Clark County - File #: 24-1135

• File #: 24-1135
• Status: Agenda Ready
• File created: 8/8/2024
• In control: Clark County Board of Commissioners
• On agenda: 8/20/2024
• Title: Approve and authorize a method of adjusting the maximum ambulance service rates due to an unforeseen economic circumstance pursuant to Clark County Code 5.03.120; or take other action as deemed appropriate. Commission District: All (For possible action)

Date	Action By	Action	Result
8/20/2024	Clark County Board of Commissioners	Approved; Agenda note: Item No.48 Minutes	Pass

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

Petitioner:

Vincent V. Queano, Director of Business License

Recommendation: 

title

Approve and authorize a method of adjusting the maximum ambulance service rates due to an unforeseen economic circumstance pursuant to Clark County Code 5.03.120; or take other action as deemed appropriate. Commission District: All  (For possible action)

body

FISCAL IMPACT:

Fund #:	N/A	Fund Name:	N/A
Fund Center:	N/A	Funded PGM/Grant:	N/A
Amount:	N/A
Description:	N/A
Additional Comments:	N/A

BACKGROUND: 

Clark County Code 5.03.120(c)(1) provides that the maximum ambulance service rates that are allowed to be charged by an ambulance service franchisee shall be adjusted annually on February 1 of each year by the percentage of change in the annual average of the Consumer Price Index for Medical Care Services (CPI-MCS) between the most recent calendar year as compared to the prior calendar year. If there is an unforeseen economic circumstance that occurred during the twelve-month period, the Board may approve a method for adjusting rates which is not based on the changes in the CPI-MCS.  The code defines “unforeseen economic circumstance” as a change in CPI-MCS that was greater than 10 percent or less than zero, i.e. a decrease or other circumstances which the Board determines to have had a significant effect on the cost of providing ambulance services. The CPI-MCS for 2023 reflected a slight decrease of 0.35%, which was the first time that a decrease has occurred in this CPI. The estimated net result is approximately a $5 per transport call decrease in the rates.  This rate went into effect on February 1, 2024.

Subsection 5.03.120(c)(2) provides that the Board may approve a method of adjusting rates which are not based on the changes in CPI-MCS when an unforeseen economic occurrence has occurred. Staff recommends that the Board maintain the same maximum ambulance service rates as were in place for the prior year.