Services Medical Division. Section 4-29. (c) Each ambulance shall sari , the be licensed to carlythe required equipment and staff for MICU (Mobile Intensive Care Unit}. (d) If the city manager orhis/her authorized representative has reasonable cause to believe that there exists any ambulance containing any condition or code violation which makes such ambulance unsafe, dangerous or hazardous, the city manager or his/her authorized representative may, after proper request has been made, inspect and examine the ambulance pursuant to this chapter. Tho '+if~i mon~~or_ r'~Trl~~l-tc.-i ~cr r~~e~e~f~~e1-itUt~e m•~~i ~hon rliron4 ~ The cit~manager or his/her authorized representative may then direct such ambulances to proceed to a specified (ovation for further inspection. An ambulance that does not meet the inspection requirements will immediately be taken out of service and replaced by another company ambulance that is compliant. Transfer ambulance that failed inspection may be put back into service after corrections have been made and evidence of such has been presented to the city manager or his/her designee.. (f) Each unit shall be equipped with atwo-way radio which transmits and receives on frequencies designated for use by the Federal Communications Commission (F_CC~ between each vehicle and dispatch Radio communications to and from such transfer ambulance vehicles shall be the sole responsibility and expense of the operator. In addition each transfer ambulance vehicle shall have capability to communicate with hospitals and other emergency services from their ambulance units. Section 4-30. Reprimandx suspension or revocation of permit [~+\ Cvor~i fr.~nnhico icc„od ~ mrlor chic ..... .. +H ~+ .~ ~Q'G }1T~TC i c, / Te~PT~A'r'f~ RIrJ Pi',~~ Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 9 of 14 473 n '~ (a} The city manager andfor his designee steal[ investigate every written complaint filed with his office which complaint alleges that the pem~it holder has committed a violation of the grounds set forth below for reprimand suspension or revocation of a permit issued ~b~ Any one of the following items shall be grounds far reprimand suspension or revocation of a permit issued under this Article: E~} Operating a transfer ambulance vehicle upon the City of Plainview's streets when such vehicle has not met the inspection requirements of this Article. (2) Charging a fee for services rendered that is in excess of the schedule of rates, charges and fees filed by the permit balder with the city secretary under this Article. (3) Failing to conspicuously post within every transfer ambulance vehicle Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 10 of 14 474 a. A copy of the schedule of rates and fees for services on file with the city secretary; and b. The inspection certificate required under this Article. (4) Failure to properly maintain every transfer ambulance vehicle so that it is free of mechanical defects and suitable for transportation of patients from the standpoint of health, sanitation, and safety. (5} Failure to maintain and have available for duty during the operation hours of the business conducted by permit holder a minimum of two (2} transfer ambulance vehicles as required by this Article. (6) Operating a transfer ambulance vehicle as an emergency service vehicle when not authorized to do so in accordance with the terms of this Article. (7) Failure to comply with any of the terms and conditions of this Article, or has willfully or knowingly violated any of the provisions of such Article. (8} Conviction of the permit holder of a felony or any criminal offense involving moral turpitude; (9} Conviction of a driver of driving while under the influence of alcohol andfor illegal drops or of a driver or attendant of public intoxication. (10}Cancellation withdrawal or termination of insurance required by this Article. (11}Other good cause exists and public convenience and necessity is no longer served by the permit. ~c } If the city manager finds that grounds for reprimand suspension or revocation da in fact exist he shall reprimand the permit holder in writing suspend the permit for a period not to exceed ninety (90} days or revoke the permit as the facts of each case warrant. (d) in each case where a permit is suspended or revoked such facts shall be communicated in writing to the permit holder by certified mail return receipt requested, and shall set forth the basis for the action taken by the city manager and/or his designee. fie} In each case where a permit is suspended or revoked the permit holder shall have a period of ten (10) days from receipt of the notice of such action to appeal the suspension or revocation of the permit to the City Council. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 11 of 14 475 Section 4-31. Rates. e~+~aaee- The term of the permit granted by_this Article shall be renewable annually. A schedule of rates, charges and fees for services will be filed by the permit holder Additionally the transfer ambulance service will conspicuously post within every transfer ambulance vehicle the following: (1 } a copy of the schedule of rates and fees for services on file with the city secretaN' and (2) the inspection certificate required by this Article This permit renewal will be determined by the city manager or his/her designee after reviewing all necessary information as required in this Article. Said term is subiect to the rovisions of this Article and as amended. (Ord No. 88-2738, §4-18, 1-26-88) Section 4-33. Duty of care; use of red lights and sirens speed. (a) The emergencv ambulance operator has the duty to operate the vehicle with appropriate regard for the safety of all persons. This Chapter does not relieve the operator of an authorized emergencv ambulance from the consequences of reckless disregard for the safety of others. b} It shall be unlawful to operate or drive_an emergencv ambulance on the City's public streets in excess of the speed limits applicable to nonemergency vehicles unless the driver has notified the public safety communication center of the necessity of such action Notification shall be by telephone to the 911 operator and shall include the driver's identification, the ambulance service, and the origin and destination of the service request c_}The use of sirens or flashing emergency light_supon the Gity public streets shall be unlawful unless an emergency situation requires use of lights and sirens and the public communication center has been notified prior to activation of said lights and sirens Notification shall meet standards in subsection (B} above fd} It shall be unlawful to operate an emergencv ambulance more than ten (101 miles per hour in excess of the posted speed limit. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 12 of 14 476 Section 4-34. Permit Term and Renewal. (aZ When the requirements of this Article have been completed, the city secretary shall issue to applicant a transfer ambulance operator's permit which permit shall expire one (1~ year from the issuance date. fib} A transfer ambulance operator's permit may be renewed by the holder of such permit provided said holder follows the same procedure for such renewal permit as set forth in this Article to obtain the initial permit and such renewal app{ication is filed forty-five (45} days prior to the expiration of the existing permit. Section 4-35. Other State Laws and Regulations. No portion of this Chapter shall be construed in a manner inconsistent with state laws and regulations includingbut not limited to Texas Health and Safety Code, Chapter 773 and any other relevant state and federal law. SECTION IV Provisions of this Ordinance are cumulative and nothing herein shall prevent, alter, or diminish the applicability or enforcement of other ordinances restricting, regulating or governing the subject matter herein. SECTION V All ordinances or portions of any ordinance of the City of Plainview, Texas in conflict herewith, are hereby amended to conform with the provisions hereof. SECTION VI Should any section, subsection, or any portion hereof be deemed invalid for any reason, such holding shall not render or invalidate any other section, subsection, sentence, provision, clause, phrase or word severable therefrom and the same shall be deemed severable for this purpose. SECTION VII This ordinance shall be in full force and effect upon its passage and publication as required by law. PASSED AND APPROVED on first reading this 24th day of April, 2007. Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 13 of 14 477 PASSED AND APPROVED on second reading this ATTEST: Belinda Hinojosa, City Secr ary APPROVED,/~S TO CONTENT: .~,,~ ~ G Ire Chief APPROVED AS TO FORM: Leslie pear Pearce, ty Attorney 1 ay of May, 2007. hn C. Anders ,Mayor Ordinance No. 07-3478 Amendment Ordinance to Ambulances Page 14 of 14