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Pr— <br />DEC 201988 <br />BOOK .75 PAGE 407 <br />In Charles Vitunac's memorandum on financing, he points out <br />that we can either go to an ad valorem tax or a special <br />assessment district. Indian River Shores has requested that a <br />special assessment district be used to prevent dual taxation. <br />The Emergency Services Coordinating Committee recommended <br />approval of the change in definition of the Emergency Medical <br />Director in the EMS ordinance #87-66. <br />Recommendations: <br />1.) The Emergency Services Coordinating Committee <br />recommends that the Board of County Commissioners <br />approve the Indian River County Plan to go into effect <br />October 1, 1989. Any agreements with the hospital to <br />implement the program earlier would be brought back to <br />the Board of County Commissioners for approval. <br />2.) We request that the Board of County Commissioners give <br />us direction as to preferred method of financing under <br />the County Plan to make up the difference between <br />insurance collected and cost of EMS service. <br />3.) We request a public hearing be held on January 17, 1989 <br />to amend the EMS Ordinance #87-66 definition of <br />Emergency Medical Director. <br />CKE/lp <br />NOTE - Robb McClary, Sebastian City Manager, and Councilman Joe <br />Washington, City of Fellsmere, were present at the Emergency <br />Services Coordinating Committee and were in favor of the Indian <br />River County Plan. <br />Commissioner Eggert asked, since doctors are in the <br />audience, that the Hospital supporters be allowed to speak first. <br />Hospital President Michael O'Grady announced that Dr. Becker <br />will be speaking on behalf of the Hospital District and Dr. Teel <br />on behalf of the Medical Executive Committee. <br />Dr. David Becker, Trustee of Indian River County Hospital <br />District, confirmed that he has been authorized by his fellow <br />Trustees to speak in support of the Hospital District plan for a <br />unified EMS system. The Hospital District agrees that a unified <br />EMS system is necessary, and very honestly, they had hoped that <br />the County would think that no one but the District should assume <br />leadership in such a system. <br />Dr. Becker reviewed the history of the ALS system, noting <br />that in 1984, the County and the District took advantage of the <br />District's enabling legislation empowering the District to <br />establish and fund Emergency Medical Services. The County and <br />8 <br />