ORDER N0.29319
PROPOSAL EMS CONTRACT
Came to be heard this the 8`" day of August 2005, with a motion made by Commissioner
Letz, seconded by Commissioner Baldwin. The Court unanimously approved by vote of
4-0-0 the proposal of the EMS Contract and authorize Commissioner Letz to send it to
the City of Kerrville.
I ~ ~ ~ COMMISSIONERS' COURT AGENDA REQUEST ~ ~~ `~
PLEASE FURNISH ONE ORIGINAL AND NINE COPIES OF THIS
MADE BY: Pat Tinley OFFICE: County
MEETING DATE: August 8, 2005 TIME PREFERRED:
SUBJECT: Consider and discuss EMS Contract with City of Kerrville.
EXECUTIVE SESSION REQUESTED:
NAME OF PERSON ADDRESSING THE COURT: County Judge / CZim]'t1b5+mer, k~c}~• 3
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
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 RECEIVED 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 towazds you request being
addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners'
Court.
KERR COUNTY PROPOSAL TO CITY OF KERRVILLE
EMS CONTRACT
The Kerr County Commissioners' Court requests a joint meeting between the City of
Kerrville City Council and the Kerr County Commissioner's Court to attempt to reach
agreement on a new EMS contract between the city of Kerrville and Kerr County. The
following points should provide the framework for discussions at a joint meeting.
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1.) Kerr County believes to the extent possible this service should reflect a "user-pay
system that will include:
a. Operational expenses
b. Capital replacements costs
c. Administration and overhead
d. Medicare /Medicaid disallowables
e. Bad debts
f. Other expenses
To accomplish this for Kerr County please provide a contract that permits Kerr County to
set rates for all services provided in the county service area.
2.) Certain items in the contract should be accounted for and any subsidy provided
based on the "number of patients" rather than the "number of total miles" (see attachment
#2 Ron Patterson letter of May 3, 2005) .These items include:
a. Administration costs
b. Dispatch costs
a Collection costs
d. Bad debt expenses and right offs
e. Office lease rent
Another option would be to provide these services on a per call basis with a separate
amount stated for each item.
3.) Ken County would continue funding for Medical Director and First Responder
Program. as currently funded.
4.) The cost for EMS billing services shall be a sepazate item in the contract. This
will permit this item to be taken out of the contract at the county's option. The county is
reviewing the possibility of out sourcing this function.
5.) Kerr County agrees to pay a mutually agreed operational cost per EMS run into
the county.
6.) The cost of the new ambulance should be deleted from the contract. The cost of
all ambulances should be included under operational expenses. Kerr County does not
want to own a part of an ambulance.