CODE OF ORDINANCES

Article III - Financial Matters

Division 1. - Generally


Secs. 2-86--2-105. - Reserved.



Division 2 - Fees


Sec. 2-106. - Law library fee.

In accord with the provisions of Code of Virginia, § 42.1-70, the assessment of a fee of $4.00 on each civil action instituted in the courts of the county, to be collected by the clerk of each court at the time such suit is instituted and forwarded by such clerk to the treasurer of the county for the support of the county law library.

(Ord. of 1-10-1989)

State law reference-- Authority to assess fee, Code of Virginia, § 42.1-70.


Sec. 2-107. - Courthouse, jail fees.

(a) Pursuant to the authority granted by Code of Virginia, § 17.1-281, there is assessed as part of the fees taxed as costs in all criminal and traffic cases in the general district court of the county and the circuit court of the county a fee of $2.00.

(b) The fee shall be collected by the clerk of the court in which the action is filed and shall be submitted to the treasurer of the county who shall hold all such fees subject to disbursement by the board of supervisors for the construction, renovation or maintenance of courthouse or jail and court-related facilities and for defraying increases in the cost of heating, cooling, electricity and ordinary maintenance.

(c) This assessment shall be in addition to any other fees prescribed by law.


(Ord. of 11-1-1990)

State law reference-- Authority to levy fee for maintenance, renovation and construction of courthouse, jail and court-related facilities, Code of Virginia, § 17.1-281.


Sec. 2-108. - Fee for returned checks.

(a) Pursuant to the provisions of § 15.2-106, VA Code Ann., the county shall charge the maximum fee allowed for the uttering, publishing or passing of any check, draft or order for the payment of taxes or any other sums due the county, which is subsequently returned for insufficient funds or because there is no account or because the account has been closed or because such check, draft, or order was returned because of a stop-payment order placed in bad faith on the check, draft or order by the drawer.

(b) All officials and agencies of the county are authorized and directed to act for the county in charging and collecting the fee.

(Ord. of 6-8-1982, §§ 1, 2; Ord. of 6-28-2011(1))

State law reference-- Fee for checks returned to county for insufficient funds, etc., § 15.2-106, VA Code Ann.


Sec. 2-109. - Security personnel funding fee.

There is hereby imposed a fee of $10.00 as a part of the costs in each criminal and traffic case in the Orange County District Court and Orange County Circuit Court in which the defendantis convicted of a violation of any statute or ordinance. Such fee shall be collected by the clerk of the court in which the case is heard, remitted to the treasurer, and be held by the treasurer subject to appropriation by the Orange County Board of Supervisors to the sheriff's office for the funding of courthouse security personnel.

(Ord. of 6-11-2002(1); Ord. of 11-13-07(1))


Sec. 2-110. - Jail processing fee.

There is hereby imposed a processing fee of $25.00 on any individual admitted to the Central Virginia Regional Jail following conviction in the Orange County District Court or the Orange County Circuit Court. The fee shall be ordered as a part of court costs collected by the clerk, remitted to the treasurer, and be held by the treasurer subject to appropriation by the Orange Country Board of Supervisors to the sheriff's office to defray the costs of processing arrested persons into the regional jail.

(Ord. of 6-11-2002(2))


Secs. 2-111--2-135. - Reserved.




Division 3. - Cost Reimbursement for Emergency Medical Transport Services


Sec. 2-136. - Cost reimbursement for ambulance service.

(a) Reasonable fees shall be charged for emergency medical transport services provided by the department. The revenue recovery program is intended to pursue reimbursement for EMS emergency ambulance transports by recovering funds that may already be designated for the purpose.

(b) The following definitions shall apply to emergency medical transport charges:

(1) Basic life support (BLS) means services shall be medical treatment or procedures provided to a patient as defined by the National Emergency Medicine Services (EMS) Education and Practice Blueprint for the Emergency Medical Technician (EMT)-Basic.

(2) Advanced life support level 1 (ALS-1) means services shall be medical treatment or procedures provided to a patient beyond the scope of an EMT-Basic as defined by the National EMS Education and Practice Blueprint.

(3) Advanced life support level 2 (ALS-2) means those advanced life support (ALS) services provided to a patient beyond ALS-1 including the following procedures: manual defibrillation/cardioversion, endotrachael intubation, cardiac pacing, chest decompression, surgical airway, intraosseous line and the administration of three or more medications of any kind.

(4) Ground transport mile (GTM): Emergency demand zones may be established by resolution of the board of supervisors. Transportation fees shall be assessed per statute mile from the location of the incident scene, or from the center point of the emergency demand zone, if applicable, where an incident scene or address is located, to a hospital or other facility where a patient is transported.

(Ord. of 11-22-2005)



Sec. 2-137. - Fees.

(a) Fees for emergency medical transport services shall be charged per patient transport for services rendered and transportation provided. Three types of emergency medical services can be provided, BLS, ALS-1 and ALS-2. The fees for each of these levels of services will be determined by the board of supervisors.

(b) Transportation fees shall also be charged per patient. The fee shall be on a per GTM basis, and shall be determined by the board of supervisors.

(Ord. of 11-22-2005)

 

Sec. 2-138. - Billing.

(a) A bill will be generated for ambulance transports conducted by all ambulances utilized by Orange County.

(b) Patients will fall into one of the following categories for billing purposes:

(1) Insured, county resident, county employee or nonresident. The appropriate insurance carrier will be billed. As an insured county resident, any co-pay required by the resident's insurance company shall be deemed to have been paid as part of the resident's payment of personal property and/or real property taxes. As a nonresident county employee, any co-pay required by the said employee's insurance company shall be deemed a benefit of said employee's employment with the county.

(2) Uninsured county residents. The Orange County Compassionate Billing Policy provides for waiver of emergency transport fees for eligible uninsured county residents. A statement showing zero balance will be sent to any uninsured county resident qualifying for such waiver.

(3) Uninsured county employees. Orange County's Compassionate Billing Policy will provide for uninsured county employees to receive a waiver of emergency medical transport fees.

(4) Uninsured nonresidents. A bill will be sent to the patient transported.

(5) Bill generated/no collection. There are instances when a bill is generated in which the county would be merely transferring funds from one department's budget to another to satisfy the bill. For example, when an inmate of the regional jail is transported, the sheriff's department is responsible for the bill. The billing contractor will update its records to reflect such adjustment. For accounting purposes, inter-departmental transfers (IDT's) will not be required when an internal bill is generated. However, designated personnel will notify the county's billing contractor that the bill generated is internal to the county in those circumstances to ensure proper record keeping. [Note: The Commonwealth of Virginia would be billed for transports of state inmates in the judicial system.]

(6) Contractual write offs. The bills that Medicaid, Medicare, and insurance companies pay on behalf of an insured individual are sometimes adjusted to pay only a portion of the billed amount. This adjustment referred to here as a "contractual write off" is usually due to the laws governing the payment amount or through agreements between the insurance companies and billing entity. The contractual write offs are not considered unpaid balances, and will not be billed to patients.

(7) Reciprocal agreements. The county administrator is authorized to enter into reciprocal agreements with other localities that have compassionate billing policies for emergency transport fees.

(Ord. of 11-22-2005)



Sec. 2-139. - Compassionate billing policy.

A compassionate billing policy will be adopted by the board of supervisors to provide relief for those individuals that can demonstrate financial hardship affecting their ability to pay fees imposed by this article. Such policy will also address the collection of fees imposed pursuant to this article that remain chronically unpaid.

(Ord. of 11-22-2005)


Sec. 2-140. - Billing and collections.

Billing and collection services will be provided by a billing contractor. No county personnel will accept or receive payment on behalf of a patient. Any inquiries regarding billing or collection procedure will be referred to the billing contractor, or to designated personnel of Orange County Fire and Emergency Medical Services department.

(Ord. of 11-22-2005)