AMBULANCE SERVICE ORDINANCE

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Supervisor Dennis made a motion to approve an Ambulance Ordinance as presented, seconded by Supervisor Weathersby, and upon unanimous vote, the motion carried.

Supervisor Dennis made a motion to approve a licensing official as per Ambulance Service Ordinance, and named the County Fire Coordinator as that official, seconded by Supervisor Sheppard, and upon unanimous vote, the motion carried.

 

RANKIN COUNTY, MISSISSIPPI

ORDINANCE FOR AMBULANCE SERVICE

 

SECTION 1.   STATEMENT OF PURPOSE AND INTENT

Rankin County, Mississippi (the “County”), has adopted the following Ordinance in order to assure protection of the public health and general welfare of its residents by continuing to assure access to quality medical services.

SECTION 2.   DEFINITIONS

2.1       ADVANCE LIFE SUPPORT (or ALS) AMBULANCE SERVICE – Advanced Life Support means the level of service attained when (i) the Ambulance Service Provider is licensed as an advanced life support Ambulance Service by the Mississippi State Department of Health, and (ii) the Ambulance Service Provider’s vehicles are permitted as advanced life support vehicles by the Mississippi State Department of Health and each Ambulance is occupied by at least one person certified as an EMT-Paramedic by the Mississippi State Department of Health, one person licensed as a pre-hospital registered nurse by the Mississippi State Board of Nursing or one person licensed as a physician by the Mississippi State Department of Health.

2.2       AMBULANCE – As defined by state statute, Ambulance means any privately or publicly owned land or air vehicle that is especially designed, constructed, modified, or equipped to be used, maintained and operated upon the streets, highways, or airways of this State to assist persons who are sick, injured, wounded, or otherwise incapacitated or helpless.

2.3       AMBULANCE SERVICE PROVIDER – Ambulance Service Provider means a person or organization, government or private, which operates one or more Ambulances.

2.4       AMBULANCE SERVICES – Ambulance Service(s) means the services which an Ambulance Service Provider is required, permitted, and licensed to provide to Patients in accordance with the Permits granted in accordance with this Ordinance and the other terms and conditions of this Ordinance.

2.5       EMERGENCY MEDICAL SERVICE – Emergency Medical Services (“EMS”) means the following pre-hospital and inter-hospital services:

1. Access and Coordination – The answering and processing of telephone requests from the public for Ambulance or First Responder Services, including EMS dispatching, emergency and routine, and the providing of medical pre-arrival instructions to callers by telephone.

 

1. First Responder Services – Those emergency services, excluding transportation, which are performed by a First Responder.

 

1. Medical Transportation – Ambulance Services, both emergency and routine, including Patient assessment, transportation and medical procedures performed on scene, in route, during inter-facility transport, or at an emergency receiving facility when performed at the request of the receiving physician.

1. On-line Medical Directions – Instructions given by a Communications Resource facility as defined in the Rules and Regulations issued by the Division of EMS, Mississippi State Department of Health, to First Responders or ambulance-personnel at the scene of emergency, while in route to a hospital, or during inter-facility Patient transfer.

 

2.6       FIRST RESPONDER – First Responder means any person, fire department unit, law enforcement unit, or non-transporting rescue unit capable of providing appropriate First Responder Service, excluding transportation.

2.7       LICENSING OFFICER – Licensing Officer means the public official, designated by the County, empowered to issue Permits or Licenses, as defined in this Ordinance, in accordance with policies and procedures governing such issuance as set forth herein.

2.8       PATIENT – Patient means an individual who is ill, sick, injured, wounded, or otherwise incapacitated or helpless, and who is in need of, or is at risk of needing medical care or assessment during transportation to or from a health care facility.

2.9       PERMIT/LICENSE – Permit or license shall refer to any of the permitting or licensing documents required to be obtained pursuant to state law or this Ordinance. Permits or licenses required to be obtained pursuant to this Ordinance include the following:

1. Ambulance Service License – Emergency and Nonemergency – All Ambulance Service Providers are required to obtain an Ambulance Service License pursuant to this Ordinance.

 

1. First Responder Certification – Certification issue to a First Responder pursuant to this Ordinance.

1. Ambulance Permit – Every Ambulance operated by an Ambulance Service Provider shall be authorized for use by an Ambulance Permit and subject to inspection of the Licensing Officer, pursuant to this Ordinance.

 

2.10     SYSTEM STANDARD OF CARE – System Standard of Care means the federal, state, and local laws, rules and regulations which establish standards, policies, and protocols governing all clinical aspects of the EMS system in the County.

2.11     SYSTEM STATUS PLAN - System Status Plan means the plans and protocols for staffing, deployment, and redeployment of Ambulances which are developed and utilized by an Ambulance service Provider, and which specify how many Ambulances will be staffed and available within the County each hour of the day, each day of the week, including the locations of available Ambulances (not assigned to calls) within the County, specified
separately for each hour of the day, for each day of the week and the remaining number of Ambulances then available in the system, and including protocols for event-driven redeployment of those remaining Ambulances.

SECTION 3.   EXISTING AMBULANCE SERVICE PROVIDERS

By Resolutions duly adopted on July 2, 1979 and March 6, 1989, and enrolled in the Minute Books of the Board of Supervisors of the County in Book 001 at Page 10 and Book 087 at Pages 631-633, respectively, the County formed an emergency medical service district pursuant to the Emergency Medical Services Act of 1974 (Section 41-59-1, et seq., Mississippi Code of 1972, as amended); provided therein that said emergency medical service district shall encompass the entire area of the County; and divided said district into two emergency service provider areas to be served by the Reservoir Fire Protection District and the Rankin Medical Center Ambulance Service, all as more particularly described in said resolutions. This Ordinance does not supersede or replace the aforedescribed resolutions as it is not in conflict therewith; however, this Ordinance is applicable to the Reservoir Fire Protection District and Rankin Medical Center Ambulance Service and each shall comply with the terms and conditions of this Ordinance, except that the Reservoir Fire Protection District and the Rankin Medical Center Ambulance Service shall be deemed to have and hold all necessary licenses and/or permits required to operate as an Ambulance Service Provider pursuant to this Ordinance as of and from the effective date of this Ordinance.

SECTION 4.   PROCESSING OF EMERGENCY CALLS FOR AMBULANCE SERVICE

4.1       The Emergency Operations Center (E-911) in Brandon, Mississippi operates a 911 emergency call processing system and receives emergency calls to said system directly from the general public and as referred from certain other emergency call processing centers in Rankin County, Mississippi.           The Emergency Operations Center (E-911) establishes the call's classification, determines the Patient's location, determines the need for First Responder Service and, if appropriate, alerts the First Responder, dispatches the appropriate ambulance and, if appropriate, delivers pre-arrival instructions, all according to policies and guidelines established by the Emergency Operations Center (E-911).

4.2       It shall be unlawful for any Ambulance Service Provider or anyone else to publish or advertise any phone number other than 911 for the purpose of soliciting requests for its services.

SECTION 5.    RECORDATION OF AMBULANCE TRANSPORT CALLS

All calls received by Ambulance Service Providers will be recorded and made available to the Licensing Officer upon request. Such recordings shall be safely stored and shall not be erased for a period of one (1) year.

 

SECTION 6.   INSURANCE REQUIREMENTS

6.1       Each Ambulance Service Provider shall keep in full force and effect a policy or policies of public liability and property damage insurance issued by an insurance company authorized to do business in the State of Mississippi, with coverage provisions insuring the public from any loss or damage that may arise to any person or property by reason of the negligent operation of such Ambulance Service Provider, and providing amounts of recovery in limits of not less than the following sums:

(a)        For damages arising out of bodily injury to or death of one or more persons in any one accident, not less than $500,000.

(b)        For any injury to or destruction to property in any one accident, not less than $500,000.

(c)        For any combination of damages, not to exceed $500,000.

6.2       Each Ambulance Service Provider shall keep in full force and effect a general comprehensive liability and professional liability policy or policies issued by an insurance company authorized to do business in the State of Mississippi, with coverage provisions insuring the public from any loss or damage that may arise to any person or property by reason of the negligent actions of the Ambulance Service Provider or any of its employees, and providing that the amount of recovery shall pave limits of not less than $500,000.

6.3       Insurance companies providing this coverage shall be licensed and authorized to operate in the State of Mississippi.

6.4       Cancellation or material alteration of any required insurance policy or coverage shall result in the automatic revocation of any Ambulance Service License issued hereunder, and the Ambulance Service Provider shall thereupon cease and desist from operating in the County.

SECTION 7.   CERTIFICATE OF NECESSITY FOR AMBULANCE SERVICE LICENSE

7.1       Any entity desiring to obtain an Ambulance Service License to operate in the County shall first make an application for a Certificate of Necessity for an Ambulance Service License to the Licensing Officer.

7.2       The criteria for consideration of an application for a Certificate of Necessity for an Ambulance Service License shall be as follows, and applications for such a Certificate of
Necessity shall include the following information, verified under oath:

(a)        Name: The name and address of the applicant seeking the Certificate of Necessity, and, in the event that the applicant is a corporation, a certified copy of the Articles of Incorporation.

(b)        Equipment &. Ambulances: A statement of the applicant's equipment and Ambulances adequate to comply with the System Standard of Care and also adequate to fully, safely and reliably perform the services for which the Certificate of Necessity is requested. Applicant shall provide the make, type, year of manufacture, serial number, license tag number and equipment therein for each Ambulance owned or operated or proposed to be operated by the applicant.

(c)        Personnel: A statement of the applicant's personnel who are qualified by training, experience and work history to comply with the System Standard of Care and to fully, safely and reliably perform the services for which the Certificate of Necessity is requested. Personnel must meet federal, state and local certification requirements. Principals and employees of an applicant shall be subject to criminal record checks and background investigations.

(d)       Applicant's EMS History: A complete listing of the applicant's relevant EMS experience. A favorable recommendation on application shall not be made unless the history shows that and fully, safely and reliably perform the services for which the Certificate of Necessity is requested.

(e)        Plans: (i) A proforma internal medical quality assurance plan, which shall describe applicant's medical quality assurance program, demonstrating a reasonable probability that the applicant, if licensed, will deliver medical care meeting the System Standard of Care, including, without limitation, the clinical quality for Ambulance Services set forth in Section 13 hereto. The plan must include, without exception or limitation, an assurance that the applicant, if licensed, will provide services to either the entire county or to one of the areas now being serviced by the Reservoir Fire Protection District or the Rankin Medical Center Ambulance Service. The applicant must also give written assurance that the service to be provided will include both emergency and routine/nonemergency Ambulance Services, and that such services will be provided to both the indigent/uninsured and the wealthy/insured on a pro-rata basis equivalent to the average percentage of each type of service/patient. Any lesser service would be inadequate to serve the needs of each of the residents of this county. (ii) A proforma System Status Plan demonstrating that Ambulances operating within the County will be equipped and staffed to operate in accordance with the System Standard of Care, including without limitation , the clinical quality for Ambulance Services set forth in Section 13 hereof.

(f)        Proof of Financial Capability: Financial statements and a statement as to whether there are any unsatisfied judgments of record against such applicant, and if so, the title of all actions and the amounts of all judgments unsatisfied. No Certificate of Necessity shall be granted to any applicant unless it is financially stable and financially capable of complying with the System Standard of Care and providing competent services for the entire period for which a license is requested for the full scope of services proposed to be authorized. An applicant's failure to have paid any federal, state or local tax, including business license tax and personal property tax, shall be evidence of a lack of financial capability. An applicant must also include with its application an itemization of its customary and standard charges, fees or rates for its most common services, expenses and supplies, all of which must be reasonable.

(g)        Acceptance of Terms and Conditions: A statement of compliance with all applicable federal, state and local laws, rules and regulations.

(h)        Proof of Public Necessity for Services: A statement of the public necessity for the services to be provided. No favorable recommendation shall be made for a Certificate of Necessity and no Certificate of Necessity shall be issued, unless the applicant proves by clear and convincing evidence that there is a public necessity for the services which is not being met by the existing Ambulance Service License Holders, or which shall not be met within a reasonable period of time by such existing Ambulance Service License Holders. The effect of any application on the ability of existing Ambulance Service License Holders.to continue providing services shall be a factor for consideration.

7.3       No favorable recommendation shall be made, and no Certificate of Necessity shall be granted, unless an applicant meets all the foregoing criteria, without exception.

7.4       All existing Ambulance Service License holders pursuant to this Ordinance will be given notice of any application for a Certificate of Necessity and such Ambulance Service License holders will have twenty (20) working days from the date of notice to respond in writing to the Licensing Officer or his designee to oppose, object to, or request modification of the application, and to state whether the application, if granted, would negatively affect the ability of existing Ambulance Service License Holder to continue providing services.

7.5       The Licensing Officer will make his/her recommendation in writing to the County Board of Supervisors to grant or deny the application for the Certificate of Necessity. The recommendation, if favorable, shall designate a specific number of Ambulances for which the applicant may seek a permit pursuant to Section 9 hereof.

7.6       The Board of Supervisors will vote to grant or deny the application for a Certificate of Necessity after consideration is given to the recommendation by the Licensing Officer and any responses received by existing Ambulance Service License holders. If granted, the Certificate of Necessity shall designate a specific number of Ambulances for which the applicant may seek a permit pursuant to Section 9 hereof.

7.7       Any applicant which is dissatisfied with the decision of the Board of Supervisors shall have the right to a hearing before the Board of Supervisors at a regularly scheduled meeting, if written notice of appeal is filed with the Board of Supervisors within ten (10) days after such decision. Ambulance Service License holders under this Ordinance shall have an opportunity to be present and to oppose, object to, or request modification of the application. This hearing shall be informal, but the applicant shall have the right to counsel at its own expense, the right to present evidence and argument in support of the application, and the right to know prior to the hearing the reasons for denial or modification of the request. A written decision on any such appeal shall be mailed to the applicant within ten (10) working days of the hearing.

7.8       No applicant denied a Certificate of Necessity may make application for a Certificate of Necessity for an Ambulance Service License within one (1) year from final denial by the Board of Supervisors or final denial of appeal thereof.

SECTION 8.   AMBULANCE SERVICE LICENSE

8.1       No entity may provide Ambulance Services in response to any call originating within the County without first obtaining an Ambulance Service License issued pursuant to this Section 8.

8.2       No Ambulance Service License issued pursuant to this Section 8 shall be assignable or transferable by the entity to whom issued. Any transfer of controlling interest or any delegation of responsibility for the management or delivery of Ambulance Services to another entity by management agreement, subcontract or other arrangement shall be deemed a prohibited transfer or assignment.

8.3       Ambulance Service License shall be issued by the Licensing Officer upon presentment of the following:

(a)        A Certificate of Necessity issued to the applicant pursuant to Section 7 hereof.

(b)        A valid Ambulance Service License issued by the Mississippi State Department of Health.

(c)        Evidence of insurance as required by Section 6 herein, including original and duplicate certificates of insurance which shall indicate the types of insurance, the amounts of insurance, and the expiration dates of policies carried by the applicant; shall name the County as an additional named insured; and shall contain a statement by the issuer issuing the certificate that the policies of insurance listed thereon will not be cancelled or materially altered by said insurer without thirty (30) days prior written notice received by the County.

(d)       Evidence of compliance with the clinical quality of Ambulance Services required by Section 13 hereof.

8.4 Ambulance Service Licenses shall be renewable annually upon and subject to continued compliance with this Ordinance. The Licensing Officer may request such information and verification as may be reasonably necessary to confirm continued compliance with this Ordinance prior to renewing an Ambulance Service License. Failure to respond fully and timely to such a request shall be grounds for refusal to renew an Ambulance Service License. The anniversary date on which an Ambulance Service License was initially issued shall be the date for annual renewal.

8.5       No Ambulance Service License required by this Ordinance shall be issued or continued in operation unless the Ambulance Service License holder has paid an annual license fee of fifty dollars ($50.00). Such license fee shall become due on the anniversary date on which the Ambulance Service License was originally issued, and shall be in addition to any other license fees or charges established by proper authority and applicable to such Ambulance Service License holder or the Ambulances under its operation and control. The purpose of this license fee is not to raise revenue, but to defray expenses incurred in enforcement of this Ordinance.

8.6       The application for and acceptance of an Ambulance Service License shall comprise an agreement by the Ambulance Service License holder to comply with federal, state and local laws, rules and regulations and also any subsequent federal, state and local laws, rules and regulations. Failure to comply with all such laws, rules and regulations or the filing, or providing of false or misleading information in connection with an application hereunder or with any state or local government, healthcare provider, medical facility or organization relating to or in connection with application to provide Ambulance Service shall be grounds for termination of the Ambulance Service License.

SECTION 9.   AMBULANCE PERMIT REQUIRED

9.1       No Ambulance Service Provider may provide Ambulance Services hereunder without first obtaining an Ambulance Permit issued pursuant to the provisions of this Section 9.

9.2       No Ambulance Permit shall be assignable or transferable by the Ambulance Service Provider to which it is issued.

9.3       The Licensing Officer shall issue Ambulance Permits for Ambulances operated by Ambulance Service Providers upon presentment of the following:

(a)        Ambulance Service License issued pursuant to Section 8 of this Ordinance.

(b)        For each Ambulance to be permitted, a valid ambulance vehicle permit issued by the Mississippi State Department of Health in compliance with Section 13 hereof.

(c)        A Certificate of Necessity issued to the applicant pursuant to Section 7 hereof, if such Ambulance Permit is for Ambulances designated in such Certificate of Necessity.

(d)       A Certificate of Necessity issued to the applicant pursuant to Section 10 hereof, if such Ambulance Permit is for an additional Ambulance authority pursuant to Section 10 hereof.

SECTION 10.  CERTIFICATE OF NECESSITY FOR ADDITIONAL AMBULANCE PERMITS

10.1     Any entity issued an Ambulance Service License pursuant to this Ordinance and desiring to obtain Ambulance Permits to operate additional Ambulances shall make an application for a Certificate of Necessity for additional Ambulances to the Licensing Officer.

10.2     The criteria for consideration for an application for a Certificate of Necessity for additional Ambulances shall be as follows, and the application for such Certificate of Necessity shall include the following information, verified under oath:

(a)        Name: The name and address of the applicant seeking the Certificate of Necessity, and, in the event that the applicant is a corporation, a certified copy of its Articles of Incorporation.

(b)        Equipment and Ambulances: A statement of the applicant's equipment and Ambulances adequate to comply with the System Standard of Care and also adequate to fully, safely and reliably perform the services for which the Certificate of Necessity is requested. Applicant shall provide the make, type, year of manufacture, serial number, license tag number, and equipment to be carried therein for each Ambulance proposed to be operated by the applicant.

(c)        Proof of Public Necessity for Additional Ambulances: A statement of the public necessity for the additional Ambulances to be provided. No favorable recommendation shall be made for a Certificate of Necessity and no Certificate of Necessity shall be issued, unless the applicant proves by clear and convincing evidence that there is a public necessity for the additional Ambulances requested which is not being met by the existing Ambulance Service License Holders, or which shall not be meet within a reasonable period of time by such existing Ambulance Service License Holders.          The effect of any application on the ability of existing Ambulance Service License Holders to continue providing services shall be a factor for consideration.

10.3     No favorable recommendation shall be made, and no Certificate of Necessity shall be granted unless an applicant meets all of the foregoing criteria, without exception.

10.4     All existing Ambulance Service License holders will be given notice of the application for the Certificate of Necessity for additional Ambulances, and such Ambulance Service License holders will have twenty (20) working days from the date of notice to respond in writing to the Licensing Officer to oppose, object to, or request modification of the application, and to state whether the application, if granted, would negatively affect the ability of the existing Ambulance Service License Holders to continue providing services.

10.5     The Licensing Officer will make a recommendation in writing to the County Board of Supervisors to grant or deny the application for the Certificate of Necessity. The recommendation, if favorable, shall designate the specific number of Ambulances recommended.

10.6 The Board of Supervisors will vote to grant or deny the application after consideration is given to the recommendation of the Licensing Officer and any responses received by the existing Ambulance Service License holders.          If granted the Certificate of Necessity shall designate a specific Ambulance Permit pursuant to Section 9 hereof.

10.7 Any applicant who is dissatisfied with the decision of the Board of Supervisors shall have the right to a hearing before the Board of Supervisors at a regularly scheduled meeting, if written notice of appeal is filed with the Board of Supervisors within ten (10) days after such decision. All Ambulance Service License holders shall have an opportunity to be present and to oppose, object to, or request modification of the application. This hearing shall be informal, but the applicant shall have the right to counsel, the right to present evidence and argument in support of the application, and the right to know prior to the hearing the reasons for denial or modification of the request. A written decision on any such appeal shall be mailed to the applicant within ten (10) working days of the hearing.

SECTION 11. MAINTENANCE OF AMBULANCES; INSPECTION

11.1     All Ambulances shall be maintained in compliance with all applicable federal, state and local laws, rules and regulations.

11.2     Each Ambulance Service Provider must inspect each Ambulance every day to ascertain cleanliness and mechanical and operational worthiness for transporting Patients. Each Ambulance shall be subject to inspection at all times by the Licensing Officer. Any Ambulance found, upon inspection, to be unsafe for Ambulance Services or not to be in compliance with any federal, state and local laws, rules and regulations shall have such repairs and alterations made as may be required and no Ambulance Service Provider shall operate or cause to be operated any such Ambulances until all such repairs and alterations have been completed.

SECTION 12. COLORING AND MARKING - Each Ambulance authorized to operate within the County pursuant to this Ordinance shall bear the name of the Ambulance Service Provider, a unit number and bear coloring and marking compliance with applicable federal, state and local laws, rules and regulations.

SECTION 13. CLINICAL QUALITY OF AMBULANCE SERVICES - Upon the effective date of this Ordinance, every response to a call at any location within the County shall be made by an ALS Ambulance Service licensed and permitted pursuant to this Ordinance.

SECTION 14. PROHIBITION AGAINST REFUSAL TO TRANSPORT - It shall be a violation of this Ordinance for an Ambulance Service Provider to fail to respond to an emergency transport call originating within the County or fail to render medically necessary emergency assessment, treatment and transport to any Patient, for any reason, including the Patient's perceived demonstrated or stated inability to pay for such services, or because of the location of the Patient within the County or because of the unavailable status or location of any Ambulance at the time of the request.

SECTION 15. FIRST RESPONDER CERTIFICATION - Within eighteen (18) months after the effective date of this Ordinance, every First Responder responding to calls within the County shall qualify for issuance of a valid First Responder Certification issued by the Licensing Officer. The Licensing Officer will develop criteria for First Responder Certification based on needs assessment and implementation of this Ordinance.

SECTION 16. VIOLATIONS

16.1     It shall be unlawful and an offense for any person or any Ambulance Service Provider to commit any of the following acts:

(a)        To perform duties as an EMS driver attendant, EMT-Basic, EMT-Intermediate, EMT-Paramedic, pre-hospital RN or licensed physician without a current valid certification issued by the Mississippi State Department of Health.

(b) To allow any person to work as an Ambulance driver or attendant, without a current valid certification issued by the Mississippi State Department of Health.

(c) To use, or cause to be used, an Ambulance Service other than an Ambulance Service Provider holding a valid Ambulance Service License pursuant to this Ordinance.

(d) For any person, firm or organization to respond to a call for Ambulance Service originating within the County, other than an Ambulance Service Provider which is the holder of a valid Ambulance Service License issued pursuant to this Ordinance.

(e) To knowingly give false information to induce the dispatch of an Ambulance or First Responder.

16.2     Notwithstanding anything herein, it shall not be a violation of this Ordinance, and no Ambulance Service License shall be required, if the vehicle or Ambulance is engaged in any of the following:

(a)        A privately owned vehicle not used in the business of transporting Patients who are sick, injured, wounded, incapacitated or helpless.

(b)        A vehicle rendering services as an Ambulance in the event of a major catastrophe or emergency when Ambulances with Permits based in the locality of the catastrophe or emergency are incapacitated or insufficient in number to render the services needed.

(c)        (i) An Ambulance transporting a Patient to a location within the County which transporting originated from a point outside the County, and (ii) an Ambulance operated by the same Ambulance Service Provider as immediately above, which transports the same Patient from the original destination within the County back to the point of origin of the original transport, if said return trip is made within twenty-four (24) hours of the original transport and the Patient (or a proper representative of the Patient) specifically requests in writing the services of said Ambulance Service Provider .

(d)       A vehicle engaged in the interstate transport of a Patient.

(e)        An Ambulance providing temporary medical and health services beyond the capabilities of a licensed ALS Ambulance Service (e.g., a neonatal transport unit licensed to the University of Mississippi Medical Center in Jackson, Mississippi), provided that such an Ambulance is licensed, permitted and existing on the effective date of this Ordinance.

16.3     Any person convicted of violating any provision of this Ordinance shall be punished by fine and costs not to exceed the sum of $1,000.00.

16.4     Each day that any violation of the provisions of this Ordinance is committed or permitted to continue shall constitute a separate offense.

SECTION 17. SUSPENSION AND REVOCATION

17.1     Any Ambulance Service License issued under the provisions of this Ordinance may be revoked or suspend by the County upon a finding of any one of the following:

(a)        Breach or violation of any of the provisions of this Ordinance, specifically including but not limited to Section 16.1 hereof.

(b)        Discontinuance of operations for more than thirty (30) days.

(c)        Discrimination providing services pursuant to this Ordinance to any person on the basis of race, creed or color.

(d)       Violation of any federal state or local law, rule or regulation, specifically including without limitation any violation which reflects unfavorably on the fitness of the Ambulance Service License holder to offer and deliver Ambulance Services hereunder.

(e)        Filing or providing false or misleading information in connection with application hereunder or with any state or local government, health care provider, medical facility or organization relating to or in connection with the operation of an Ambulance.

(f)        Failing to respond fully and timely to any reasonable request from the Licensing Officer for information relating to Ambulance Service provided the County.

17.2     Prior to the suspension or revocation of Ambulance Service License hereunder, the Ambulance Service License holder shall be given thirty (30) days written notice of the proposed action to be taken by the County and shall, upon written request within ten (10) days of such notice, be entitled to a hearing before the County. If, upon such hearing, the County shall find that the Ambulance Service License holder has corrected any alleged deficiencies and brought itself in compliance with the provisions of this Ordinance, such Ambulance Service License shall not be suspended or revoked.

SECTION 18. SEVERABILITY - If any section, subsection, sentence, clause, phrase, or portion of this Ordinance is, for any reason, held invalid or unconstitutional by any Court of competent jurisdiction, such portions shall be deemed a separate, distinct and independent provision and such holding shall not affect the validity of the remaining portions of this Ordinance.

SECTION 19. REPEAL OF PRIOR ORDINANCE – All Ordinances or parts of Ordinances in conflict herewith shall be and the same are hereby expressly repealed, except as provided in Section 3 hereof.

 

SECTION 20. EFFECTIVE DATE OF ORDINANE – This Ordinance will become effective on the date of its passage by the County Board of Supervisors.

Approved this 6th day of June, 1994.

________________________________                          _________________________________
CLERK OF THE BOARD                                              PRESIDENT

 

 

RANKIN COUNTY, MISSISSIPPI

APPLICATION FOR A CERTIFICATE OF NECESSITY FOR A ROUTINE NON-EMERGENCY AMBULANCE SERVICE LICENSE

 

PLEASE RESPOND TO THE FOLLOWING QUESTIONS IN THE FORMAT PRESENTED. IF ADDITIONAL SPACE IS NEEDED TO ADEQUATELY ANSWER THE QUESTIONS SET FORTH IN THIS APPLICATION, PLEASE ATTACH ADDITIONAL PAGES. PLEASE REFER TO THE ORDINANCE FOR AMBULANCE SERVICE FOR THE DEFINITIONS OF CAPITALIZED TERMS USED BUT NOT DEFINED HEREIN.

1. Applicant.       Name ______________________________________________________

Address ____________________________________________________
Name of contact person _______________________________________
Telephone number ___________________________________________
Telecopier number ___________________________________________

            Type of Organization.

1. Is your organization:

 

_____ a corporation             _____ a partnership  _____a sole propietorship

1. If your organization is a corporation, attach a certified copy of the Articles of Incorporation.

 

1. Equipment and Ambulances.

Describe in detail the Ambulance which you propose to operate in Rankin County, Mississippi (the “County”) including the number, make, type, year of manufacture, serial number, license tag number, and equipment to be placed on each Ambulance. All Ambulances in operation in the County must comply with the System Standard of Care for the County which is more particularly defined and described in the Ordinance for Ambulance Service attached hereto.

 

A RESOLUTION OF THE BOARD OF SUPERVISORS OF RANKIN COUNTY, MISSISSIPPI, CREATING THE RANKIN COUNTY EMERGENCY MEDICAL SERVICE DISTRICT TO PROVIDE EMERGENCY AMBULANCE SERVICE FOR THE AREA COMPOSING RANKIN COUNTY.

 

BE IT RESOLVED by the Board of Supervisors of Rankin County, Mississippi, as follows, to-wit:

SECTION l:    Adequate emergency ambulance service does not exist in Rankin County, Mississippi, and the best interest of the county and its citizens will be served if this Board shall provide such service through an agency to be known as The Rankin County Emergency Medical Service District, which district shall embrace all land in Rankin County, Mississippi, all as provided by sections 41-59-51, et seq., Mississippi Code of 1972, as amended.

SECTION 2:   Said Board does hereby create The Rankin County Emergency Medical Service District, embracing all property in Rankin County for the purpose of providing emergency ambulance service to Rankin County, Mississippi.

SECTION 3:   Said District shall be administered by an executive manager who shall have full authority over the operation of the District and this Board does unanimously appoint Thomas M. Wiman as Executive Manager thereof to serve until further ordered by this Board.

SECTION 4:   Said district is authorized to receive funds from all sources and to expend  the same for the necessary and proper support of such district, including any taxes hereafter levied for the support of said district as now or hereafter provide by law.-

SECTION 5:   This Resolution shall be in full force and effect from and after its passage.

RESOLVED this 2nd day of July, 1979

 

The foregoing Resolution was offered by Hilton Richardson who moved its adoption, said motion was seconded by Ralph Moore and adopted by the following vote:

Supervisors voting Aye:          Neely, Richardson, Bridges, Rives and Moore.
Supervisors voting Nay:          None

            Therefore said Resolution was unanimously adopted.