“Given our already tight budget, any further cuts will echo across the County. Our obligation is to maintain a balanced budget. If residents vote against the ambulance fee, they will be voting for $14 million in cuts to services.”
-- Montgomery County Council President Nancy Floreen
County Question A: Emergency Medical Services Transport Fee on the Ballot
On November 2, voters will have the opportunity to vote either for or against County Question A: Emergency Medical Services Transport Fee. Below is the sample wording for County Question A as it will appear on the ballot:
What does this mean?
A vote FOR will allow the County to bill residents’ insurance companies, Medicare or Medicaid for ambulance transport. County residents would not pay anything additional. Residents without medical insurance would not be billed. Montgomery County Fire & Rescue Service will continue to serve anybody in need, regardless of ability to pay.
A vote AGAINST would mean the County could not seek reimbursement from residents’ insurance companies, Medicare or Medicaid for ambulance transport and the County would continue to pay the full cost for all. Montgomery County Fire & Rescue Service will continue to serve anybody in need, regardless of ability to pay
Statement by County Executive Ike Leggett On Council Approval of the Ambulance Reimbursement That Will Save Lives at No Cost to County Residents. (See Statement)
Montgomery County’s Emergency Medical Services (EMS) are world class and it is important that we do everything possible to keep them
that way. Unfortunately, it’s not easy
as we are facing increasing resource
demands and decreasing revenue due
to current fiscal constraints.
County residents will not pay anything under the new fee. The fee will be billed directly to residents’ insurance companies, which have already factored the cost of patient transport into their rate schedules. The fee will be waived for uninsured County residents.
On June 10, 2008, County Executive Isiah Leggett introduced to the Council Bill 25-08: Emergency Medical Services Transport Fee - Imposition which will allow the Fire and Rescue Service to impose and collect a fee to recover costs
generated by providing emergency medical service transports from health insurance companies. On May 19, 2010, the successor Bill 13-10 passed and was signed into law by County Executive Isiah Leggett.
The choices were clear. Either a
dedicated revenue source was needed
to help keep our emergency medical
services first class or taxes would have had to
be increased to make up the difference.
Up until now Montgomery County was one of the few jurisdictions in the region that was not already collecting ambulance reimbursement from insurance companies, Medicare, and Medicaid.