EMERGENCY MEDICAL SERVICES

Henderson Municipal Code tit. 4, ch. 4.80

in effect

Henderson Municipal Code § 4.80.010 Declaration of policy.

4.80.010 - Declaration of policy. The provision of pre-hospital emergency medical services is an essential public safety function of government, made available in support of community health, security and general welfare. In order to successfully support this function, various emergency medical services components must be integrated and managed by the city to further the optimal provision of such services for the inhabitants of the city. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.020 Purpose of provisions.

4.80.020 - Purpose of provisions. The provisions of this chapter shall govern the franchising, licensing and regulation of an integrated emergency medical services system, including but not limited to ambulance services, community para-medicine, and special event medical services in the city, so that the general public has access to a safe, dependable, efficient, and integrated emergency medical services system in the case of medical/traumatic injury emergencies. (Ord. No. 3856, § 1, 3-1-2022; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.030 Chief of the department.

4.80.030 - Chief of the department. It shall be the duty of the chief of the fire department to manage the IEMS in accordance with the provisions of this chapter, unless otherwise provided herein. Nothing contained in this chapter shall be construed to limit or otherwise apply to any function or service provided by the fire department except as specifically set forth in this chapter. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.040 Definitions.

4.80.040 - Definitions. As used in this chapter, the following definitions shall apply. Unless otherwise expressly stated, words not defined herein shall be given their common and ordinary meaning: Advanced life support or ALS, whether used alone or as a modifier of other nouns, means medical procedures for sustaining life, including the advanced diagnosis and protocol-driven treatment of a patient in the field such as defibrillation, airway management, and administration of medications, that are provided by a paramedic. Advanced emergency medical technician or AEMT or advanced EMT has the same meaning as the term "advanced emergency medical technician (AEMT)" in the health district regulations, as may be amended. Air ambulance has the same meaning as the term "air ambulance" in the health district regulations, as may be amended. ALS ambulance has the same meaning as the term "dedicated advanced life support ambulance" in the health district regulations, as may be amended. Advanced life support intervention has the same meaning as the term "Advanced life support (ALS) intervention" in 42 CFR 414.605, as may be amended. Ambulance means a motor vehicle which is specially designed, constructed, equipped and staffed to provide basic, intermediate, advanced, or critical/specialty care for one or more: (1) Sick or injured persons; or (2) Persons whose medical condition may require special observation during transportation. For the purposes of this chapter, the term "ambulance" specifically excludes vehicles for special event medical service vehicles. Ambulance service has the same meaning as the term "ambulance service" in the health district regulations, as may be amended. The term "ambulance service" does not include the use of vehicles for special event medical service. Applicant means a person who submits a completed application for a franchise as set forth in this chapter. Application means all written documentation, statements, representations and warranties provided to the city by an applicant, in accordance with this chapter, to be relied upon by the city council in making its determination of whether to grant or withhold a franchise. Basic life support or BLS, whether used alone or as a modifier of other nouns, has the same meaning as the term "basic life support (BLS)" in 42 CFR 414.605, as may be amended. CFR means the Code of Federal Regulations, as may be amended, which is the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. CFO means the chief financial officer of the city, or their designee. City council means the governing body of the city. City manager means the city manager appointed by the city council to perform such administrative functions of the city government as may be required of them by the city council, or their designee. Computer-aided dispatch or CAD means dispatching of emergency vehicles through computer technology to calls for ambulance service. Commission on Accreditation of Ambulance Service or CAAS means an independent commission that establishes a comprehensive series of standards for the ambulance service industry. Community para-medicine means the delivery of patient-centered healthcare in the out-of-hospital environment utilizing technology and mobile pre-hospital professional resources to address the needs of the community, including the following services: (1) Utilization of a medical professional for advice for low acuity 911 calls. (2) Patient-centered healthcare navigation. (3) Community risk-reduction strategies. (4) Medication reconciliation. (5) Provision of preventative care, health screening, and education. (6) Provision of alternative yet appropriate responses for low acuity calls to the PSAP center. (7) Provision of alternative modes of transport. (8) Post-discharge healthcare navigation. (9) Post-discharge follow up and disease management. (10) Hospital readmission avoidance. (11) Hospice care support and collaboration. (12) Long-term care facility support and collaboration. (13) Chronic disease management. (14) Coordination of outpatient care. (15) Fall-reduction strategies. CPI-MCS means the Consumer Price Index (CPI) for all Urban Consumers: U.S. City Average, Series CUUR0000SAM2, Medical Care Services, as published by the U.S. Department of Labor, Bureau of Labor Statistics, Washington, D.C. Critical care transport or CCT has the same meaning as the term "critical care transport" in the health district regulations, as may be amended. CCT can also mean SCT. Department means the business operations division of the finance department of the city, responsible for the administration of this chapter as set forth herein. Director means the business license supervisor of the business operations division of the finance department of the city, or their designee. Emergency has the same meaning as the term "emergency" in the health district regulations, as may be amended. Emergency medical care means medical care given to a patient in an emergency situation before the patient arrives at a hospital or other medical facility, and until responsibility for the patient is assumed by the medical staff at such facility. Emergency medical service system or EMS means a system consisting of a chain of services linked together to provide emergency medical care for the patient at the scene of an emergency, during transport, and upon entry to a hospital or other medical facility. Emergency medical technician or EMT has the same meaning as the term "emergency medical technician (EMT)" in the health district regulations, as may be amended. Emergency medical technician paramedic or EMT-Paramedic or paramedic has the same meaning as the term "paramedic" in the health district regulations, as may be amended and in accordance with the health district regulations is authorized to administer additional advanced life support interventions and medications. Emergency response has the same meaning as the term "emergency response" in 42 CFR 414.605, as may be amended. EMS priority dispatch means a dispatch system: (1) Whereby emergency medical dispatchers, certified by the health district, give lifesaving pre-arrival instructions to person(s) requesting the same; and (2) Which provides for the dispatch of the appropriate level of emergency vehicle response, as determined by use of a priority card or computer program, based on the severity of the medical emergency. Financial statements means financial statements of the local operation of a business licensed, or licensed and franchised, under this chapter. Financial statements are to include: balance sheet, income statement, statements of cash flows, and statement of retained earnings prepared in accordance with generally accepted accounting principles. Fire department means the fire department of the city. Franchise means the authorization granted to a person, firm, partnership, corporation or company by the city council to provide services in support of the IEMS within the public rights-of-way and all highways, streets, roads and alleys within the jurisdictional limits of the city. The terms and conditions of such authorization will be described in a franchise agreement specific to such purpose. Franchise agreement means the written agreement entered into between the city and a franchisee evidencing the city's authorization for a franchisee to provide services in support of the IEMS and requiring the franchisee to comply with the terms of this chapter, and incorporating such other reasonable terms, conditions, and provisions as the city council deems appropriate. Franchise service area or service area means the geographic area within the city specified in a franchise agreement, wherein a franchisee is authorized and required to provide services in support of the IEMS. Franchisee means the person, firm, partnership, corporation or company to whom a franchise is granted by the city council pursuant to this chapter. Health district means the Southern Nevada Health District, its officers and authorized agents. Health district regulations means the applicable EMS regulations, manuals and protocols adopted by the health district, as they may be amended from time to time. Health officer means the chief health officer of the health district. HIPAA means the Health Insurance Portability and Accountability Act of 1996, as amended, and regulations related thereto. Hospital has the same meaning as the definition of that term in NRS 439B.110, as amended. Incident commander means the city fire officer or fire paramedic in charge at the scene of an incident where patient care is being provided by fire department personnel. Inter-facility ambulance transport service means an emergency transport or a nonemergency transfer of a patient by ambulance that originates and terminates at previously designated medical facilities or locations. Integrated emergency medical service system or IEMS means a system of components that provides for the receipt and notification of calls for service, arrangement of personnel, facilities, training, quality improvement, equipment, and management of the system components for the effective and coordinated delivery of health care services under emergency/nonemergency conditions within the city. Life threatening emergency is an event or situation where immediate death or disability could be reasonably inferred to occur if immediate emergency medical care and transport is not provided. Loaded mileage has the same meaning as the term "loaded mileage" in 42 CFR 414.605, as may be amended. Maximum ambulance service rate means the maximum amount that a franchisee may bill a patient or other payer for the level of ambulance service provided to the patient, as established in this chapter, including all ancillary services and supplies used in providing ambulance service. Mutual aid means ambulance service provided within the franchise service area in response to a request through the city PSAP for assistance. Non-emergency ambulance service means prearranged non-911 dispatched ambulance service provided to patients with non-life-threatening conditions, including without limitation non-emergency ambulance service requested at special events and other non-911-dispatched ambulance service requests that would be categorized as nonemergency transfers or level 33-A calls (as that term is approved and endorsed by the health district) when processed through EMS priority dispatch protocol. Public safety answering point or PSAP means the 911 call answering point which is administered by the City of Henderson, or other agency designated by the city. Rights-of-way means public property dedicated to, granted to, or held or prescriptively used by the city for public street, alley, road and highway purposes, except public streets predominantly used for public freeway or expressway purposes. Service category means the type or level of ambulance service that is specified in a franchise granted pursuant to this chapter. Special event means an activity that occurs on a specific date and time at a specific location, such as, but not limited to, sporting events, off-road vehicle races, speedway races, concerts, fairs and parades. Special event medical service or SEMS means the providing of medical care to the participants and members of the public in attendance at a special event pursuant to a contractual arrangement between a special event medical service provider or a franchisee and the special event owner, operator, promoter, organizer or any other person authorized to enter into such contractual arrangements on behalf of the special event. Special event medical service provider or SEMS provider means a person who has obtained a special event medical service provider business license pursuant to this chapter and the special purpose ambulance service permit required pursuant to health district regulations. Special event medical service vehicle means the special purpose vehicle permitted by health district regulations which for the purposes of this chapter may be used for the sole purpose of providing medical care at a special event. Except as otherwise provided in this chapter, the term does not include a vehicle which provides ambulance service over city rights-of-way. Specialty care transport or SCT has the same meaning as the term "specialty care transport (SCT)" in 42 CFR 414.605, as may be amended. Street means the surface of the full width of the right-of-way, including alleys, sidewalks and thoroughfares, places or ways of any kind used by the public or open to the public as a matter of right for the purpose of vehicular traffic or vehicular and pedestrian traffic. Sub-zone means a portion of a franchise service area as defined in a franchise agreement. Transfer means the scheduled or unscheduled movement of a patient located within the geographic area within the city by ambulance from one medical facility to another medical facility, from a home to a medical facility, from a medical facility to a home or from another location to a medical facility. Transport has the same meaning as the term "transport" in the health district regulations, as may be amended. (Ord. No. 3856, § 2, 3-1-2022; Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.050 Ambulance services—Business license required.

4.80.050 - Ambulance services—Business license required. A. No person shall engage in the business of operating an ambulance service upon the rights-of-way of the city without first obtaining, and thereafter maintaining a valid unexpired business license, as required by this chapter. B. Each ambulance service licensed in the city under this chapter shall pay, in advance, a semiannual business license fee as set forth in section 4.05.124. C. A person is not required to obtain a business license pursuant to this section if such person is licensed in another jurisdiction to provide ambulance services and does not provide cross-jurisdictional transport or transfer services originating inside the city. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3352, § 2, 7-5-2016; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.060 Ambulance services—Franchise requirements.

4.80.060 - Ambulance services—Franchise requirements. A. Except as provided in subsection B of this section, it is unlawful for any person to provide ambulance service in support of the IEMS in the city without first obtaining and thereafter maintaining an ambulance service franchise and paying the franchise fee as required by this chapter. B. A person is not required to obtain an ambulance service franchise pursuant to this chapter if the services such person provides in the city are limited to the following: 1. Providing cross-jurisdictional transport or transfer services originating outside the city; 2. Responding to requests for emergency mutual aid in accordance with subsection 4.80.160(A); 3. Responding to requests for CCT/SCT services when a franchisee is not available to respond; or 4. Responding to requests for aid from a franchisee pursuant to an aid agreement authorized by the city between the franchisee and the ambulance service. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3352, § 2, 7-5-2016; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.070 Ambulance services—Franchise fee determination.

4.80.070 - Ambulance services—Franchise fee determination. A franchise fee shall be the amount imposed for the grant or extension of a franchise, as set forth in a franchise agreement. Franchise fees shall be paid according to the provisions of the franchise agreement, and shall be accompanied by such supporting documentation as required therein and as the CFO deems necessary. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.080 Ambulance services—Solicitation of bids.

4.80.080 - Ambulance services—Solicitation of bids. The city council, in its sole discretion, may solicit qualifications for ambulance service franchises and, the requirements for application stated in section 4.80.120 notwithstanding, establish such requirements for qualifications as it deems appropriate. Qualifications received shall be reviewed and investigated by the department, and the results of such investigation shall be reported to the city council. After receiving the department's report, the city council may grant a franchise, not grant a franchise or take any other action it may deem appropriate. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.090 Ambulance services—Limitation of number of franchises.

4.80.090 - Ambulance services—Limitation of number of franchises. The city council may, in its sole discretion, specify by resolution a fixed number of ambulance service franchises, including their service levels, types and categories, to be granted within the city. If the city council has not specified by resolution a fixed number of ambulance service franchises to be granted within the city, then prior to accepting a new application for an ambulance service franchise, the city council in its sole discretion, shall make a determination by resolution of whether a new ambulance service franchise will serve the public convenience and necessity. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.100 Ambulance services—Grant of franchise.

4.80.100 - Ambulance services—Grant of franchise. An ambulance service franchise shall grant permission to the franchisee to provide ambulance services in support of the IEMS for the service level, type and category so authorized in the service areas specifically described in the franchise agreement, according to the terms and conditions contained in the franchise agreement. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.110 Ambulance services—Right of property not granted by franchise.

4.80.110 - Ambulance services—Right of property not granted by franchise. Any franchise granted pursuant to this chapter is a privilege conferred by the city council and shall not impart to the franchisee any right of property in any city rights-of-way or other city property. The franchise agreement shall be construed to have granted permission and authority to operate within the city under the terms and conditions of the franchise agreement. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.120 Ambulance services—Application for franchise.

4.80.120 - Ambulance services—Application for franchise. A. Whenever the number of ambulance service franchisees within the city is less than the maximum number established by the city council pursuant to this chapter, or if the city council has not established a maximum number of such franchises but has determined that a new ambulance service franchise will serve the public convenience and necessity as provided in section 4.80.090, a person may apply for a new franchise by submitting an application with the department on such form or in such format as the department shall require. B. The application shall be in writing and shall include, at a minimum, the following: 1. For a sole proprietor: a. The name and business and residence addresses of the applicant; and b. A list of any other businesses in which the sole proprietor has a five percent or greater ownership interest. 2. For a corporation: a. The corporate name, date and place of incorporation, the address of its principal place of business, and identification of the ownership and control of the applicant, including: (i) A list of the officers and directors and persons who may otherwise control the operations of the corporation; (ii) A list of all shareholders of five percent or more of the shares of the corporation; (iii) A list of any businesses in which any of the persons listed in item 2(a)(i) and (ii) have a five percent or more ownership interest; b. A copy of the articles of incorporation and all effective amendments certified by the appropriate officer of the state of incorporation; and c. A certificate of good standing from the Nevada Secretary of State. 3. For a limited liability company: a. The limited liability company name, date and place of organization, the address of the principal place of business and the ownership and control of the limited liability company, including: (i) Whether the limited liability is managed by member(s) or manager(s); (ii) A list of the managers, members, officers and persons who may otherwise control the operations of the limited liability company; (iii) A list of any businesses in which any of the persons listed in item 3(b) have a five percent or more ownership interest; b. A copy of the articles of organization. 4. For a partnership or, association: a. The names of the owners, partners or the persons comprising the partnership or association, the names and percentage of ownership of each owner, partner or person, and the business and residence addresses of each owner, partner or person. b. A list of any businesses in which any of the persons listed in item 4(a) have a five percent or more ownership interest; and c. A copy of the partnership agreement or articles of association. 5. A statement with such references as may be acceptable to the department describing the qualifications and experience of the applicant and the personnel who will manage the ambulance service franchise; all geographic areas and all other jurisdictions currently or previously provided ambulance service by the applicant, including performance standards achieved and levels of service provided. This section shall not be deemed to preclude an application from a new business entity; provided that the principals in such entity are able to demonstrate to city council, in city council's sole discretion, that the new entity can satisfy the requirements for a franchise set forth in this chapter. 6. A letter of intent from an insurance carrier stating that, if a franchise is granted, an insurance policy will be issued for liability insurance in the amount and under the conditions stated in this chapter. 7. A letter of commitment from a qualified institution acceptable to the department stating that, if a franchise is granted, performance security in the kind and amount stated in section 4.80.260 of this chapter will be issued securing the applicant's performance under the franchise agreement. 8. A written description of the ALS and the computer-aided dispatch system, or other system the applicant intends to utilize, which must be based within the city and be compatible with the PSAP's CAD. 9. A written description of the communication system and dispatch procedures the applicant intends to utilize, including a copy of the applicant's application to the Federal Communication Commission for an appropriate license; 10. The color scheme, logo and uniform design proposed to be used to designate the ambulance(s) and personnel of the applicant, which shall not be the same as or confusingly similar to the color schemes or designs of the fire department or other ambulance service providers operating in the city as determined by the fire chief in his or her sole discretion. 11. A description of the applicant's proposed operating procedures related to training, staffing, billing, collections, customer relations and maintenance of records. 12. Written information as required by the CFO to allow evaluation of whether the applicant is financially able to provide ambulance services, including but not limited to: a. A statement outlining the extent to which the applicant has been in the ambulance service business before filing the application, and b. Documented financial and other information as the CFO may require to ascertain financial viability of an applicant. 13. Documented proof verifying current CAAS accreditation. 14. A copy of the applicant's health district ambulance service permit. 15. A copy of the applicant's Federal Communications Commission license. 16. If an applicant is operating under a fictitious firm name, a copy of the certificate filed pursuant to NRS 602. C. All documents provided by the applicant as part of the completed application or provided as supplemental thereto and all statements, representations, warranties and promises made therein by the applicant and relied upon by the city in granting a franchise shall be binding upon the franchisee. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.130 Ambulance services—Review of franchise application.

4.80.130 - Ambulance services—Review of franchise application. A. Upon the receipt by the department of any application referred to in section 4.80.120, and payment of a nonrefundable application fee of $1,000.00, the department shall conduct verification, review, and investigation of the applicant to determine whether the applicant meets all requirements of this chapter, the actual costs of which shall be paid by the applicant prior to execution of the franchise agreement. The department shall report to the city council the findings made pursuant to the investigation, including the recommendation of the fire department on whether to approve or deny the franchise application. B. The city council, in its sole discretion, may approve or reject any application, grant or deny any franchise, or request further documentation, investigation or review or direct other actions. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.135 Ambulance services—Application for business license; ongoing obligation.

4.80.135 - Ambulance services—Application for business license; ongoing obligation. A. Any person desiring to operate a business that provides ambulance services within the city must first obtain and thereafter maintain a valid unexpired business license to provide ambulance services. B. The application shall be in writing and shall include, at a minimum, the following: 1. For a sole proprietor: a. The name and business and residence addresses of the applicant; and b. A list of any other businesses in which the sole proprietor has a five percent or greater ownership interest. 2. For a corporation: a. The corporate name, date and place of incorporation, the address of its principal place of business, and identification of the ownership and control of the applicant, including: (i) A list of the officers and directors and persons who may otherwise control the operations of the corporation; (ii) A list of all shareholders of five percent or more of the shares of the corporation; (iii) A list of any businesses in which any of the persons listed in item 2(a)(i) and (ii) have a five percent or more ownership interest; b. A copy of the articles of incorporation and all effective amendments certified by the appropriate officer of the state of incorporation; and c. A certificate of good standing from the Nevada Secretary of State. 3. For a limited liability company: a. The limited liability company name, date and place of organization, the address of the principal place of business and the ownership and control of the limited liability company, including: (i) Whether the limited liability is managed by member(s) or manager(s); (ii) A list of the managers, members, officers and persons who may otherwise control the operations of the limited liability company; (iii) A list of any businesses in which any of the persons listed in item 3(b) have a five percent or more ownership interest; b. A copy of the articles of organization. 4. For a partnership or association: a. The names of the owners, partners or the persons comprising the partnership or association, the names and percentage of ownership of each owner, partner or person, and the business and residence addresses of each owner, partner or person. b. A list of any businesses in which any of the persons listed in item 4(a) have a five percent or more ownership interest; and c. A copy of the partnership agreement or articles of association. 5. A statement with such references as may be acceptable to the department describing the qualifications and experience of the applicant and the personnel who will manage the ambulance service business; all geographic areas and all other jurisdictions currently or previously provided ambulance service by the applicant, including performance standards achieved and levels of service provided. 6. A letter of intent from an insurance carrier stating that, if a licensee is granted, an insurance policy will be issued for liability insurance in the amount and under the conditions stated in this chapter. 7. A written description of the communication system and dispatch procedures the applicant intends to utilize, including a copy of the applicant's application to the Federal Communication Commission for an appropriate license. 8. The color scheme, logo and uniform design proposed to be used to designate the ambulance(s) and personnel of the applicant, which shall not be the same as or confusingly similar to the color schemes or designs of the fire department or other ambulance service providers operating in the city as determined by the fire chief in his or her sole discretion. 9. A description of the applicant's proposed operating procedures related to training, staffing, billing, collections, customer relations and maintenance of records. 10. Documented proof verifying current CAAS accreditation. An applicant that does not have CAAS accreditation may apply for a provisional business license in accordance with section 4.80.140. 11. A copy of the applicant's health district ambulance service permit. 12. A copy of the applicant's Federal Communications Commission license. 13. If an applicant is operating under a fictitious firm name, a copy of the certificate filed pursuant to NRS 602. C. If city council grants applicant a business license for ambulance service, licensee shall at all times maintain its CAAS accreditation in good standing. (Ord. No. 3856, § 3, 3-1-2022; Ord. No. 3379, § 2, 1-3-2017)

Henderson Municipal Code § 4.80.137 Ambulance services—Review of and granting business license application; authorized services.

4.80.137 - Ambulance services—Review of and granting business license application; authorized services. A. Upon the receipt by the department of an application referred to in section 4.80.135, and the payment of all required fees, the department shall conduct verification, review, and investigation of the applicant to determine whether the applicant meets all requirements of this chapter ("staff findings"). The department shall report to city council the staff findings, including the recommendation of the fire department on whether to approve or deny the application. B. In addition to the provisions set forth in subsection 4.04.150(A), city council shall consider the following factors in exercising its discretion to approve or deny an application for an ambulance service business license: 1. The staff findings and recommendation pursuant to subsection 4.80.137(A); 2. The applicant's past history, if any, in providing ambulance services and medical transports and transfers; 3. The geographic area and healthcare facilities proposed to be served by the applicant; 4. The public benefit of the applicant's licensure as an ambulance service; and 5. Any other good and sufficient factor. C. An ambulance service business licensee is only allowed to provide the following: 1. Inter-facility ambulance transfer service originating within the city, provided that the licensee has a city-approved aid agreement with the franchisee. 2. Inter-facility ambulance transport service originating within the city, provided that the applicant has a city-approved aid agreement with the franchisee 3. SEMS. 4. Responding to requests for emergency mutual aid in accordance with subsection 4.80.160(A). 5. Responding to requests for CCT/SCT services when a franchisee is not available to respond. (Ord. No. 3856, § 4, 3-1-2022)

Henderson Municipal Code § 4.80.140 Ambulance services—Provisional business license.

4.80.140 - Ambulance services—Provisional business license. A. An applicant for an ambulance service business license that has not yet obtained accreditation through CAAS may make application to the department for a provisional business license by submitting an application to the department in accordance with section 4.80.135, paying all required fees, and following the process in this section 4.80.140. The applicant must include with such application a plan with defined and measurable actions to obtain CAAS accreditation. In accordance with subsection 4.80.137(A), the department shall report to city council the staff findings and recommendation. If the city council reasonably determines that the applicant has submitted an application in accordance with section 4.80.135 and met all other criteria required for an ambulance service business license under this chapter, the city council may, in its sole discretion, approve an application for a provisional business license for a period of 24 months. In making the determination whether to grant said provisional business license, the city council shall consider the factors set forth in subsection 4.80.137(B). B. If city council grants a provisional business license for ambulance service, the applicant shall be referred to as a provisional licensee until the provisional business license expires. In granting a provisional business license for ambulance service, the city council may require, in its sole discretion, the provisional licensee to furnish periodic updates on service history and progress toward obtaining CAAS accreditation. C. The provisional licensee is only allowed to provide the following: 1. Inter-facility ambulance transfer service originating within the city, provided that the applicant has a city-approved aid agreement with the franchisee. 2. Inter-facility ambulance transport service originating within the city, provided that the applicant has a city-approved aid agreement with the franchisee. 3. SEMS. D. If the provisional licensee does not obtain CAAS accreditation within the 24-month period, then, upon recommendation of the fire department and before the 24-month period expires, the city council may extend a provisional business license for an additional six months from the initial expiration date. E. If the provisional licensee does not provide documented proof of CAAS accreditation to the department before the provisional business license expires, city council shall deny the provisional licensee's application for an ambulance service business license. F. If the provisional licensee obtains CAAS accreditation before the provisional business license expires, the applicant shall provide documented proof of CAAS accreditation to the department before the provisional business license expires, and city council shall grant provisional licensee's application for an ambulance service business license. (Ord. No. 3856, § 5, 3-1-2022; Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.145 Ambulance services business license—Failure to comply.

4.80.145 - Ambulance services business license—Failure to comply. Failure of an ambulance service provider to comply with the applicable sections of this chapter may result in disciplinary action against the licensee, including suspension, revocation or limitation of the ambulance service provider's business license under the provisions of chapter 4.06 of this title. (Ord. No. 3379, § 3, 1-3-2017)

Henderson Municipal Code § 4.80.150 Ambulance services—Franchise agreement content.

4.80.150 - Ambulance services—Franchise agreement content. A. A franchise agreement will specify the terms and conditions by which the franchisee may provide ambulance service. The franchise agreement shall incorporate and be subject to the provisions of this chapter, as it may be amended from time to time, all of which shall be binding upon the franchisee and its approved successors, transferees of ownership or control, and assignees; provided, however, in no event shall this chapter be considered a contract between the city and the franchisee such that the city would be prohibited from unilaterally amending any provision hereof. B. A franchise agreement shall, at a minimum, include the following: 1. The length of the franchise term. 2. A detailed statement of the equipment and facilities to be used in providing ambulance service, including vehicle identification numbers, make, type, age, condition and patient capacity of each ambulance available for use within the service area, a detailed description of the equipment thereon and the identification number of the red light and siren permit issued by the Nevada Highway Patrol. 3. The location and description of the premises which are to be used as the base of operations and any terminals, officers and other facilities to be used in the operations. 4. A description of the franchisee's procedures related to vehicle maintenance and repair. 5. Response time standards prescribed by the fire department, and staffing requirements in the franchisee's service area and in each subzone that the franchisee is authorized to serve. The franchisee shall ensure that each subzone in its service area receives the same level of service or level of performance as compares with other subzones it serves within the franchise service area. 6. Service response protocol and procedures as set forth in this chapter. 7. Ambulance service rates consistent with the limitations set forth in this chapter. 8. Recordkeeping and reporting requirements, including but not limited to the requirements set forth in this chapter. 9. Penalties and remedies in the event the franchisee fails to comply with the terms of the franchise agreement or the requirements of this chapter. 10. Provisions governing any proposed transfer of ownership or control. 11. Release, indemnification, and hold harmless provisions in form required by the city. 12. Failure to address every requirement of this chapter in the franchise agreement shall in no way relieve franchisee of its obligations to comply with each and every applicable provision under this chapter. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.160 Ambulance services—Service response protocol.

4.80.160 - Ambulance services—Service response protocol. A. The fire department shall be the 911 emergency response and transport service in support of the IEMS for the city. In the event the city is unable to meet emergency response demands, the fire chief may, at his discretion, enter into a mutual aid agreement for a particular emergency situation with an ambulance service that is licensed under this chapter. B. If a licensee receives a call for service that requires an emergency response for a life threatening condition, that call for service shall be given to the PSAP center unless the requested response is for a CCT/SCT unit or the call originates at a hospital. Emergency responses at hospitals do not require a response from the fire department unless specifically requested by the caller or the ambulance service provider. C. The following procedures shall apply: 1. Upon arrival at the scene of an incident where patient care is being provided by fire department personnel, the licensee's personnel shall: a. Seek out the incident commander for an information report on patient care already provided; b. Request possible assignments to assist in any additional care; c. Avoid duplicating any patient assessment or treatment already completed; and d. Work under the direction of the incident commander. 2. Upon arrival at the scene of an incident where patient care is being provided by licensee's personnel, the fire department may assume command of the scene. In the event that the fire department does assume command of the scene it shall: a. Seek out the licensee's employee in charge for a report on the condition of the patient, and any treatment that may have been provided; b. Request transfer of information from the licensee's personnel; and c. Remain in charge of the scene while at the scene. 3. Upon the fire department's assumption of command of an incident scene, care of a patient or patients shall be the responsibility of the fire department personnel until such personnel have ceased to provide patient care and responsibility has been transferred to licensee personnel; provided, however, that at no time shall licensees' personnel delay initiation of appropriate treatment or transportation of a patient in anticipation of fire department response. It is the responsibility of all agencies providing patient care to cooperate and assist in treatment and transportation requirements. 4. A licensee responding to a PSAP call shall not send additional ambulances to an incident unless so authorized by the incident commander or the PSAP. 5. Nothing in this section shall be deemed to require or authorize the interruption of patient care in progress. 6. Any licensee providing treatment and transport or transfer services to or from a non-medical facility in the city shall provide personnel and equipment at the EMT paramedic level in accordance with health district regulations and operate in accordance with this chapter. 7. A licensee that is requested to transport or transfer allegedly mentally ill patients that require medical examination prior to transport or transfer in accordance with NRS 433A.165 may provide such transport or transfer at the advanced EMT level, as necessary to the transport request and in accordance with health district regulations. 8. Any licensee providing inter-facility/hospital ambulance transport or transfer services originating in the city shall provide personnel and equipment at the level of service requested by the medical facility, but not less than the advanced EMT level, as necessary to the transport request and in accordance with health district regulations. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.170 Ambulance services—Maximum service rates.

4.80.170 - Ambulance services—Maximum service rates. A. A licensee may charge no more than the maximum ambulance service rates plus loaded mileage rates as established in chapter 2.29 of the Henderson Municipal Code. B. Ambulance service rate charges specified in subsection A of this section are subject to the following: 1. When there are transports or transfers involving two or more patients in the same ambulance, the mileage charge shall be equally divided between the patients; 2. A licensee shall not charge for wait time as a result of or in proximity to any transport or transfer; 3. A licensee may discount an ambulance service rate to the degree allowed by federal, state and local laws from the maximum ambulance service rates, provided that: a. No cost shifting shall occur, and b. The same discounted rate shall be charged to all patients or third-party payers; 4. A licensee shall not capitate any rate nor charge a uniform average per capita rate for any group or category of persons to whom it provides service. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.180 Ambulance services—Submittal of reports.

4.80.180 - Ambulance services—Submittal of reports. A. At the request of either the CFO or the fire department, a licensee shall submit reports, records and other information regarding emergency transports and non-emergency transfers that are necessary to verify the licensee's compliance with this chapter and franchise agreement, if applicable, executed pursuant to this chapter. These reports, records and information shall be submitted in a format mutually agreed to between licensee and city, and on the date requested by the CFO or fire department. B. A licensee may keep records using account numbers or patient numbers rather than names and addresses; provided, however, that such records shall include the PSAP incident number. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.190 Ambulance services—Release of records to patient.

4.80.190 - Ambulance services—Release of records to patient. Upon request by any patient who has been transported or transferred by a licensee or any other person described in NRS 629.061(6), that licensee shall make: (i) the health care records (as that term is defined in NRS 629.021) of that patient and (ii) all of its billing records relating to that patient, available for inspection as required by NRS 629.061(6). (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.200 Ambulance services—Release of records to city.

4.80.200 - Ambulance services—Release of records to city. At the city's request, a licensee shall furnish to the city any records or any additional information regarding emergency transports and nonemergency transfers that are necessary to verify compliance with this chapter or the franchise agreement, if applicable. Licensee shall furnish such records in a manner that complies with HIPAA. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.210 Ambulance services—Monthly reports.

4.80.210 - Ambulance services—Monthly reports. The franchisee shall provide a monthly report to the department listing any litigation filed against the franchisee of which it is aware arising from or in any way related to franchisee's operations in the city. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.220 Ambulance services—Financial statements.

4.80.220 - Ambulance services—Financial statements. A franchisee shall provide to the department: A. Within four months after the end of each fiscal year of a franchise, the financial statements for such fiscal year; B. In connection with financial records inspections as provided for in this chapter or during any auditing activities, such details regarding the franchisee's financial operation in the city as the department may require to verify compliance by the franchisee with the provisions of this chapter and the terms of the franchise agreement. C. Access to financial statements of entities locally owned by, operated by or under the control of the franchisee or related business parties who exercise any control of the franchisee. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.230 Ambulance services—Inspection of financial records.

4.80.230 - Ambulance services—Inspection of financial records. Upon two business days' written notice, during normal business hours, the department may inspect the financial records of an ambulance service licensee to determine whether the licensee is complying with the terms of this chapter. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.240 Confidentiality of records.

4.80.240 - Confidentiality of records. A. Except as otherwise provided in this section, records provided by a person to the city for purposes of making application for a franchise or business license under this chapter, and determining compliance with the requirements of this chapter after being licensed or issued a franchise, shall be considered public records in accordance with state open records law. B. An applicant for a franchise or business license under this chapter may seek confidential treatment to protect against the disclosure or public inspection of confidential or proprietary information, such as commercially valuable or proprietary information related to performance. The applicant must represent in writing to the city that protections exist under the law to preserve the confidentiality of the record and the legal basis thereof. The city shall provide confidential treatment to the extent allowed by law as determined by city in its sole discretion. C. Any information provided to the city which contains a natural person's name, address, medical condition or diagnosis, incident location, social security number, personal financial records, telephone number, home address, e-mail address, names of family members, or work history, or which otherwise constitutes "protected health information" as that term defined under HIPAA, shall be considered confidential. Such confidential information shall not be released by the city to the public unless the person to whom the information applies has first agreed in writing, in a format which complies with HIPAA requirements, to release of the information. To the extent permitted by HIPAA and other applicable law, reports containing confidential information and information deemed to be public may be released if such confidential information is first redacted. D. Yearly audited financial statements of the local franchised operations are a matter of public record. To the extent allowed by law, the work papers, findings, and associated documents underlying or produced by audits conducted by the department are confidential. E. Upon the city's request and within the time period required by the city, a franchisee or licensee shall provide any such redacted reports that may be required for release by the city. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.250 Ambulance services—Franchise is non-transferrable.

4.80.250 - Ambulance services—Franchise is non-transferrable. A franchisee's obligations under its franchise involve personal services whose performance involves personal credit, trust and confidence in the franchisee. Ambulance service franchises are not transferrable to successors if there is a transfer of ownership or control. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.260 Ambulance services—Security deposit required.

4.80.260 - Ambulance services—Security deposit required. A. To ensure that ambulance service in support of the IEMS remains uninterrupted in the event of premature termination of a franchise for any reason, and to ensure that any fees, fines, penalties or other amounts owed to the city are paid, a franchisee shall provide and maintain, as a condition of the franchise, and prior to providing any ambulance services in the city, security in the form of cash, an irrevocable pledge of certificate of deposit, an irrevocable letter of credit or a performance bond, as set forth in the franchise agreement. In the event that an ambulance service holds a franchise in the city for non-911-dispatched inter-facility ambulance transport service and CCT service only, such security shall be in the minimal amount of $100,000.00 made payable to the city finance department and delivered to the CFO. In the event that an ambulance service holds a franchise for both mutual aid emergency and nonemergency transports such security shall be in the amount of $1,000,000.00, or in the amount otherwise set forth in the franchise agreement, made payable to the city finance department and delivered to the CFO. B. If performance bonds are used to satisfy the security requirements of this section, they shall comply with the following requirements: 1. All bonds shall provide for payment of the city's reasonable attorneys' fees to enforce the bond. 2. All bonds shall be issued by a surety company authorized to do business in the State of Nevada, and which is listed in the U.S. Department of the Treasury Fiscal Service (Department Circular 570, Current Revision). 3. All bonds shall guarantee performance of the franchisee's obligations under the franchise agreement and under all applicable local, state and federal laws. 4. A certified and current copy of the power of attorney of the attorney-in-fact who executes the bond on behalf of the surety shall be affixed to the bond. 5. All bonds prepared by a licensed non-resident agent must be countersigned by a resident agent in accordance with NRS 680A.300. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.270 Franchisee and licensees bound by regulations.

4.80.270 - Franchisee and licensees bound by regulations. The franchisee and persons issued a business license or provisional business license under this chapter shall be subject to all requirements of the city's ordinances, rules, regulations and specifications insofar as the regulations and specifications are not in violation of any applicable state or federal regulations. The city reserves every right and power to exercise any requirement of the Henderson Municipal Code, and the franchisee and each licensee, by its acceptance of the franchise or business license, agrees to be bound thereby and to comply with any action under (or requirement of) Henderson Municipal Code, as it exists now or as amended in the future. (Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.280 Ambulance services—Request for extension of franchise.

4.80.280 - Ambulance services—Request for extension of franchise. A franchisee may request extension of its franchise. Such request must be made no less than 12 months prior to the expiration of the initial franchise term. The city manager may waive or add any application requirements of section 4.80.120 for extension of a franchise. If the city council determines that the franchisee has operated in conformance with the provisions of this chapter, the franchise agreement, and the rules and regulations of the city, the franchise may be extended for a period not to exceed the initial franchise term. A franchisee shall cooperate with the city in any extension proceeding and shall provide such information as the city shall reasonably request in such an extension proceeding. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.290 Ambulance services—Revocation of franchise.

4.80.290 - Ambulance services—Revocation of franchise. A. The city council may revoke a franchise if it finds that: 1. The franchisee has failed to meet one or more of the performance standards of this chapter; 2. The franchise was obtained by fraud or misrepresentation; 3. The franchisee has failed to operate its ambulance service business in accordance with all applicable laws and regulations and the franchise agreement; 4. The franchisee otherwise failed to meet any of the provisions of any state, local or federal law or regulation; 5. A transfer of ownership or control has occurred. B. The city council may revoke a franchise upon 12 hours' notice to a franchisee in the event that any failure of the franchisee which constitutes a significant and immediate threat to public health and safety is not cured to the satisfaction of the city council within such time. C. Except for revocation pursuant to subsection B of this section, prior to revoking a franchise the city council shall first provide written notice to the franchisee stating its intent to revoke the franchise and the nature of the deficiency. The franchisee shall have 15 calendar days from receipt of notice to cure such deficiency to the satisfaction of the city council. If such deficiency is not so cured, the city council may issue a notice of revocation stating any deficiencies and the effective date of the revocation. D. The city shall provide the franchise written notice, at the time the public receives written notice pursuant to NRS Chapter 241, of any city council meeting at which a franchise is being considered for revocation. E. In an emergency, as defined in NRS 241.020, the city council may revoke a franchise without prior notification. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.295 Ambulance services—IEMS participation.

4.80.295 - Ambulance services—IEMS participation. Any person desiring to operate a business that provides ambulance services within the city shall maintain full participation in the IEMS as managed by the city. This includes, but is not limited to training, quality improvement processes, mutual aid/mass care services, system reporting requirements, and other IEMS management needs identified by the city. (Ord. No. 3379, § 4, 1-3-2017)

Henderson Municipal Code § 4.80.297 Ambulance services—Penalty.

4.80.297 - Ambulance services—Penalty. Failure of an ambulance service provider to comply with the applicable sections of this chapter may result in disciplinary action against the licensee, including suspension, revocation or limitation of the provider's business license under the provisions of chapter 4.06 of this title. (Ord. No. 3856, § 6, 3-1-2022)

Henderson Municipal Code § 4.80.300 Special event medical services—Franchise not required when.

4.80.300 - Special event medical services—Franchise not required when. A. An ambulance service franchise shall not be required in order to provide special event medical service as defined by health district EMS regulations, sections 1150.050 through 1150.400, as may be amended, if the special event does not require a dedicated ALS ambulance(s). B. If a dedicated ALS ambulance(s) is used at a special event or is required at a special event by the promoter of the special event, by an insurer in connection with the special event, by the owner of the venue at which the special event is being held, by the chief of the fire department, or by another person with contractual or jurisdictional authority over the special event, then only an ambulance service provider who is franchised in accordance with this chapter is authorized to provide the dedicated ALS ambulance(s) at the special event. (Ord. No. 3856, § 7, 3-1-2022; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.310 Special event medical services—IEMS Participation.

4.80.310 - Special event medical services—IEMS Participation. Any person desiring to operate a business that provides medical or first aid services at special events within the city must maintain full participation in the IEMS as managed by the city. This includes but is not limited to training, quality improvement processes, mutual aid/mass care services, system reporting requirements, and other IEMS management needs identified by the city. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.320 Special event medical services—Business license required.

4.80.320 - Special event medical services—Business license required. Any person desiring to operate a business that provides medical or first aid service at special events within the city must first obtain and thereafter maintain a valid unexpired business license to provide special event medical services. Persons holding a valid and current ambulance service franchise and ambulance service business license with the city, or a valid and current ambulance service business license with the city, are not required to obtain a separate business license to provide SEMS. (Ord. No. 3856, § 8, 3-1-2022; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.330 Special event medical services—Business license fee.

4.80.330 - Special event medical services—Business license fee. The business license fee for a special event medical service provider shall be $100.00 paid semiannually. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.340 Special event medical services—Business license application.

4.80.340 - Special event medical services—Business license application. A. An ambulance service business license granted in accordance with this chapter shall not be required in order to provide SEMS. B. A person desiring to provide SEMS must file a written application with the department on such form or in such format as the department shall require. The following additional documentation shall also be provided with the completed applications: 1. Proof of an ambulance service special purpose permit issued by the health district. 2. Proof of insurance as required in this chapter. (Ord. No. 3856, § 9, 3-1-2022; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.350 Special event medical services—Transport from special events.

4.80.350 - Special event medical services—Transport from special events. A. An ambulance service provider who is franchised in accordance with this chapter may provide SEMS and may use its ambulances to transport patients from the location of a special event. Ambulance service franchisees are exempt from the requirements of subsection 4.80.350(B)1—5. B. A SEMS provider who has obtained a business license pursuant to section 4.80.320 and whose special event vehicle is staffed and equipped pursuant to health district regulations, may not transport a patient from a special event it has been contracted to serve and, if a patient must be transported, that SEMS provider shall contact the city PSAP and request an emergency response from the city to the scene of the emergency. However, that SEMS provider may transport a patient from such a special event if the condition of a patient is a life threatening emergency (e.g., penetrating trauma, acute myocardial infarction, evolving cerebral vascular accident, difficult airway management, etc.), and the SEMS provider complies with the following operating requirements: 1. Prior to transport, the SEMS provider shall contact the city PSAP and request an emergency response from the city to the scene of the emergency. 2. The SEMS provider will continue to provide care to the patient while awaiting response. 3. If the fire department is unable to respond, the SEMS provider may transport the patient to an approved medical facility. 4. If the SEMS provider is transporting the patient to a location suitable for transferring the patient to an ambulance or air ambulance, prior to transport the SEMS provider shall contact the city PSAP, to request that an ambulance or air ambulance be dispatched to the transfer location. 5. Within five calendar days of the transport, the SEMS provider shall submit a written report of the patient transport to the fire chief, in a form approved by the department, and to the health district, pursuant to health district reporting regulations. (Ord. No. 3856, § 10, 3-1-2022; Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.355 Ambulance services—Pre-notification of special event.

4.80.355 - Ambulance services—Pre-notification of special event. If a special event is anticipated to, or will have 50 or more people in attendance, then five calendar days before the special event is scheduled to occur or on the date the SEMS provider agrees to provide SEMS at the special event, whichever date is earlier, the SEMS provider shall email the chief of the fire department, or their designee, the following information: name of the special event, estimated number of people attending the special event, location of the special event, the name(s) and mobile number(s) of the SEMS provider's primary contact who will be on scene at the special event, and the name and email address of the special event promoter. The SEMS provider shall provide additional information regarding the special event requested by the chief of the fire department, or their designee, by any deadline specified. (Ord. No. 3856, § 11, 3-1-2022)

Henderson Municipal Code § 4.80.360 Special event medical services—Cooperation during emergency.

4.80.360 - Special event medical services—Cooperation during emergency. If requested to do so by the city, and subject to availability of staff and equipment, a SEMS provider shall make its staff and equipment available to aid and assist the city in the event of wide-scale emergency or disaster and, if requested, shall cooperate with and participate in an emergency planning program conducted or sponsored by the city's office of emergency management. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.370 Special event medical services—Failure to comply—Penalty.

4.80.370 - Special event medical services—Failure to comply—Penalty. Failure of a SEMS provider to comply with the applicable sections of this chapter may result in disciplinary action against the licensee, including suspension, revocation or limitation of the SEMS provider's business license under the provisions of chapter 4.06 of this title. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.380 Special event medical services—Color scheme— Design.

4.80.380 - Special event medical services—Color scheme— Design. The color scheme, logo and uniform design to be used to designate the SEMS vehicle and personnel of the SEMS provider shall not be the same or confusingly similar to the color scheme of designs of the fire department or other ambulance service providers operating in the city as determined by the fire chief in his or her sole discretion. (Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.390 Liability insurance required.

4.80.390 - Liability insurance required. A. As a condition of and prior to commencing business operations, any person required to have a business license, or both a business license and franchise, under this chapter and intending to transport or provide transfers on the rights-of-ways or air space of the city as provided in this chapter shall file with the director and thereafter maintain liability insurance, as long as required to be licensed, or both licensed and franchised, in such form and for such coverage as approved by the city's risk manager, insuring the licensee or franchisee against all risk arising from the operations of the licensee or franchisee for not less than $2,000,000.00 per occurrence for bodily injury or death, and $2,000,000.00 per occurrence for loss or damage to property. B. All policies of insurance required under this section shall be issued by insurance companies licensed to do business in the State of Nevada in accordance with applicable sections of Nevada Revised Statutes Title 57, from carriers having a rating from A.M. Best Company of no less than A-VIII. Proof of coverage shall be evidenced by submitting an insurance certificate, or certificates, to the director, which names the city as an additional insured and indicates, by proper endorsement or rider to the policy, that the city will be notified no less than 30 days prior to alteration, cancellation, termination or non-renewal of coverage. (Ord. No. 3856, § 22, 3-1-2022; Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Henderson Municipal Code § 4.80.400 Prior private ambulance licensure.

4.80.400 - Prior private ambulance licensure. Any person licensed to operate an ambulance service under this chapter on October 6, 2015 shall have until February 28, 2017, to submit one or more applications for applicable licenses in accordance with the requirements in this chapter. The city shall not renew or extend any license issued prior to October 6, 2015, to operate an ambulance service under chapter 4.80. (Ord. No. 3856, § 23, 3-1-2022; Ord. No. 3379, § 1, 1-3-2017; Ord. No. 3292, § 2, 10-6-2015)

Source: City of Henderson, Nevada, Municipal Code and City Charter (Municode Library, library.municode.com)URL: https://library.municode.com/nv/henderson/codes/code_of_ordinances?nodeId=TIT4BURELI_CH4.80EMMESEFetched: 11/1/2026