Ambulance Services

Las Vegas Municipal Code tit. 6, ch. 6.08, art. I

in effect

Las Vegas Municipal Code § 6.08.030 Business license required.

6.08.030 - 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 Title. (B) The business license fee for an ambulance service shall be determined on the basis of gross revenues, calculated as if "gross sales" in accordance with LVMC 6.04.005, and shall be paid in advance semiannually. (Ord. 5260 § 4, 2000)

Las Vegas Municipal Code § 6.08.040 Franchise and fees required.

6.08.040 - Franchise and fees required. (A) Except as provided in Subsection (C) of this Section and LVMC 6.08.330(A), it is unlawful for any person to provide ambulance service in the City without first obtaining and thereafter maintaining an ambulance service franchise and paying the franchise fee as required by this Chapter. (B) Each franchise granted under this Chapter will be a nonexclusive franchise. (C) A franchise is not required of any out-of-jurisdiction ambulance service providing emergency cross-jurisdictional transport services originating outside the City, provided such ambulance service has complied with all license, permit and franchise requirements of the jurisdiction where the transport originated. (Ord. No. 6762, § 2, 12-16-20; Ord. 5260 § 5, 2000)

Las Vegas Municipal Code § 6.08.050 Franchise fee determination.

6.08.050 - Franchise fee determination. The franchise fee shall be the amount set forth in a franchise agreement which has been determined necessary to partially reimburse the City for costs incurred in dispatch processing, providing or arranging for services, administering the franchise agreement, regulatory oversight, and such other service as permitted by applicable law. Franchise fees shall be paid according to the provisions of the franchise agreement, and shall be accompanied by such supporting documentation as the Franchise Officer deems necessary. If a franchise fee is received by the City after its due date, the City is authorized to charge the franchisee a late fee of two percent per month (or fraction thereof) of the delinquent amount. (Ord. No. 6901, § 2, 5-7-25; Ord. No. 6762, § 3, 12-16-20; Ord. 5800 § 2, 2005: Ord. 5260 § 6, 2000)

Las Vegas Municipal Code § 6.08.060 Limitation of number of franchises.

6.08.060 - Limitation of number of franchises. After having conducted a public hearing specific to such purpose, the City Council may, in its sole discretion, specify by resolution a fixed number of ambulance service franchises, including their service 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 shall first conduct a public hearing and, in its sole discretion, make a determination of whether a new ambulance service franchise will serve the public convenience and necessity. (Ord. 5260 § 7, 2000)

Las Vegas Municipal Code § 6.08.070 Application for franchise.

6.08.070 - 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, a person may apply for a new franchise by submitting an application to the Franchise Officer on such form or in such format as the City may require. (B) The application shall be in writing and shall include the following: (1) For a sole proprietor, the name and business and residence addresses of the applicant. For a corporation, the corporate name, date and place of incorporation, an address of its principal place of business, and identification of the ownership and control of the applicant, including: the names and address of the ten largest holders of an ownership interest in the applicant and affiliates of the applicant, and all persons with five percent or more ownership interest in the applicant and its affiliates, the persons who control the applicant and its affiliates, all officers and directors of the applicant and its affiliates, and any other business affiliation and ownership interest of each named person. For a corporation, a copy of the articles of incorporation and all effective amendments certified by the appropriate officer of the state of incorporation, and a certificate of good standing from the Nevada Secretary of State. For a limited liability company (LLC), the LLC name, date and place of formation, an address of its principal place of business, identification of the ownership and control of the applicant, including the names and addresses of the ten largest holders of an ownership interest in the applicant and affiliates of the applicant, and all persons with five percent or more ownership interest in the applicant and its affiliates, the persons who control the applicant and its affiliates, all members/managers of the applicant and its affiliates, and any other business affiliation and ownership of each named person. For an LLC, a copy of the articles of organization and all effective amendments certified by the appropriate officer of the state of formation, and a certificate of good standing from the Nevada Secretary of State. For a partnership or association, the names of the owners, partners or the persons comprising the association of the company, the names and percentage of ownership of each owner, partner or person, and the business and residence addresses of each owner, partner or person. If the applicant is operating under a fictitious firm name, a copy of the certificate filed pursuant to NRS Chapter 602; (2) A statement with such references as may be acceptable to the Franchise Officer and Fire Chief 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, performance standards achieved and levels of service provided. This Section shall not be deemed as precluding an application from a new business entity; provided that the principals in such entity are able to demonstrate that the new entity can satisfy the requirements for a franchise set forth in this Chapter; (3) A letter of intent from an insurance carrier meeting the requirements of this Chapter stating that, if a franchise is granted, an insurance policy will be issued in the amount and under the conditions stated in this Chapter; (4) A letter of commitment from a qualified institution acceptable to the Franchise Officer stating that, if a franchise is granted, performance security in the kind and amount stated in this Chapter will be issued securing the applicant's performance under the franchise agreement; (5) A written description of the AVL system and the computer-aided dispatch system or other system the applicant intends to utilize, and must be compatible with the FAO's CAD; (6) 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 (FCC) for an appropriate license; (7) 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; (8) A description of the applicant's proposed operating procedures related to training, staffing, billing, collections, customer relations and maintenance of records; and (9) Written information as required by the Franchise Officer or Fire Chief, or both, to allow evaluation of whether the applicant is financially able to provide ambulance services, including: (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 Franchise Officer or Fire Chief, or both, may require for a full understanding of the application. (10) Any other documents and information as the Franchise Officer or Fire Chief, or both, may require in order to evaluate the applicant. (Ord. No. 6901, § 3, 5-7-25; Ord. No. 6432, § 2, 7-1-15; Ord. 5260 § 8, 2000)

Las Vegas Municipal Code § 6.08.080 Review of application.

6.08.080 - Review of application. (A) Upon the receipt by the Franchise Officer of any application referred to in Section 6.08.070, and payment of a one-thousand-dollar non-refundable deposit, the Franchise Officer or Fire Chief, or both, shall immediately cause verification, review, and investigation of the applicant, the actual costs of which shall be paid by the applicant. The Franchise Officer or Fire Chief, or both, shall report to the City Council the findings made pursuant to the investigation. (B) The City Council, in its sole discretion, may approve or reject any application, grant or deny any franchise, or request further investigation or review or direct other actions. (Ord. No. 6901, § 4, 5-7-25; Ord. No. 6432, § 3, 7-1-15; Ord. 5260 § 9, 2000)

Las Vegas Municipal Code § 6.08.090 Solicitation of bids.

6.08.090 - Solicitation of bids. The City Council, in its sole discretion, may direct the solicitation of bids for ambulance service franchises and, the requirements for application stated in Section 6.08.070 notwithstanding, may establish such requirements for bids as it deems appropriate. Bids received shall be reviewed and investigated by the Franchise Officer or Fire Chief, or both, who shall report the findings to the City Council. After receiving the report or reports, the City Council may grant a franchise, not grant a franchise or take any other action it may deem appropriate. (Ord. No. 6901, § 5, 5-7-25; Ord. 5260 § 10, 2000)

Las Vegas Municipal Code § 6.08.100 Request for renewal of franchise.

6.08.100 - Request for renewal of franchise. A franchisee may request extension of its franchise at least twelve months prior to the franchise expiration date. In connection with the request for extension, the City Manager may require compliance with any or all of the requirements for an initial application under Section 6.08.070 and add such additional requirements as deemed appropriate. A franchisee shall cooperate with the City in any proceeding for extension and shall provide such information as the City shall reasonably request in connection therewith. (Ord. No. 6762, § 4, 12-16-20; Ord. 5260 § 11, 2000)

Las Vegas Municipal Code § 6.08.110 Nonexclusivity of franchise.

6.08.110 - Nonexclusivity of franchise. An ambulance service franchise shall grant non-exclusive permission to the franchisee to provide ambulance services for the service level 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. No provision, term of art, map or illustration, nor Section title of this Chapter, nor of any franchise agreement granted under this Chapter, shall imply, suggest, connote or in any way infer that any franchisee holds any degree of exclusivity to solely provide ambulance service within the City, nor within any franchise service area within the City, nor any sub-zone thereof. (Ord. 5800 § 3, 2005: Ord. 5260 § 12, 2000)

Las Vegas Municipal Code § 6.08.120 Franchise provisions.

6.08.120 - Franchise provisions. The following provisions shall apply to franchises issued pursuant to this Chapter: (A) 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. In no event shall this Chapter be considered a contract between the City and the franchisee such that the City would be prohibited from amending any provision hereof. (B) All documents provided by the applicant as part of the completed application and all statements, representations, warranties and promises made therein by the applicant and relied upon by the City in granting the franchise shall be binding upon the franchisee. (C) A franchise shall be revocable in accordance with the provisions of this Chapter if the franchisee fails, for reasons other than force majeure, to provide ambulance services within the period of time specified in the franchise agreement. (D) A franchise agreement shall set forth its length of term. (E) No privilege or exemption shall be inferred from the granting of any franchise unless it is specifically mentioned in this Chapter or in the franchise agreement. (F) The granting of a franchise pursuant to this Chapter shall not impart to the franchisee any vested ownership right or ownership interest in any rights-of-way or City property, notwithstanding the right to use City rights-of way or City property to provide its ambulance service. (G) As a condition of the franchise and prior to providing ambulance service a franchisee shall provide the City with a detailed statement of the equipment and facilities to be used in providing ambulance service, including: (1) A copy of its Health District ambulance service permit; (2) The vehicle identification number, 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) A copy of the franchisee's Federal Communications Commission license; and (6) Proof that the franchisee's AVL and CAD have been tested for compatibility with the FAO CAD to monitor the location and status of deployed units at all times and have performed in a manner acceptable to the Fire Chief in his or her sole discretion. (H) The Franchise Officer and the Fire Chief, in consultation with the LVFR Medical Director, may adopt administrative policies and procedures as necessary to carry out the provisions of this Chapter and franchise agreements executed pursuant to this Chapter, subject to the approval of the City Manager. (Ord. No. 6901, § 6, 5-7-25; Ord. No. 6432, § 1, 7-1-15; Ord. 5800 § 4, 2005: Ord. 5260 § 13, 2000)

Las Vegas Municipal Code § 6.08.125 Mobile integrated healthcare and ET3 services.

6.08.125 - Mobile integrated healthcare and ET3 services. A franchisee may provide mobile integrated healthcare, but only if permitted by and pursuant to the terms of its franchise agreement. (Ord. No. 6901, § 7, 5-7-25; Ord. No. 6762, § 5, 12-16-20; Ord. No. 6432, § 5, 7-1-15)

Las Vegas Municipal Code § 6.08.130 Further franchise provisions.

6.08.130 - Further franchise provisions. (A) No franchisee shall deviate from the color scheme, logo or design approved by the Fire Chief without his or her prior consent. (B) The franchisee shall maintain records within Clark County, Nevada and allow for audits as provided in applicable Sections of this Chapter and Title 6 of this Code. (C) A franchisee shall adhere to response time standards and staffing requirements of this Chapter in its service area and individually in each subzone that the franchisee is authorized to serve. The franchisee shall ensure that each sub-zone in its service area receives the same level of service or level of performance as compares with other sub-zones it serves within the franchise service area. (D) A franchisee shall not use, encourage, advocate or solicit the use of any telephone number or system of communication in lieu of the 911 emergency telephone system number for the dispatch of an ambulance to any call except for non-emergency service as defined by this Chapter. (E) Unless otherwise specified in its franchise agreement or required by the LVFR Medical Director's regulations and procedures, when a franchisee receives, through any means, a request for service which if processed through EMS priority dispatch protocols would be determined to be a Priority Level 1, 2, 3, 4 or 5 call under a Category Alpha (A), Bravo (B), Charlie (C), Delta (D), Echo (E), or Omega (O) level category for EMS ambulance service, the franchisee shall electronically transfer information on the call to the FAO, including patient location, condition and call-back number. (F) A franchisee shall not use any ambulance once the vehicle mileage on that ambulance reaches three hundred thousand miles; provided, however, that an ambulance in which a new engine and transmission have been installed before reaching that mileage may continue in use beyond that mileage, but must not be used by the franchisee after its mileage has reached five hundred thousand miles. (G) Except with respect to nonemergency ambulance service, when a franchisee is providing special event medical service and a patient's condition requires transport, or a franchisee is directly called to transport a patient from a special event, the franchisee shall electronically transfer information on patient location, condition, availability of or need for the dispatch of an ambulance and call-back number to the FAO. (H) A franchisee shall provide integration of the franchisee's emergency and non-emergency resources onto the FAO dispatching consoles. (Ord. No. 6901, § 8, 5-7-25; Ord. No. 6762, § 6, 12-16-20; Ord. No. 6432, § 6, 7-1-15; Ord. No. 6040, § 2, 5-20-09; Ord. 5800 § 5, 2005: Ord. 5583 § 2, 2003: Ord. 5260 § 14, 2000)

Las Vegas Municipal Code § 6.08.140 Establishment of City Zone.

6.08.140 - Establishment of City Zone. The incorporated areas of the City shall be considered the City Zone. The City Zone shall not receive disproportionate service as compared with other local jurisdictions served by the franchisee. In the event that the City establishes sub-zones within the City Zone, the franchisee shall assure that no single sub-zone receives disproportionate service as compared with other sub-zones within the City Zone. (Ord. 5260 § 15, 2000)

Las Vegas Municipal Code § 6.08.150 Response time performance standards.

6.08.150 - Response time performance standards. (A) Requests for ambulance service which are received through the FAO, including ten-digit requests for emergency service, through a 911-emergency telephone system, or franchisee's dispatch center, shall meet the following response time performance standards: (1) For all dispatch level emergency calls of EMS Priority Levels 1, 2 and 3, the response time shall be no greater than eleven minutes and fifty-nine seconds (11:59). (2) For all dispatch level emergency calls of EMS Priority Level 4, the response time shall be no greater than fifteen minutes and fifty-nine seconds (15:59). (3) For all dispatch level emergency calls of EMS Priority Level 5 and non-emergency calls of Priority Level 11 Urgent, the response time shall be no greater than nineteen minutes and fifty-nine seconds (19:59). (4) For all non-emergency calls of Priority 11 Scheduled, the response time shall be no greater than the scheduled time. (5) For all non-emergency calls of Priority 11 Unscheduled, the response time shall be no greater than fifty-nine minutes and fifty-nine seconds (59:59). (B) During each calendar month, and within a franchisee's service area and within each sub-zone within that area, as established or amended in accordance with the terms of the franchise agreement, a franchisee must have a minimum ninety percent compliance rate with the response time standards set forth in Subsection (A) of this Section, as measured in each of the following categories: (1) The combined total of emergency calls of EMS Priority Levels 1 and 2, separately from the calls of any other Priority Level; (2) The total of emergency calls of EMS Priority Level 3, separately from the calls of any other Priority Level; (3) The total of emergency calls of EMS Priority Level 4, separately from the calls of any other Priority Level; (4) The total of emergency calls of EMS Priority Level 5, separately from the calls of any other Priority Level; and (5) The combined total of non-emergency calls (all types) of EMS Priority Level 11, separately from the calls of any other Priority Level. (C) In addition to the provisions of Subsection (A) of this Section, a franchisee's failure to arrive on the scene within the times set forth in this Subsection (C) may be grounds for taking disciplinary action against a franchisee, including assessment of liquidated damages, penalties or other actions as provided in this Chapter or in the franchise agreement; readjustment of the franchisee's Franchise Service Area; or possible termination of the franchise as provided by this Chapter or the franchise agreement. The arrival times beyond which disciplinary and related actions under this Subsection (C) may be taken are as follows: (1) For dispatch level emergency calls of EMS Priority Levels 1, 2 and 3, within fourteen minutes and fifty-nine seconds (14:59) after dispatch. (2) For dispatch level emergency calls of EMS Priority Level 4, within nineteen minutes and fifty-nine seconds (19:59) after dispatch. (3) For dispatch level emergency calls of EMS Priority Level 5, within twenty-four minutes and fifty-nine seconds (24:59) after dispatch. (4) For dispatch level non-emergency calls of EMS Priority Level 11 Urgent, within ten minutes after the response time set forth in Subsection (A) of this Section. (5) For dispatch level non-emergency calls of EMS Priority Level 11 Scheduled and Unscheduled, within thirty minutes after the response times set forth in Subsection (A) of this Section. (D) Calls not canceled by the FAO before the response time requirement has expired but for which the ambulance crew failed to substantiate the on-scene time through usage of AVL/GPS data reports or, if the AVL/GPS was not functioning, failed to report through alternative methods established by the Fire Chief and LVFR Medical Director, will be considered as failing to meet the applicable response time standards set forth in Subsection (A) of this Section. (E) A call for which an ambulance did not respond within the applicable response time standards set forth in Subsection (A) of this Section, either by the franchisee or by an authorized ambulance service provider through a mutual aid agreement, will be considered as failing to meet the response time requirements of this Section if the call was not canceled by the FAO before the expiration of the response time requirements. (F) When the FAO closes a call, the call is terminated and the applicable response time standard set forth in Subsection (A) of this Section will apply. If the FAO reopens the call, the franchisee shall consider it a new call and calculate the response time from the time the franchisee receives information that the call has been reopened to the time when the ambulance dispatched to the incident arrives and reports that it is on scene, or when the dispatched ambulance en route to an incident is canceled by the FAO dispatch. (G) When multiple ambulances are dispatched by FAO to a single incident, the applicable response time standards set forth in Subsection (A) of this Section will apply only to the first ambulance dispatched by FAO, and additional ambulances responding to the incident will not have a response time requirement nor be counted as a separate call by a franchisee in calculating its monthly ninety percent response time compliance required by this Section. (H) When a franchisee requests mutual aid from an authorized franchisee, the requesting franchisee will count that call in its total monthly calls in calculating its ninety percent on-time response requirements of this Section and will be responsible for any incidental late penalties for such response. (I) The franchise agreement may specify an area of the City wherein the response time requirements of this Section shall not apply. (J) In addition to any other liquidated damage assessment, remedy or penalty provided in this Chapter or the franchise agreement, failure of a franchisee to meet the monthly ninety percent response time requirements set forth in this Chapter within its service area or any sub-zone thereof, as defined by the franchise agreement, for any four months during any period consisting of twelve consecutive calendar months shall be grounds for readjustment of the service area or any other appropriate action as may be determined by the City Council, in its sole discretion, including but not limited to action authorized by Section 6.08.290. (Ord. No. 6901, § 9, 5-7-25; Ord. No. 6762, § 7, 12-16-20; Ord. No. 6432, § 7, 7-1-15; Ord. No. 6040, § 3, 5-20-09; Ord. 5800 § 6, 2005: Ord. 5583 § 3, 2003: Ord. 5260 § 16, 2000)

Las Vegas Municipal Code § 6.08.160 Ambulance procedure.

6.08.160 - Ambulance procedure. (A) Except as otherwise provided by Subsection (B) of this Section, 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 ambulance franchisee's personnel shall: (a) Seek out the officer or paramedic in charge (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 ambulance franchisee'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 ambulance franchisee'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 ambulance franchisee'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 franchisee personnel; provided, however, that at no time shall ambulance franchisees' 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 franchisee responding to an FAO call shall not send additional ambulances to an incident unless so authorized by the Incident Commander or the FAO. (B) If a call is closed by a Fire Department unit by changing status to available, the franchisee shall continue to the scene unless the franchisee receives notification from the FAO that the call is cancelled. The franchisee shall substantiate the on-scene time through usage of AVL/GPS data reports or, if the AVL/GPS was not functioning, through alternative methods established by the franchise agreement or the LVFR Medical Director. (C) Nothing in Subsection (A) of this Section shall be deemed to require or authorize the interruption of patient care in progress. (Ord. No. 6432, § 8, 7-1-15; Ord. No. 6040, § 4, 5-20-09; Ord. 5800 § 7, 2005: Ord. 5260 § 17, 2000)

Las Vegas Municipal Code § 6.08.170 Replacement of Fire Department items.

6.08.170 - Replacement of Fire Department items. A franchisee shall replace at an incident site to which it has been dispatched all disposable items used by the Fire Department in providing care and treatment. If it is not in the best interest of patient care to complete the replacement of disposable items at the incident site, the Fire Department will furnish the franchisee with a list of items to be replaced accompanied by the name, if known, and incident number of the patient for whom the items were used. A franchisee shall, within twenty-four hours of receipt of the list of items, resupply to the Fire Department all items on such list by delivering them to one central delivery point or by other arrangement agreed upon by the franchisee and the Fire Department. If a disposable item had a brand name approved by the Fire Department the replacement item shall have the same brand name. Within twenty-four hours, or such longer period as has been established by the franchise agreement a franchisee will retrieve and return to the Fire Department all durable equipment supplied by the Fire Department in providing EMS and any other Fire Department equipment which has come into the franchisee's possession. (Ord. No. 6432, § 9, 7-1-15; Ord. 5800 § 8, 2005: Ord. 5260 § 18, 2000)

Las Vegas Municipal Code § 6.08.180 Penalties.

6.08.180 - Penalties. (A) An ambulance service franchise agreement shall provide for liquidated damages or penalties and remedies in the event the franchisee fails to comply with the ambulance response time, personnel, equipment and reporting requirements of this Chapter or the terms and provision of the franchise agreement. (B) The liquidated damages or penalties paid to the City shall be used to pay for EMS related expenses, including public education programs, and administrative oversight of ambulance franchises. (C) The liquidated damages and penalties indicated herein shall be increased annually on February 1 of each year by the API, as determined in accordance with Subsection (C) of Section 6.08.190. (Ord. No. 6901, § 10, 5-7-25; Ord. No. 6432, § 10, 7-1-15; Ord. 5800 § 9, 2005: Ord. 5583 § 4, 2003: Ord. 5260 § 19, 2000)

Las Vegas Municipal Code § 6.08.190 Maximum service rates.

6.08.190 - Maximum service rates. (A) A franchisee may charge no more than the maximum ambulance service rates plus loaded mileage rates established in this Section for the following regulated levels of service: (1) Emergency response ALS1, including medical supplies and services: One thousand three hundred twelve dollars and thirty-four cents or the maximum allowed by applicable Federal law, whichever is higher; (2) Emergency response ALS2, including medical supplies and services: One thousand four hundred thirty-six dollars and sixty-nine cents or the maximum allowed by applicable Federal law, whichever is higher; (3) Emergency response BLS, including medical supplies and services: One thousand two hundred forty-seven dollars and twenty-two cents or the maximum allowed by applicable Federal law, whichever is higher; (4) Nonemergency response ALS1, including medical supplies and services: One thousand one hundred seventy dollars and twenty-one cents or the maximum allowed by applicable Federal law, whichever is higher; (5) Nonemergency response BLS, including medical supplies and services: One thousand one hundred seventeen dollars and zero cents or the maximum allowed by applicable Federal law, whichever is higher; (6) Critical care transport, including medical supplies and services: One thousand five hundred fifty-nine dollars and three cents or the maximum allowed by applicable Federal law, whichever is higher; and (7) Loaded mileage: Thirty-seven dollars and twelve cents or the maximum allowed by applicable Federal law, whichever is higher. (B) Ambulance service rate charges specified in Subsection (A) of this Section are subject to the following: (1) When there are transports involving two or more patients in the same ambulance, the mileage charge shall be equally divided between the patients; (2) A franchisee shall not charge for wait time as a result of or in proximity to any transport; (3) A franchisee 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 franchisee 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; and (5) An ALS assessment does not necessarily result in a determination that the patient requires an ALS level of service. (C) Ambulance service rates described in this Section shall be increased as follows: (1) The rates shall be adjusted annually on February 1 by the API, determined with reference to the most recent twelve-month period ending on the preceding December 31 as compared with the prior twelve-month period ending on December 31. The API for a particular period is subject to the lower and upper limits described in the definition of "API." When the API reflects the CPI-MCS because the latter is between the lower and upper limits, the API shall be rounded to the nearest hundredth of a percent. (2) When an unforeseen economic circumstance has occurred during a twelve-month period for which the API is being calculated pursuant to Subsection (C)(1) of this Section, the City Council may approve a method for adjusting rates which is not based on the CPI-MCS or the API. In any year following a period when the adjustment to rates was based on some other method, rate adjustments shall again be based on the API for that year. (D) Annually on the first City business day of February, the Franchise Officer shall cause the creation of a written record of the rates as adjusted pursuant to Subsection (C) of this Section and file such record with the City Clerk for public inspection. (Ord. No. 6901, § 11, 5-7-25; Ord. No. 6762, § 8, 12-16-20; Ord. No. 6432, § 11, 7-1-15; Ord. 5800 § 10, 2005: Ord. 5583 § 5, 2003: Ord. 5260 § 20, 2000)

Las Vegas Municipal Code § 6.08.200 Submittal of reports of requests for service.

6.08.200 - Submittal of reports of requests for service. (A) At the request of either the Franchise Officer or the Fire Chief, a franchisee shall submit reports, records and other information regarding emergency and nonemergency transports that are necessary to verify the franchisee's compliance with this Code and franchise agreements executed pursuant to this Chapter. These reports, records and information shall be submitted in the format and on the date requested by the Franchise Officer or the Fire Chief. (B) A franchisee may keep records using account numbers or patient numbers rather than names and addresses; provided, however, that such records shall include the FAO incident number. (C) The franchisee shall provide an annual report to the Franchise Officer and the Fire Chief listing all ambulance vehicles, by vehicle identification number, vehicle number and license plate, that are used for emergency 911 response and indicating the odometer mileage reading of each vehicle. The mileage reading shall be documented for each vehicle during the month of January of each year, and the date of the reading for each vehicle shall be included in the list. The mileage report shall be due no later than March 1 of each year. (Ord. No. 6901, § 12, 5-7-25; Ord. No. 6432, § 12, 7-1-15; Ord. No. 6040, § 5, 5-20-09; Ord. 5800 § 11, 2005: Ord. 5260 § 21, 2000)

Las Vegas Municipal Code § 6.08.210 Release of information.

6.08.210 - Release of information. Upon receipt of a written release of information from any patient who has been transported by a franchisee, that franchisee shall provide to the patient, and City at its request if so authorized by the written release, all information related to the transport in question, including but not limited to all of its billing records relating to that patient, supported by the account number or patient number of that patient. (Ord. 5260 § 22, 2000)

Las Vegas Municipal Code § 6.08.220 Release of records.

6.08.220 - Release of records. At the request of either the Franchise Officer or the Fire Chief, a franchisee shall furnish to the City any records or any additional information regarding emergency and nonemergency transports that are necessary to verify compliance with this Code or the franchise agreement. (Ord. No. 6901, § 13, 5-7-25; Ord. No. 6432, § 13, 7-1-15; Ord. 5260 § 23, 2000)

Las Vegas Municipal Code § 6.08.230 Monthly reports.

6.08.230 - Monthly reports. A franchisee shall provide a monthly report to the Franchise Officer and the Fire Chief listing any litigation filed against the franchisee of which it is aware arising from or in any way related to its operations in the City. (Ord. No. 6901, § 14, 5-7-25; Ord. 5260 § 24, 2000)

Las Vegas Municipal Code § 6.08.240 Financial statements.

6.08.240 - Financial statements. A franchisee shall provide to the Franchise Officer: (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 Sections 6.08.250 and 6.08.260 of this Ordinance or during any auditing activities, such details regarding the franchisee's financial operation in the City as the City may require to verify compliance by the franchisee with the provisions of this Chapter and the terms of the franchise agreement; and (C) Access to financial statements of entities locally owned, operated or under the control of the franchisee or related business parties who exercise any control of the franchisee. (Ord. No. 6901, § 15, 5-7-25; Ord. 5260 § 25, 2000)

Las Vegas Municipal Code § 6.08.250 Inspection of financial records.

6.08.250 - Inspection of financial records. Upon twenty-four hours' written notice, the City may inspect the financial records of a franchisee to determine whether the franchisee is complying with the terms of this Chapter. (Ord. No. 6901, § 16, 5-7-25; Ord. 5800 § 12, 2005: Ord. 5260 § 26, 2000)

Las Vegas Municipal Code § 6.08.260 Review of financial statements.

6.08.260 - Review of financial statements. In connection with the administration of the franchising provisions of this Chapter, the Franchise Officer shall review, or cause to be reviewed, the annual financial statements submitted by a franchisee pursuant to this Chapter for compliance with the standards and requirements set forth in this Chapter. (Ord. No. 6901, § 17, 5-7-25; Ord. 5260 § 27, 2000)

Las Vegas Municipal Code § 6.08.270 Confidentiality of records.

6.08.270 - Confidentiality of records. (A) Except as otherwise provided in this Section, information provided by a franchisee to the City for purposes of determining compliance with the requirements of this Chapter and the franchise agreement shall be considered public records. (B) The confidentiality of records shall be in accordance with federal and state law. The duty to disclose any particular record as a public record shall be in accordance with state law, and federal law, if applicable. (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 is applied in the Federal Health Insurance Portability and Accountability Act, Business Associate Agreement, and regulations thereunder ("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) Upon the City's request and within the time period required by the City, a franchisee shall provide any such redacted reports that may be required for release by the City. (Ord. No. 6432, § 1, 7-1-15; Ord. 5800 § 13, 2005: Ord. 5260 § 28, 2000)

Las Vegas Municipal Code § 6.08.280 Transfer of ownership or control.

6.08.280 - Transfer of ownership or control. (A) A franchisee's obligations under its franchise involve personal services whose performance involves personal credit, trust and confidence in the franchisee. (B) No transfer of ownership or control shall occur unless prior application is made by the franchisee to the City, and the City Council's prior written consent is obtained, pursuant to this Chapter and the franchise agreement, and only then upon such terms and conditions as the City Council deems necessary and proper. Any such transfer of ownership or control without the prior written consent of the City Council shall be considered to impair the City's assurance of due performance. The granting of approval for a transfer of ownership or control in one instance shall not be deemed as granting approval of any subsequent transfer of ownership or control. (C) Approval by the City Council of a transfer of ownership or control does not constitute a waiver or release of any of the rights of the City under this Chapter or a franchise agreement, whether arising before or after the date of the transfer of ownership or control. (D) A franchisee shall promptly notify the Franchise Officer of any proposed transfer of ownership or control. (E) Prior to any transfer of ownership or control, the franchisee shall submit to the Franchise Officer a written request for approval of the transfer of ownership or control. Such request shall provide complete information on the proposed transaction, including details on the legal, financial, technical, and other qualifications of the transferee, and any other information as determined necessary by the Franchise Officer. (F) For the purposes of determining whether it shall consent to a transfer of ownership or control, the City or its agents may inquire into all qualifications of the prospective transferee and such other matters as the City may deem necessary to determine whether the transfer of ownership or control is in the public interest and should be approved, denied, or conditioned. The franchisee and any prospective transferee shall assist the City in any such inquiry, and if they fail to do so, the request for transfer of ownership or control may be denied. (G) Any transfer of ownership or control without the City Council's prior approval shall be ineffective, and shall be grounds for revocation of the franchise, at the City Council's sole discretion, and to any other remedies available under the agreement or applicable law. (H) A franchisee shall be fully liable under its franchise agreement for any transfer of ownership or control that is in violation of the terms of its franchise agreement or of this Chapter and caused in whole or in part by any other entity or entities, including but not limited to any parent or affiliated entities, as if such transfer of ownership or control had been caused by the franchisee itself. (I) The City Council, in its sole discretion, may approve or deny a transfer of ownership or control of a franchise. As part of its determination the City Council may approve a transfer subject to such conditions as the City Council may deem necessary. In addition, the following conditions to any approval of transfer of ownership or control of a franchise shall apply: (1) The City reserves the right to review, among other things, the purchase price of any transfer of ownership or control of a franchise or ambulance service operation, and to take any necessary steps, including denial of the transfer of ownership or control, to ensure that any negotiated sale value which the City deems unreasonable will not adversely affect rates charged by the ambulance service franchisee; and (2) Any mortgage, pledge or lease shall be subject and subordinate to the rights of the City under the franchise agreement, this Chapter, and other applicable law. (J) No application for a transfer of ownership or control shall be approved unless the transferee agrees in writing that it will abide by and accept all terms of the franchise agreement, any other agreements between the City and franchisee, and this Chapter, and that it will assume the obligations, liabilities, and responsibility for all acts and omissions, known and unknown, of the previous franchisee under its franchise agreement, other agreements between the City and franchisee and this Chapter for all purposes, including any extension of the franchise, unless the City Council, in its sole discretion, expressly waives this requirement in whole or in part. (K) A rebuttable presumption that a transfer of control has occurred shall arise upon the acquisition or accumulation of five percent or more of the ownership of an entity by any person or group of persons acting in concert, none of whom already own or control fifty percent or more of such right or control, singularly or collectively. (L) A franchisee is responsible for ensuring that the intent of this Chapter regarding transfers is carried out. If for any reason an event occurs that would require the City's approval of a transfer pursuant to this Chapter, whether or not such event is directly or indirectly within the franchisee's control, such event shall constitute a transfer for purposes of this Chapter and any applicable law. (Ord. No. 6901, § 18, 5-7-25; Ord. No. 6762, § 9, 12-16-20; Ord. 5260 § 29, 2000)

Las Vegas Municipal Code § 6.08.290 Revocation of franchise.

6.08.290 - Revocation of franchise. (A) The City Council may revoke a franchise if it finds that: (1) The franchisee has failed to meet any 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 has failed to pay franchise fees, associated late fees, penalties, or other financial obligations under a franchise agreement or this Chapter; (5) The franchisee otherwise has failed to meet any of the provisions of any state, local or Federal law or regulation; or (6) The franchisee is found to have falsified or intentionally provided erroneous records related to its franchise operations. (B) The City Council may revoke a franchise upon twelve 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 with respect to findings described in Paragraphs (2) and (6) of Subsection (A) of this Section, and except as otherwise provided in 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 twenty 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. 6901, § 19, 5-7-25; Ord. No. 6762, § 10, 12-16-20; Ord. 5260 § 30, 2000)

Las Vegas Municipal Code § 6.08.300 Security deposit required.

6.08.300 - Security deposit required. (A) To ensure that ambulance service remains uninterrupted in the event of premature termination of a franchise for any reason, and to ensure that all 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 agreed in the franchise agreement. In the event that an ambulance service only holds a franchise in the City for non-911-dispatched and nonemergency CCT service, such security shall be in the minimal amount of one hundred thousand dollars made payable to the City Treasurer and delivered to the Franchise Officer. In the event that an ambulance service holds a franchise for both emergency and nonemergency transports or just emergency transports such security shall be in the amount of one million dollars made payable to the City Treasurer and delivered to the Franchise Officer. (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 must comply with applicable provisions of NRS Chapter 680A. (C) In the event an emergency ambulance service franchisee is found in default under the provisions in this Chapter or its franchise agreement, the franchisee will make available to the City or its designee the use of all ambulance vehicles and medical equipment, and any other equipment necessary to support continuation of emergency ambulance services, in service at the time of the breach in order to maintain the public health and safety in the City's jurisdiction, under the following provisions: (1) As a condition of its franchise and prior to providing any ambulance services with the City, a franchisee will enter into an agreement with the City to provide for the interim rental of the ambulance vehicles and any necessary equipment, facilities, or both, in a manner to ensure uninterrupted service; (2) The compensation to a franchisee for rental of the ambulance vehicles and any necessary equipment, facilities, or both, shall not exceed the franchisee's actual cost to provide the equipment; (3) The rental of ambulance vehicles and any necessary equipment, facilities, or both, shall not exceed the time necessary for the City to provide for alternative emergency ambulance service and that service to begin; (4) The City shall deduct any damages incurred as a result of a franchisee's noncompliance with the terms of this Code that result in the franchisee's default against the amount payable to the franchisee for the temporary rental of the franchisee's ambulance vehicles and any necessary equipment, facilities, or both; (5) A franchisee who operates any leased ambulances or ambulances encumbered with liens shall have stipulated in any lease or lien agreements that, in the event of a franchisee default, such ambulances shall not be repossessed but shall be made available to the City for its use, provided the City continues to make lease or lien payments; and (6) In the event of premature termination of a franchise for any reason, any existing agreement to provide for the interim rental of the ambulance vehicles and any necessary equipment, facilities, or both, and any other agreements between the franchisee and the City shall remain in full force and effect and shall survive termination of the franchise unless those agreements are specifically terminated by the City. (Ord. No. 6901, § 20, 5-7-25; Ord. 5800 § 14, 2005: Ord. 5583 § 6, 2003: Ord. 5260 § 31, 2000)

Las Vegas Municipal Code § 6.08.310 Right of property not granted.

6.08.310 - Right of property not granted. Any franchise granted pursuant to this Chapter shall be a privilege 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 the nonexclusive permission and authority to operate within the City. (Ord. 5260 § 32, 2000)

Las Vegas Municipal Code § 6.08.320 City to be held harmless.

6.08.320 - City to be held harmless. (A) A franchisee, as a condition of the grant of a franchise agreement pursuant to this Chapter, and in consideration thereof, shall protect, indemnify, and hold the City harmless against all claims for breach of contract or for damages to persons or property by reason of the operation of its franchised business, or any way arising out of performance under its franchise, directly, or indirectly, when or to the extent injury is caused, or alleged to have been caused, wholly or in part, by any act, omission, negligence, or misconduct of the franchisee or any of its contractors, subcontractors, officers, agents, or employees, or by any person for whose act, omission, negligence, or misconduct, the franchisee is by law responsible. (B) This Section is not intended to create liability for the benefit of third parties but is solely for the benefit of the franchisee and the City. In the event any claim is made against the City whether private or brought by or on behalf of the government that falls under this indemnity provision and a Court of competent jurisdiction should adjudge, by final decree, that the City is liable therefor, a franchisee shall indemnify and hold the City harmless of and from any such liability, including any court costs, expenses, and reasonable attorney fees incurred by the City in defense thereof and incurred at any stage. Upon commencement of any suit, proceeding at law or in equity against the City relating to or covering any matter covered by this indemnity, wherein a franchisee has agreed by accepting a franchise, to indemnify and hold the City harmless, or to pay said settlement, final judgment and costs, as the case may be, the City shall give a franchisee immediate notice of such suit or proceeding; whereupon a franchisee shall provide a defense to any such suit or suits, including any appellate proceedings brought in connection therewith, and pay as aforesaid, any settlement, costs, civil monetary penalties or judgments that may be rendered against the City by reason of such damage suit. (C) Upon failure of a franchisee to comply with the "defense of suit" provisions of its franchise agreement, after reasonable notice to it by the City, the City shall have the right to defend the same and in addition to being reimbursed for any settlement or judgment that may be rendered against the City, together with all costs incurred therein, the franchisee shall reimburse the City reasonable attorney fees, including those employed by the City in such case or cases, as well as all expenses incurred by the City by reason of undertaking the defense of such suit or suits, whether such suit or suits are successfully defended, settled, comprised, or frilly adjudicated against the City. In the event the City is compelled to undertake the defense of any such suit by reason of the franchisee's failure to perform as here and above provided, the City shall have the full right and authority to make or enter into any settlement or compromise of such adjudication as the City Council shall deem in the best interest of the City, this without the prior approval or consent of the franchisee with respect to the terms of such compromise or settlement. (Ord. 5260 § 33, 2000)

Las Vegas Municipal Code § 6.08.330 Exclusivity of Fire Department.

6.08.330 - Exclusivity of Fire Department. Nothing contained in this Chapter: (A) Prevents the Fire Department from furnishing ambulance service with City Council approval, or the City Council from contracting with one or more service providers to provide that service, selected by such competitive or other selection process as the City determines appropriate. (B) Applies to any service provided by the Fire Department pursuant to Subsection (A) of this Section. (C) Applies to any volunteer emergency ambulance service that is furnished with City Council approval and is under Fire Department supervision and control. (Ord. No. 6762, § 11, 12-16-20; Ord. 5260 § 34, 2000)

Las Vegas Municipal Code § 6.08.335 City Council selection.

6.08.335 - City Council selection. If the City Council selects one or more service providers to provide ambulance service pursuant to LVMC 6.08.330(A), the only provisions of this Chapter automatically applicable to any agreement for such services shall be LVMC 6.08.330(A) and any other provisions of this Chapter expressly delineated or incorporated in the agreement. (Ord. No. 6762, § 12, 12-16-20)

Las Vegas Municipal Code § 6.08.340 Franchise bound by City, State and Federal regulations.

6.08.340 - Franchise bound by City, State and Federal regulations. The franchisee 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 Las Vegas Municipal Code, and the franchisee, by its acceptance of the franchise, agrees to be bound thereby and to comply with any action under (or requirement) of the Las Vegas Municipal Code, as it exists now or as amended in the future. (Ord. 5260 § 35, 2000)

Source: City of Las Vegas, Municipal Code and City Charter (Municode Library, library.municode.com)URL: https://library.municode.com/nv/las_vegas/codes/code_of_ordinances?nodeId=TIT6BUTALIRE_CH6.08AM_ARTIAMSEFetched: 10/28/2026