City Council Approves Controversial Ambulance Fee Increase

During a recent government meeting, Chief Lachance presented a proposal for an increase in ambulance fees, which has already received approval from the board of finance. The proposed changes, part of a fee study conducted last year, aim to address the fiscal needs of the city while keeping increases moderate at approximately 8.5% for Advanced Life Support (ALS) and Basic Life Support (BLS) services.

A significant aspect of the proposal is the introduction of billing for non-transports, a service that has not been charged for previously. This change follows the passage of Vermont legislation, which allows for a billing rate of $275 for non-transports. Chief Lachance emphasized the importance of equity in the fee structure, noting that Medicaid is the only entity currently covering these costs. The department aims to maintain accessibility for Medicare recipients and self-pay individuals, who represent about 3% of transports.

To mitigate the impact of the fee increases on those in financial hardship, a waiver process will continue to be available. The proposed fee schedule is accessible online for public review.

The council unanimously approved the motion to implement the new fee structure, which is set to take effect on July 7, 2024. Chief Lachance expressed confidence that the projected funding from these increases will adequately support the fire department's budget for fiscal year 2025.