Ceoli Jacoby
The Frederick News-Post, Md.
(TNS)
The Frederick County Council on Tuesday voted to raise ambulance transport fees by 12% in an effort to offset the increased costs of medical services since rates were last adjusted in 2008.
Under the current fee schedule, the flat rate for one ambulance ride with basic life support is $420. The flat rate for lower-level advanced life support is $600, while the flat rate for higher-level advanced life support is $700.
The current fee schedule also includes a per-mile transport fee of $10.
Under the new fee schedule, which will take effect on Jan. 1, 2025, the flat rate for basic life support will increase to $470. The flat rate for lower-level advanced life support will be $672 and the flat rate for higher-level advanced life support will be $784.
The per-mile transport fee will also increase to $11 per mile.
Tom Coe, the director of the county’s Division of Fire and Rescue Services, told the council during a Sept. 3 meeting that the county uses a “soft billing” approach when collecting ambulance transport fees.
That approach entails trying to recoup the cost of a hospital trip from the insurance company of the patient who was transported, rather than from the patient themselves.
“We do send a notice if something is not covered by the insurance company to the patient, but if nothing is paid, the request for repayment stops there,” Coe said on Sept. 3. “It goes no farther, thus the soft portion of soft billing.”
The council on Tuesday voted 5-1 to adopt the new fee schedule, with Councilmembers Brad Young, Kavonté Duckett, Renee Knapp, Jerry Donald and M.C. Keegan-Ayer in the majority.
Councilmember Mason Carter was opposed to the new fee schedule. Councilmember Steve McKay was absent.
In an interview after the council meeting, Carter said he voted against the measure because it “speaks to a trend we’re seeing in Frederick County of raising every tax and fee we have.”
According to a staff report submitted along with the measure, the new ambulance transport fee schedule is expected to generate an additional $760,000 in gross revenue annually for Frederick County.
Coe has said the fee schedule update is necessary because rates have stayed stagnant for years while the level of care provided on ambulances, the cost of equipment and the volume of calls for service have all increased.
Even the new fees will not fully offset the cost to the county for ambulance transport — the average total cost per trip to the hospital is about $1,700, according to the staff report.
During the Sept. 3 meeting, Coe told the council that revenues from the fee are split between county- and volunteer-operated fire stations based on the percentage of transports they perform.
Coe said the revenues brought in by county-operated fire stations go toward the county’s general fund.
The revenues brought in by volunteer-operated stations are earmarked to cover expenses such as EMS vehicles, medical equipment and training at those particular stations, he said.
“It has been since 2008 since we’ve evaluated this, and our service has evolved very much,” Coe said. “This is just to try to continue to offset the burden to the taxpayer.”
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