The maximum rates chargeable to the general public as set forth in Sections 7.16.280 and 7.16.310 of this chapter shall be adjusted effective July 1, 1992, and on July 1st of each
year thereafter, to reflect changes in the value of the dollar. For each of the one
year periods respectively beginning July 1, 1992 and July 1, 1993 such adjustments
shall be made by multiplying the base amounts by the percentage change in the transportation
portion of the Consumer Price Index for All Urban Consumers, Western Region, as compiled
and reported by the Bureau of Labor Statistics for the 12-month period ending with
the last day of the prior month of February. Beginning July 1, 1994, and on each July
1 thereafter, such adjustments shall be determined by multiplying the base amounts
by the average of the percentage changes of the transportation portion and of the
medical portion of the Consumer Price Index for All Urban Consumers, Western Region,
as compiled and reported by the Bureau of Labor Statistics for the 12-month period
ending with the last day of the prior month of February. The result so determined
shall be rounded to the nearest $0.25 and added or subtracted, as appropriate, to
the rate. Beginning July 1, 2017, and on every July 1, thereafter, such adjustments
shall be determined by multiplying seventy-five (75) percent of the base amounts by
the percentage change of the minimum wage change in Los Angeles County as defined
in County Code Section 8.100.040 - Minimum Wage and by multiplying twenty-five (25) percent of the base amounts by
the percentage change of the Medical Care line item of the Consumer Price Index for
All Urban Consumers, Western Region, as compiled and reported by the Bureau of Labor
Statistics for the 12-month period ending with the last day of the prior month of
February, except for the following charges: Registered Nurse/Respiratory Therapist
per hour after the first three (3) hours adjustment shall be determined by multiplying
the current charge by the percentage change of the minimum wage change in Los Angeles
County as defined in County Code Section 8.100.040 - Minimum Wage; mileage adjustment shall be determined by multiplying the current
charge by the percentage change of the transportation line item of the Consumer Price
Index for All Urban Consumers, Western Region, as compiled and reported by the Bureau
of Labor Statistics for the 12-month period ending with the last day of the prior
month of February; and Oxygen, Disposable Medical Supplies, and Ventilator adjustments
shall be determined by multiplying the current charges by the percentage change of
the Medical Care line item of the Consumer Price Index for All Urban Consumers, Western
Region, as compiled and reported by the Bureau of Labor Statistics for the 12-month
period ending with the last day of the prior month of February. The result so determined
shall be rounded to the nearest whole number and added or subtracted, as appropriate,
to the rate. The Director of the Department of Health Services, or authorized designee,
shall initiate implementation of these rate changes by notifying in writing each licensed
private ambulance operator in Los Angeles County thereof, and any other individual
or agency requesting such notification from the Director. Such notice shall be sent
by first class mail no later than June 15 of the prior period.