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CITY MEDICAL TRANSPORTATION SERVICES

Jacksonville Ordinance Code tit. VI, ch. 158, pt. 3
in effect

Jacksonville Ordinance Code § 158.301 Authority to provide.

Sec. 158.301. - Authority to provide. The Fire and Rescue Department is authorized to establish, operate and maintain emergency response medical care and emergency medical transportation to the citizens of the City. (Ord. 97-450-E, § 1)

Jacksonville Ordinance Code § 158.302 Charge.

Sec. 158.302. - Charge. The charges for transportation and medical services rendered by the Fire and Rescue Department are established at the rates set forth in Section 123.102(a). These rates shall remain at or near prevailing Medicare/Medicaid rates. The person receiving the services by the Fire and Rescue Department and any person contracting for same shall be responsible for payment of the charge. The Director of Finance and Administration shall be authorized to adjust the patient's share of the cost of any rescue transport service rendered to Medicaid/Medicare recipients in accordance with existing contracts, workers covered by Workers' Compensation Laws of the State of Florida and for other qualified low-income persons in accordance with F.S. § 154.101, based on the eligibility criteria promulgated by the State of Florida, Department of Health under Rule 64F-10, F.A.C., when the patient has elected to participate in the financial eligibility determination process applicable to the Duval County Public Health Clinics. The adjustment of the patient share of the rescue transport shall comply with the corresponding sliding fee scale used to classify patients at the Duval County Public Health Clinics and/or the Hill Burton criteria contained in the Indigent Care Contract between the City and Shands Jacksonville Hospital. The Director of Finance and Administration, upon recommendation of the Revenue Manager shall be authorized to write-off and treat as uncollectible those charges that have been through the billing process, and the referral of which to a collection agency or General Counsel, when applicable, is not justified as cost effective; and where it can be determined that the charges are the responsibility of the Sheriff pursuant to Sections 901.35 and 951.032 F.S. (Ord. 97-450-E, § 1; Ord. 2004-990-E, § 6; Ord. 2016-140-E, § 16)

Jacksonville Ordinance Code § 158.304 Duties of Director of Finance and Administration.

Sec. 158.304. - Duties of Director of Finance and Administration. The Director of Finance and Administration is authorized and directed to establish a proper system of inventory control, recording, billing, collecting and accounting for Fire and Rescue Department services. (Ord. 97-450-E, § 1; Ord. 2016-140-E, § 16)

Jacksonville Ordinance Code § 158.305 Ground transportation emergency services.

Sec. 158.305. - Ground transportation emergency services. (a) In the event any City agency receives a call necessitating emergency response by ground transportation, FRCC shall be advised immediately of the call and the nature and location of the emergency. The FRCC shall dispatch the closest City Fire Company or rescue unit. Secondary response shall be provided by a private sector certificate holder. (b) Except as set forth in subsection (c) of this Section, in the event any certificate holder receives a call necessitating emergency response, FRCC shall be advised immediately of the call and the nature and location of the emergency. The FRCC may dispatch a closer City Fire Company or rescue unit. If the City responds, the FRCC shall inform the certificate holder of the City's response. Secondary response shall be provided by the certificate holder who first received the call for emergency transportation. (c) Emergency response may also be made by a private certificate holder, to places other than to medical facilities, under the following circumstances: (1) The certificate holder informs FRCC of the emergency; and (2) The injured or ill person is under the direct care of a physician or under the direct care of a registered nurse; or (3) The physician directs that a private EMTS be contacted to make an emergency response; (4) The private EMTS shall record the name of the requesting physician and, where appropriate the attending physician or attending nurse. (Ord. 97-450-E, § 1)

Jacksonville Ordinance Code § 158.306 Authority to promulgate rules.

Sec. 158.306. - Authority to promulgate rules. (a) The Director is authorized to promulgate reasonable rules which shall govern the operation of emergency medical transportation services in the City. Such rules shall be made with input from the Director/Fire Chief of the Fire and Rescue Department and from the EMTS certificate holders. Acceptance of a certificate is acceptance of the responsibility to follow and to be governed by reasonable rules and regulations promulgated to implement this Chapter and State law. (b) Before becoming effective, any rule or amendment to a rule affecting private emergency medical transportation providers shall be forwarded to each certificate holder for input and comment. After receipt of such input and comments, the proposed rule or amendment shall be sent to PHS. A public hearing shall be held before PHS at which time all interested persons shall be afforded an opportunity to speak on the proposed rule or amendment. The Director is authorized to implement a rule or rule amendment seven calendar days subsequent to PHS approval, and after the Director has notified the certificate holders by mail. The Council may amend, repeal or enact a rule by ordinance. (Ord. 97-450-E, § 1)

Jacksonville Ordinance Code § 158.307 Memoranda of understanding.

Sec. 158.307. - Memoranda of understanding. The Director/Fire Chief of the Fire and Rescue Department is authorized to enter into memoranda of understanding with certificate holders in the private sector to address emergency response activities contemplated in this Part 3. Such memoranda of understanding shall, at a minimum, address: (a) Transportation issues; (b) Mass casualty incidence response; and (c) Extrication. (Ord. 97-450-E, § 1)

Jacksonville Ordinance Code § 158.308 Judicial remedies.

Sec. 158.308. - Judicial remedies. The Director may request the Office of General Counsel to institute a civil action in a court of competent jurisdiction to seek injunctive relief to enforce compliance with a rule promulgated by the Director pursuant to Section 158.306. (Ord. 97-450-E, § 1)

Jacksonville Ordinance Code § 158.309 Release of emergency medical reports.

Sec. 158.309. - Release of emergency medical reports. (a) The Director/Fire Chief of the Fire and Rescue Department or his designee is declared to be the custodian of the emergency medical reports of the Fire and Rescue Department. Emergency medical reports shall be released by the Fire and Rescue Department in accordance with the following procedures: (1) Emergency medical reports shall be released in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule to a requesting and legally authorized party who presents a request and valid authorization to the Fire and Rescue Department for the inspection and release of the emergency medical report and who makes a payment of a research and copy fee per report, as found in www.coj.net/fees. The request for an emergency medical report must be signed by the patient or a person legally authorized to act on behalf of the patient, such as the patient's parents, legal guardian, attorney, etc. (2) The statistical information contained in the emergency medical report shall be released to any requesting party. (b) All fees paid to the Fire and Rescue Department pursuant to this Section shall be paid to the Tax Collector weekly. (Ord. 97-450-E, § 1; Ord. 2017-665-E, § 10)

Jacksonville Ordinance Code § 158.310 Availability of emergency services during City functions.

Sec. 158.310. - Availability of emergency services during City functions. It shall be the responsibility of the Director/Fire Chief of the Fire and Rescue Department to determine the adequate level of stand-by emergency rescue services that may be required for any City function. The Director/Fire Chief of the Fire and Rescue Department is empowered to direct that both the City, as to City-sponsored events, and private promoters, as to non-City sponsored events, provide the level of stand-by emergency rescue service as he determines to be necessary and appropriate. It shall be unlawful and a violation of this Part for any person or business entity sponsoring a City function to permit the event to occur without the provision of stand-by emergency medical services as required by the Director/Fire Chief of the Fire and Rescue Department. These services may be provided by the City or private certificate holders. (Ord. 97-450-E, § 1)
Source: City of Jacksonville, Ordinance Code and Charter and Related Laws (Municode Library, library.municode.com)URL: https://library.municode.com/fl/jacksonville/codes/code_of_ordinances?nodeId=TITVIBUTROC_CH158EMNOMETRSE_PT3CIMETRSEFetched: 10/27/2026

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