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j8A 1 u_ I D u TO: Board of County Commissioners FROM: Dylan Reingold, County Attorney DATE: September 27, 2021 SUBJECT: Amendments to Chapter 304 (Life Support and Wheelchair Services) of the Indian River Code of Ordinances Pursuant to Chapter 304 (Life Support and Wheelchair Services) of the Indian River Code of Ordinances (the "Code"), Indian River County issues certificates of public convenience and necessity for life support and wheelchair vehicle services in Indian River County. Certificates of public convenience and necessity for life support services are issued for a) governmental entities that use advanced life support vehicles to conduct a pre -hospital EMS advanced life support or basic life support service, b) businesses, agencies and hospitals that use ambulances to conduct a non -emergency interfacility medical transport or transfer service at the ALS or BLS level, c) .businesses, agencies, hospitals, and governmental entities who use ambulances to conduct non -emergency interfacility medical transport or transfer services requiring on- board clinical capabilities which may exceed those of a conventionally equipped and staffed advanced life support ambulance and which originate in the county, under a physician's order, and d) businesses and agencies that use ambulances based outside the county to provide specific non -emergency medical services as identified on the certificate and limited to transports out of the county. Under Chapter 304 of the Code, Indian River County also issues certificates of public convenience and necessity for wheelchair vehicle services. These are E or E1 certificates issued under Part II of Chapter 304 of the Code. County staff no longer believes that it is necessary to be involved in regulating the number of businesses offering wheelchair vehicle services in Indian River County. County staff believes that this is better left the being determined by the market need. Thus, County staff recommends that the Indian River County Board of County Commissioners authorize County staff and the County Attorney's Office to draft an ordinance that will delete Part Il of Chapter 304 from the Code. Please find attached the draft language for consideration. This draft also contains technical changes to Part I of Chapter 304 of the Code.