<?xml version='1.0' encoding='utf-8'?>
<baltimore-city-law heading="Subtitle 3 – Ambulance Service - Fees">
  <section prefix="§" num="3-1" heading="Definitions.">
    <para num="(a)" heading="Basic life support transport.">“Basic life support transport” means transportation provided to sustain and support the life processes and change the outcome of a life-threatening disease or injury for patients who must be transported for hospital care.</para>
    <para num="(b)" heading="Advanced life support transport.">“Advanced life support transport” means transportation provided to enhance the successful outcome of an unstable patient with a life-threatening disease or injury by use of invasive drug therapy and who needs immediate transportation to a hospital or specialty center.</para>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 9, §12A(a)(2)</annotation>
    <annotation type="History">Ord. 89-381</annotation>
  </section>
  <section prefix="§" num="3-2" heading="Authority to set fees.">
    <para num="(a)" heading="In general.">Beginning July 1, 1989, the Chief of the Fire Department shall have the power and authority to charge fees to any member of the public who utilizes ambulance services provided by the Emergency Medical Services Division of the Fire Department within the City of Baltimore.</para>
    <para num="(b)" heading="Condition of charging.">No fee authorized by this section may be charged unless all employees of the Fire Department who may be called upon to provide emergency medical services or ambulance transport to members of the public either:<para num="(1)">enjoy statutory immunity from claims for damages for tortious acts or omissions committed by them while providing such services; or</para>
      <para num="(2)">are indemnified against claims for damages through a program of insurance purchased by the City from a private carrier, the City’s Self-Insurance Fund, or other appropriations authorized by the Mayor and City Council.</para>
    </para>
    <para num="(c)" heading="Initial fees.">The initial fee charged shall not exceed:

            &lt;table&gt;
              &lt;tbody&gt;
                &lt;tr&gt;
                  &lt;td&gt;For basic life support transport&lt;/td&gt;
                  &lt;td&gt;$75&lt;/td&gt;
                &lt;/tr&gt;
                &lt;tr&gt;
                  &lt;td&gt;For an advanced life support transport&lt;/td&gt;
                  &lt;td&gt;$100&lt;/td&gt;
                &lt;/tr&gt;
              &lt;/tbody&gt;
            &lt;/table&gt;
          </para>
    <para num="(d)" heading="Change of fees.">
      <para num="(1)">The Chief shall review the fee schedule annually, and with the approval of the Board of Estimates may change the fees from time to time.</para>
      <para num="(2)">At no time shall the fee charged exceed the cost to the City of providing ambulance services.</para>
    </para>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 9, §12A(a)(intro), (a)(1), (b), (d)(3) and (4)</annotation>
    <annotation type="History">Ord. 89-381</annotation>
  </section>
  <section prefix="§" num="3-3" heading="Access to services not to be affected.">
    <text>The Chief of the Fire Department shall not deny any individual access to emergency medical services as a result of the provisions of this subtitle.</text>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 9, §12A(d)(2)</annotation>
    <annotation type="History">Ord. 89-381</annotation>
  </section>
  <section prefix="§" num="3-4" heading="Use of fee revenues.">
    <para num="(a)" heading="Deposit to Emergency Medical Services Fund.">All fees submitted to the City under this subtitle shall be accounted for in a special fund entitled “Emergency Medical Services Fund”.</para>
    <para num="(b)" heading="Use of Fund.">
      <para num="(1)">Revenues credited to the Fund shall be available for the sole purpose of supporting emergency medical services of the City, or for any other purpose which may be authorized by the annual Ordinance of Estimates.</para>
      <para num="(2)">At the end of each fiscal year, revenues received in excess of the revenue estimates, and appropriations in excess of expenditures, shall carry forward to the succeeding fiscal year and form the beginning Fund balance.</para>
    </para>
    <para num="(c)" heading="Appropriations.">All appropriations made from the Emergency Medical Services Fund shall be appropriated in the Ordinance of Estimates under the title of the Fund and shall not be included as “special” fund or “other special” fund categories.</para>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 9, §12A(c)</annotation>
    <annotation type="History">Ord. 89-381</annotation>
  </section>
  <section prefix="§" num="3-5" heading="Rules and regulations.">
    <text>Subject to Title 4 {“Administrative Procedure Act – Regulations”} of the &lt;cite data-path="|general"&gt;City General Provisions Article&lt;/cite&gt;, the Chief of the Fire Department shall adopt rules and regulations necessary to implement the provisions of this subtitle.</text>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 9, §12A(d)(1)</annotation>
    <annotation type="History">Ord. 89-381</annotation>
    <annotation type="History">Text Conformed 02/16/21</annotation>
    <annotation type="Editor's Notes">By authority of Ordinance 20-431, Section 5, the Director of Legislative Reference, in consultation with the Law Department, has conformed the text of this section to refer expressly to the requirements of the recently-enacted Administrative Procedure Act that, effective January 15, 2021, governs the proposal, adoption, and publication of administrative rules and regulations.</annotation>
  </section>
</baltimore-city-law>
