Agenda 05/28/2024 Item #17C (Ordinance - Replacing Ordinance No. 81-75 which establishes uniform standards for certification of ambulance or advanced life support services)05/28/2024
EXECUTIVE SUMMARY
Recommendation to enact an ordinance repealing and replacing Ordinance No. 81-75, as amended, which
establishes uniform standards for certification of ambulance or advanced life support services.
OBJECTIVE: To enhance current ambulance service and advanced life support (ALS) services.
CONSIDERATIONS: On December 1, 1981, the Board of County Commissioners enacted Ordinance No. 81-75,
in order to establish uniform county-wide standards for certification of ambulance or advanced life support or
services, and to establish complete and clear rules and regulations for operation of all ambulance or rescue
companies or services in Collier County. Ordinance No. 81-75 and its many amendments are codified as Chapter
50, Article III, of the Collier County Code of Laws and Ordinances. The ordinance has been amended many times
over the years.
The proposed ordinance provides a collaborative approach. Collaboration among Collier County EMS and the
different fire agencies fosters a stronger sense of community and enhances overall emergency response efforts. It
promotes knowledge/training equalization, standardization of protocols, and mutual support, ultimately benefiting
patient care and outcomes.
In emergency situations or during peak demand periods, having multiple agencies available for transport adds
flexibility and adaptability to the system. It allows for better management of surges in demand and ensures that
patients can be transported promptly regardless of fluctuations in call volume.
Further, by allowing other agencies within our county to transport patients not only alleviates the strain on our busy
Advanced Life Support (ALS) system but also enhances the overall efficiency, responsiveness, and effectiveness of
the closest unit response of emergency medical services within our county.
Substantive changes include:
• Sets out a detailed process for applications for a certificate of public convenience and necessity as
authorized in F.S. § 401.25(2)(d).
• Confirms the requirement of a uniform Countywide Medical Protocols.
• Establishes a county wide “Medical Director Coalition” for DATA driven medical treatment.
• Upon approval of application, it allows partner agencies the ability to transport.
• Allows for appeals of a hearing officer decision to the Board of County Commissioners.
FISCAL IMPACT: None.
GROWTH MANAGEMENT IMPACT: None.
LEGAL CONSIDERATIONS: This ordinance was drafted by the County Attorney in collaboration with counsel
for the Fire Districts, with all sides believing that the changes will enhance public safety. Accordingly, the
ordinance is approved as to form and legality and requires majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners enacts the proposed ordinance as advertised.
PREPARED BY: Michael J. Choate, Executive Director of Public Safety
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ATTACHMENT(S)
1. Ordinance - Medical Transport Services (CoPCN) - 4.16.24 - CAO stamped (PDF)
2. Business Impact Estimate - Medical Transport Services (CoPCN) Ordinance (PDF)
3. legal ad - Medical Transport Services [CoPCN] Ordinance-agenda ID 28947 (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 17.C
Doc ID: 28947
Item Summary: Recommendation as advertised, adoption of proposed ordinance repealing and replacing
Ordinance No. 81-75, as amended, which establishes uniform standards for certification of ambulance or advanced
life support services.
Meeting Date: 05/28/2024
Prepared by:
Title: – Emergency Medical Services
Name: Cherie DuBock
05/16/2024 2:29 PM
Submitted by:
Title: – Emergency Medical Services
Name: Bruce Gastineau
05/16/2024 2:29 PM
Approved By:
Review:
Emergency Medical Services Bruce Gastineau EMS Chief Review Completed 05/16/2024 3:16 PM
Emergency Management Michael Choate Executive Director Review Completed 05/17/2024 9:32 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 05/17/2024 9:44 AM
Office of Management and Budget Agnieszka Chudy OMB Reviewer Completed 05/17/2024 10:07 AM
Corporate Business Operations Jennifer Reynolds OMB Reviewer Completed 05/17/2024 3:06 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/18/2024 11:26 AM
County Manager's Office Ed Finn Level 4 County Manager Review Completed 05/22/2024 3:31 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 05/28/2024 9:00 AM
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Packet Pg. 2438 Attachment: Ordinance - Medical Transport Services (CoPCN) - 4.16.24 - CAO stamped (28947 : NEW COPCN ORDINANCE)
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Packet Pg. 2456 Attachment: Ordinance - Medical Transport Services (CoPCN) - 4.16.24 - CAO stamped (28947 : NEW COPCN ORDINANCE)
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Packet Pg. 2457 Attachment: Business Impact Estimate - Medical Transport Services (CoPCN) Ordinance (28947 : NEW COPCN ORDINANCE)
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Packet Pg. 2458 Attachment: Business Impact Estimate - Medical Transport Services (CoPCN) Ordinance (28947 : NEW COPCN ORDINANCE)
NOTICE OF PUBLIC HEARING
NOTICE OF INTENT TO CONSIDER AN ORDINANCE
Notice is hereby given that a public hearing will be held by the Collier County Board of County Commissioners
commencing at 9:00 a.m. on May 28, 2024, in the Board of County Commissioners meeting room, third floor, Collier
Government Center, 3299 East Tamiami Trail, Naples, FL, to consider:
AN ORDINANCE OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REPEALING ORDINANCE NO. 81-75, AS
AMENDED, IN ORDER TO ADOPT UPDATED UNIFORM STANDARDS FOR
AMBULANCE OR ADVANCED LIFE SUPPORT SERVICES, INCLUDING THE
ISSUANCE OF CERTIFICATES OF PUBLIC CONVENIENCE AND
NECESSITY; PROVIDING FOR INCLUSION IN THE CODE OF LAWS AND
ORDINANCES; PROVIDING FOR CONFLICT AND SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
A copy of the proposed Ordinance is on file with the Clerk to the Board and is available for inspection. All interested
parties are invited to attend and be heard.
All persons wishing to speak on any agenda item must register with the County Manager prior to presentation of the
agenda item to be addressed. Individual speakers will be limited to 3 minutes on any item. The selection of an individual
to speak on behalf of an organization or group is encouraged. If recognized by the Chairman, a spokesperson for a group
or organization may be allotted 10 minutes to speak on an item. Written materials intended to be considered by the
Board shall be submitted to the appropriate County staff a minimum of 7 days prior to the public hearing. All materials
used in presentations before the Board will become a permanent part of the record.
As part of an ongoing initiative to encourage public involvement, the public will have the opportunity to provide public
comments remotely, as well as in person, during this proceeding. Individuals who would like to participate remotely
should register through the link provided within the specific event/meeting entry on the Calendar of Events on the
County website at www.colliercountyfl.gov/our-county/visitors/calendar-of-events after the agenda is posted on the
County website. Registration should be done in advance of the public meeting or any deadline specified within the
public meeting notice. Individuals who register will receive an email in advance of the public hearing detailing how
they can participate remotely in this meeting. Remote participation is provided as a courtesy and is at the user’s risk.
The County is not responsible for technical issues. For additional information about the meeting, please call Geoffrey
Willig at 252-8369 or email to Geoffrey.Willig@colliercountyfl.gov.
Any person who decides to appeal any decision of the Board will need a record of the proceedings pertaining thereto
and therefore, may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony
and evidence upon which the appeal is based.
If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are
entitled, at no cost to you, to the provision of certain assistance. Please contact the Collier County Facilities Management
Division, located at 3335 Tamiami Trail East, Suite 101, Naples, FL 34112-5356, (239) 252-8380, at least two days
prior to the meeting. Assisted listening devices for the hearing impaired are available in the Board of County
Commissioners Office.
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
CHRIS HALL, CHAIRMAN
Posted to notices.collierclerk.com on May 17, 2024.
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Packet Pg. 2459 Attachment: legal ad - Medical Transport Services [CoPCN] Ordinance-agenda ID 28947 (28947 : NEW COPCN ORDINANCE)