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Measure D & E

PRIMARY ELECTION
MARCH 2020
TRINITY COUNTY LIFE SUPPORT NEEDS YOUR YES VOTE
MEASURES D AND E TO SAVE AMBULANCE SERVICE
PLEASE COME OUT AND VOTE, MARCH 2020

Visit the Campaign Website for more information and to get involved!

www.tlscsd.org

Measure D - Formation of Trinity Life Support Community Service District for the purpose of continued operations in the existing service area, conditioned upon voter approval of a special tax that will provide the necessary supplemental funding to provide for continued advanced life support ambulance services.

Measure E – EMS Tax for the Formation of the "Trinity County Life Support Community Services District" for the purpose of stabilizing and enhancing advanced life support ambulance service. In order to maintain the existing level of service the Trinity Local Agency Formation Commission has determined that the newly formed district will require not less than $677,000 annually to continue operating. The California Community Services District Law provides for a voter approved assessment as the method to achieve the necessary funding.

$83 / Improved Parcel

$48 / Unimproved Parcel

Election of a 5-member Board of Directors

 CURRENTLY AS A NON-PROFIT:

  • EXCELLENCE IN ADVANCED LIFE SUPPORT PATIENT CARE
  • 100% Safety Record
  • Training programs for volunteer fire personnel at cost
  • Dedicated Staff
    • Paid 16 hours for 24-hour shift
    • Full time is a 72-hour shift – source of fatigue, family stress
    • Services preserved by limited staff
    • Limited ability to staff a backup ambulance
    • Limited ability to plan, implement, and train
    • Inability to recruit Paramedics
    • Hayfork ambulance occasionally staffed by EMTs only
    • Overhead staff 50% of needed (50% reduction in 2005)
  • Aging equipment
  • Annual operating deficit of $70,000–$100,000 to protect service
  • No access to government programs that reimburse Medi-Cal shortfalls
  • Reserves have declined to critical levels

 

AS A COMMUNITY SERVICE DISTRICT WITH PARCEL TAX ASSESSMENT:

  • EXCELLENCE IN ADVANCED LIFE SUPPORT PATIENT CARE
  • Safety reinforced with reduced risk of fatigue-induced incident
  • Enhanced ability to support volunteers with training and equipment
  • Dedicated Staff
    • Paid 24 hours for 24-hour shift
    • Implement 48/96 shift schedule (2 days on, 4 days off)
    • Add 4 medical personnel to fill new shift structure
    • Increased staffing capacity for backup ambulances
    • Improved recruitment and retention due to shift structure
    • Local hiring opportunities
  • Restore management hours for improved operations
  • Potential for new programs and growth
    • Community Paramedic
    • Non-Emergency Transport
  • Ability to operate on a balanced budget and save for equipment needs
  • Access to government programs that reimburse Medi-Cal shortfalls

 

For TCLS to continue providing our services to the community the formation of a Special District is critical. Many outside influences, including mandatory California minimum wage increases, less than true cost reimbursements from Federal and State health systems, and escalating costs have led us to make this proposal.

 

$83/year is just $7/month to secure essential ambulance service for the long term

 

TCLS has been operating on a shoe-string budget for many years which has resulted in a decrease in service level to the communities that we serve. If not for some dedicated employees with a “make it work attitude” our services would have been diminished.

Call volume is remarkably stable with an average of 1500 calls for ambulance service per year with approximately 3/4 of these resulting in transport. Revenues are based on transport billing. The cost of being 911 ready with staff, supplies, equipment and ambulances has steadily increased. This trend will continue with the State mandated minimum wage increases over the next several years.

TCLS transport revenue comes from Medicare (49%), Medi-Cal (28%) Insurance (14%) and Private Pay (9%). These numbers also remain remarkably stable. Medicare and Medi-Cal (77%) pay less than the cost of providing service.

Listed below is a summary of unreimbursed costs for the period July 1, 2017 to June 30, 2018:

Measure-DandE-Photo01

CSD structure provides direct access to government reimbursement of Medi-Cal fee for service shortfalls through Ground Emergency Medical Transport (GEMT). Potential exists for government reimbursement of Medi-Cal managed care shortfalls through Inter-Governmental Transfer (IGT). IGT currently viable with an uncertain future. Voter approval of a parcel tax bridges funding gaps and stabilizes an essential community resource.

Measure-DandE-Photo02

Current service levels are not supported by revenues. Financial reserves have been utilized to protect ambulance staffing and are declining to critical levels. Scheduled California minimum wage mandates will increase deficits. Over the last several years, multiple options were explored to provide stable funding. Measures D and E will stabilize essential ambulance service.

 Visit the Campaign Website for more information and to get involved!

www.tlscsd.org

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