COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND NINE COPIES OF THIS REQUEST AND DOCUMENTS TO BE
REVIEWED BY THE COURT.
MADE BY: Pat Tinley OFFICE: Coup Jud e
MEETING DATE: April 28, 2003 TIlVIE PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC)
Consider and discuss seeking proposed rate change for Medical Examiner Services.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON}
NAME OF PERSON ADDRESSING THE COURT:
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Count~Judge
Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5, Chapter
551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
THIS REQUEST RECENED BY:
THIS REQUEST RECEIVED ON:
5:00 P.M. previous Tuesday.

All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has been
prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be
appreciated and contribute towards you request being addressed at the earliest opportunity. See Agenda Request Rules
Adopted by Commissioners' Court.
~ ~n~y OF ?,~'Y
L
~ ~~ ~ u, JUSTICE AND PUBLIC SAFETY DIVISION
•I• •I• OFFICE OF THE MEDICAL EXAMINER OF TRAVIS COUNTY
~~~ ~ ~ FORENSIC CENTER
`m 1213 Sabine Stnaet PO Box 1748 Austin, TX 78767 Tel: (512) 854-9599 Fax: (512) 854-9044
ROBERTO J. BAYARDO, M.D. ELIZABETH A. PEACOCK, M.D. VLADIMIR M. PARUNGAO, M.D.
Diplomate of American Board of Pathology Diplomate of American Board of Pathology Diplomate of American Board of Pathology
CHIEF MEDICAL EXAMINER DEPUTY MEDICAL EXAMINER DEPUTY MEDICAL EXAMINER
July 16, 2003
Honorable Robert Denson (or successor)
Ken County Judge
700 Main Street
Kerrville, Texas 78028
RE: Notice of Rate Change for Medical Examiner Services under Interlocal Cooperation Agreement with
Travis County
Dear Judge Denson (or successor):
Pursuant to Sections 7.02 and 11.0 of the Interlocal Cooperation Agreement for MEDICAL EXAMINER
SERVICES and TESTIMONY, effective October 1, 2003. Travis County has determined that this rate increase
is necessary in order to cover the increased actual costs to Travis County of providing services.
Section 3.02 of the current ICAMES between Travis County and Kerr County sets a rate of payment for
Medical Examiner Services at on thousand, five hundred dollars ($ 1,500) for each body and for Testimony at
three hundred dollars ($300) for each day such testimony is offered. The new rate for Medical Examiner
Services, effective October 1, 2003, is eighteen hundred dollars ($ 1,800) for each body and five hundred
dollars ($ 500) for each day such testimony is offered.
Under Section 7.02 of the ICAMES, Travis County may amend the rate by sending notice of the rate change at
least sixty (60) days before the change is to become effective. If Kerr County does not send a notice in
compliance with Section 11.0 of the ICAMES stating that the change is unacceptable prior to its effective date,
Kerr County shall be deemed to have accepted the rate change and shall pay the new rate for any Medical
Examiner Services provided by Travis County after the effective date of the rate change. Notice form Kerr
County that the amended rate is unacceptable will result in termination of ICAMES. In that event, if Kerr
County should desire to obtain Medical Examiner Services from Travis County in the future, a new Interlocal
Cooperation Agreement for Medical Examiner Services between Travis County and Kerr County would have to
be executed.
Should you have any questions, please feel free to contact our Office Administrator, Darlene Dunn, at (512)
854-9042.
Sincerely,
ROBERT J. BAYAR .D.
Chief Medical Examiner