HomeMy WebLinkAbout21-032 k-itEcoro\ V •E5 MICHELLE R.MILLER,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE# 4914583 08/25/2021 02:28:37 PM
OR BOOK 4673 PAGE 1220-1228 Doc Type:ORDN
RECORDING: $78.00
ORDINANCE NO. 21-032
AN ORDINANCE AMENDING ARTICLE 18, EMERGENCY MANAGEMENT AND
EMERGENCY SERVICES, BY AMENDING ARTICLE III, (LIFE SUPPORT SERVICES) OF
THE CODE OF ORDINANCES OF ST. LUCIE COUNTY, FLORIDA; AMENDING n O m n
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SECTION 18-52 (APPLICATION-INFORMATION AND FEE REQUIRED) TO CHANGE °�o
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THE SECTION TITLE TO "COPCN REQUIRED — ANNUAL NEEDS ASSESSMENT; z P.3g m m
INITIAL APPLICATION AND FEE", PROVIDE FOR THE ANNUAL DETERMINATION o
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OF NEED FOR ADDITIONAL LIFE SUPPORT SERVICES IN THE COUNTY, ESTABLISH o m o F M
AN APPLICATION SUBMISSION PERIOD FOR AN INITIAL COPCN IF SUCH NEED IS j
N ON !-
DETERMINED TO EXIST, AND ADD A REQUIREMENT FOR INCLUSION OF A W M
SURVEY OF LOCAL SERVICE NEEDS AND A DESCRIPTION OF EMPLOYEE TRAINING o
N
PROTOCOLS WITH THE APPLICATION; AMENDING SECTION 18-53 (SAME- 8 m
REVIEW AND INVESTIGATION BY PUBLIC SAFETY DIRECTOR) TO CLARIFY THE 0
REFERENCE TO A LOCAL OR REGIONAL TRAUMA AGENCY SHALL ONLY BE o 0
APPLICABLE IF SUCH AN AGENCY HAS BEEN CREATED IN ST. LUCIE COUNTY; 0 0
AMENDING SECTION 18-54 (SAME-EMERGENCY MEDICAL SERVICES ADVISORY
COUNCIL REVIEW) TO CLARIFY THE REFERENCE TO A LOCAL OR REGIONAL
TRAUMA AGENCY SHALL ONLY BE APPLICABLE IF SUCH AN AGENCY HAS BEEN
CREATED IN ST. LUCIE COUNTY; AMENDING SECTION 18-55 (SAME-BOARD OF
COUNTY COMMISSIONERS REVIEW) TO REDUCE THE TERM OF A COPCN FROM
TWO YEARS TO ONE YEAR SUBJECT TO RENEWAL AS PROVIDED IN SECTION 18-
62 AND TO CLARIFY THE REFERENCE TO A LOCAL OR REGIONAL TRAUMA
AGENCY SHALL ONLY BE APPLICABLE IF SUCH AN AGENCY HAS BEEN CREATED IN
ST. LUCIE COUNTY; AMENDING SECTION 18-59 (EXEMPTIONS) TO CHANGE THE
TITLE TO "EXEMPTIONS; CERTIFICATE HOLDER RESPONSIBILITIES", DELETE
REFERENCE TO COUNTY AS MEDICAID ADMINISTRATOR, ADD REQUIREMENTS
FOR MAINTAINING CURRENT COPCN STICKER ON VEHICLES AND ATTENDING
ANNUAL CERTIFICATE HOLDER MEETING; AMENDING SECTION 18-60
(INSPECTIONS) TO PROVIDE FOR THE BOARD OF COUNTY COMMISSIONERS TO
ESTABLISH A FEE FOR INSPECTIONS; AMENDING SECTION 18-62 (RENEWAL AND
AMENDMENT OF CERTIFICATE) TO ESTABLISH AN ANNUAL RENEWAL
APPLICATION PERIOD; PROVIDING FOR CONFLICTING PROVISIONS;
SEVERABILITY AND APPLICABILITY; PROVIDING FOR FILING WITH THE
DEPARTMENT OF STATE: PROVIDING FOR AN EFFECTIVE DATE; PROVIDING FOR
ADOPTION; AND PROVIDING FOR CODIFICATION.
WHEREAS,the Board of County Commissioners of St. Lucie County, Florida, has made the
following determinations:
1. Pursuant to Section 401.25, Florida Statutes, every person, firm, corporation,
association, or governmental entity which provides prehospital, or interfacility advanced life
support services or basic life support transportation services must be licensed by the State of
Florida Department of Health before offering such services to the public.
1
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2. Subsection 401.25(2)(d), Florida Statutes, requires an applicant for a State of
Florida advanced life support or basic life support transportation certificate to provide proof of
having obtained a certificate of public convenience and necessity from each county in which it
intends to operate as a part of the application process.
3. On February 20, 1996, the Board of County Commissioners adopted Ordinance
No. 96-04 which created Chapter 1-12.5, "Life Support Services" of the St. Lucie County Code of
Ordinances and Compiled Laws to establish procedures and criteria for issuing County certificates
of convenience and public necessity ("COPCN") as provided in Subsection 401.25(2)(d), Florida
Statutes.
4. On March 15, 2008, the Board of County Commissioners adopted Ordinance No.
08-011 which further amended Chapter 1-12.5.
5. On August 12, 2014, the Board of County Commissioners adopted Ordinance No.
14-020 which recodified Chapter 1-12.5 as Chapter 18 of the St. Lucie County Code of Ordinances.
6. The Board has determined it is appropriate to amend Chapter 18 to clarify certain
provisions, provide for an annual determination of whether a need for additional life support
services exists in the County, and reduce the term of a COPCN from two years to one year in
order to develop greater oversight of the level of service provided to the residents of St. Lucie
County.
NOW, THEREFORE, BE IT ORDAINED by the Board of County Commissioners of St. Lucie
County, Florida:
PART A. AMENDING OF SECTION 18-52 (APPLICATION-INFORMATION AND FEE
REQUIRED) OF CHAPTER 18, EMERGENCY MANAGEMENT AND EMERGENCY
SERVICES,ARTICLE III (LIFE SUPPORT SERVICES)
Section 18-52 (Application-information and fee required)of the Code of Ordinances of St.
Lucie County, Florida, is hereby amended as follows:
Section 18-52. Initial Application COPCN Required annual needs
assessment; initial application and fee.
faaj No person,firm, governmental entity, agency, corporation, partnership or association
shall operate any of the services as described in the classification of service in Section 18-51
unless it has first obtained a certificate of public convenience and necessity issued by the Board.
ll On or before May 1 of each year, the Public Safety Director shall conduct a needs
survey to determine whether there exists a need for additional life support services in the county.
Following the conclusion of the survey, the public safety director shall recommend to the Board
of County Commissioners whether to issue a notice for the submission of new COPCN
applications. If the Board determines to issue such notice, public notice of the application period
for COPCNs shall be given by the County no earlier than July 1. The notice shall state that the
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Board will be accepting applications for all classes of COPCNs within the county. Completed
�,. applications shall be submitted to the public safety director no earlier than September 1 and no
later than September 30.
j1 Each application for a certificate of public convenience and necessity shall be
accompanied by a non-refundable filing fee to be approved by resolution of the Board and
payable to the County at the time the application is submitted to the County to cover the costs
and expenses incurred by the County in processing the application. All applications for an initial
Certificate shall be submitted only during the application period. An applicant for an initial
certificate of public convenience and necessity shall apply to the Board in writing and complete
a form provided by the Public Safety Director which shall contain the following information:
+++++++++++++++++++++++++++++++++++++++++
(18) A completed survey of local need for the proposed service using the form approved
by the Public Safety Director. The date of the survey shall be no earlier than six (6) months prior
to the date of the application.
(19) An outline of the annual employee training protocols.
PART B. AMENDMENT OF SECTION 18-53(SAME-REVIEW AND INVESTIGATION BY PUBLIC
SAFETY DIRECTOR)
Section 18-53 (Same-review and investigation by public safety director) of the Code of
Ordinances of St. Lucie County, Florida, is hereby amended to read as follows:
Section 18-53. Same-review and investigation by public safety director.
(a) Upon receipt of an application for a certificate of public convenience and necessity, the
public safety director shall review the application for completeness and consistency with the
standards of review set forth in section 18-56. The public safety director may require additional
information as maybe necessary to adequately review the application. The public safety director
shall also conduct an investigation to determine whether a public need exists for the proposed
services in the service area identified in the application. As part of his investigation, the public
safety director shall contact the applicant's medical director, all other service providers in the
county, any municipality in which the applicant desires to provide service, and the any local or
regional trauma agency created under F.S. ch. 395. The public safety director shall complete his
review and investigation within 60 days of the date of receipt of the application.
(b) If the public safety director determines the application to be complete and consistent in
accordance with the standards of review set forth in section 18-56, the public safety director
shall present the application and the results of his investigation at the next regularlyregtharlythcathltheci
meeting of the emergency medical services advisory council for the purpose of reviewing the
3
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application and making a recommendation to the board to grant or deny the certificate of public
convenience and necessity. The public safety director shall provide notice of the meeting to the
applicant, all other service providers in the county, and any municipality in the requested service
area.
ll If the public safety director determines the application to be incomplete and/or
inconsistent with the standards of review set forth in section 18-56, the public safety director
shall return the application to the applicant, noting the items which are not complete or have
been determined to be inconsistent with the standards of review. The applicant shall have 344 7
days to submit a revised or corrected application. Any application that has been returned to the
applicant for correction and/or revision and is not resubmitted to the public safety director
within this period shall be considered withdrawn and the filing fee forfeited.
PART C. AMENDMENT OF SECTION 18-54 (SAME-REVIEW AND INVESTIGATION BY
EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL)
Section 18-54 (Same-review and investigation by emergency medical services advisory
council) of the Code of Ordinances of St. Lucie County, Florida, is hereby amended to read as
follows:
Section 18-54. Same-review and investigation by emergency medical services advisory council.
(a) The council will review the application, consider the recommendations—of the public
'" safety director as well as recommendations of the fire chief, other service providers, and any
affected municipality if any, and forward a recommendation on the application to the board.
(b) In making its recommendation to the board, the council shall consider the following
factors:
(1) Compliance with the appropriate license requirements set forth in F.S. ch. 401 and F.A.C.
ch. 641-1. This shall not apply to applicants for a Class F certificate.
(2) The population density and composition of the areas within which the proposed service
will operate.
(3) The need of the people in the proposed service area for such service.
(4) A comparison of estimated annual requests for service in the particular certificate
category with the current number of vehicles permitted for operation and operating in the
proposed service area.
(5) The recommendation of any municipality located within the proposed service area.
(6) The recommendation of the a local or regional agency created under F.S. ch. 395. This
shall not apply to applicants for a Class F certificate.
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(7) Such other factors related to the standards of review set forth in section 18-56, as the
council shall deem appropriate.
PART D. AMENDMENT OF SECTION 18-55 (SAME-BOARD OF COUNTY COMMISSIONERS
REVIEW)
Section 18-55 of Chapter 18 of the Code of Ordinances of St. Lucie County, Florida, is
hereby amended to read as follows:
Section 18-55. Same-Board of county commissioners' review.
(a) Upon receipt of a recommendation from the emergency medical services advisory
council regarding an application for a certificate of public convenience and necessity,the board
shall consider the application of a public hearing held no sooner than 14 days following
publication at the applicant's expense of a legal notice in a newspaper of general circulation in
the county. Such notice shall be in substantially the following form:
NOTICE OF APPLICATION FOR CLASS " " CERTIFICATE
OF PUBLIC CONVENIENCE AND NECESSITY
Notice is hereby given that, pursuant to Chapter 18, Article III,of the Code
of Ordinances of St. Lucie County, Florida, (name of applicant) whose
business address is , has made application to the Board of
N` County Commissioners for a Class certificate of public
convenience and necessity. The Board will consider the application at its
regular meeting to be held in the County Commission Chambers, St. Lucie
County Administration Annex Building, 2300 Virginia Avenue, Fort Pierce,
Florida at 6:00 pm on
Dated this day of
Board of County Commissioners
St. Lucie County, Florida
(b) The board shall issue a certificate of public convenience and necessity if the board
determines that the application complies with the requirements of this chapter and is
consistent with the standards of review set forth in section 18-56. The approval shall
include the class of certificate and the maximum number of transport vehicles
permitted under the certificate.
(c) Each certificate of public convenience and necessity issued hereunder shall be signed
by the chairperson or the vice-chairperson of the board and attested to by the clerk of
the board, or his designee.
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(d) Each initial certificate of public convenience and necessity issued pursuant to this
�,. article will be valid for a period of two y ar,one year subject to renewal in accordance
with the procedures set forth in section 18-62.
PART E. AMENDMENT OF SECTION 18-56 (SAME-STANDARDS OF REVIEW)
Section 18-56 of Chapter 18 of the Code of Ordinances of St. Lucie County, Florida, is
hereby amended to read as follows:
Section 18-56. -Same—Standards of review.
The board shall apply the following standards of review in determining whether to
approve an application for certificate of public convenience and necessity:
(1) Whether the application is complete and meets the minimum requirements of this
article, F.S. ch. 401 and F.A.C. ch. 641-1. This shall not apply to applicants for a Class F
certificate.
(2) Whether a need for the proposed service exists in the proposed service area.
(3) Whether the municipality, if any, located in the proposed service area has
recommended that the board approve the application.
(4) Whether the local or regional trauma agency created under F.S. ch. 395, if any, has
recommended that the board approve the application. This shall not apply to applicants
for a Class F certificate.
PART F. AMENDMENT OF SECTION 18-59 (EXEMPTIONS)
Section 18-59 of Chapter 18 of the Code of Ordinances of St. Lucie County, Florida, is
hereby amended to read as follows:
Sec. 18-59. - Exemptions; certificate holder responsibilities.
(a) Any vehicle rendering services as an ambulance in the event of a major
catastrophe or emergency when ambulance with permits based in the locality of the catastrophe
or emergency as defined in the statewide mutual aid agreement are incapacitated or insufficient
in number to render the services needed and any ambulance owned and operated by the federal
government shall be exempt from the provisions of this article.
(b) Each certificate holder, and its employees, including paramedics and emergency
medical technicians, shall comply with the following:
+++++++++++++++++++++++++++++++++++++++
6
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•
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(12( Display a current COPCN sticker issued by the county on each vehicle listed under
the COPCN in the location designated by the county.
(13) Attend the annual certificate holder meeting conducted by the public safety
director or designee.
PART G. AMENDMENT OF SECTION 18-60 (INSPECTIONS)
Section 18-60 of Chapter 18 of the Code of Ordinances of St. Lucie County, Florida, is
hereby amended to read as follows:
Section 18-60. - Inspections.
(a) The public safety director, or his designee, shall inspect each applicant and certificate
holder during review of the application, and thereafter on or before October 1 as a continuing
part of the certification process. This inspection shall determine the continuing compliance with
this article and all state laws, rules and regulations by the certificate holder as a condition of
certificate issuance.
(b) Inspections may be conducted with or without prior notice to the certificate holder
and shall be conducted whenever such inspection is deemed necessary by the public safety
director in order to determine compliance with this article and a certificate holder's certificate
of public convenience and necessity. Inspections shall be conducted without impeding patient
care.
(c) If during the course of an inspection, a situation is found which, in the determination
of the public safety director, may jeopardize the safety or welfare of the service personnel or
patient care, the public safety director shall issue a deficiency correction notice or exercise the
powers necessary to ensure the certificate holder's compliance with its certificate and this
article. The deficiency correction notice shall state the nature of the deficiency and specify a time
for correction of the deficiency. Failure to correct the deficiency in the time specified in the
deficiency correction notice may result in action pursuant to section 18-63.
Id) The board shall establish by resolution a fee schedule for inspections pursuant to this
article.
7
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PART H. AMENDMENT OF SECTION 18-62 (RENEWAL AND AMENDMENT OF
CERTIFICATE) OF CHAPTER 18 EMERGENCY MANAGEMENT AND EMERGENCY
SERVICES, ARTICLE III (LIFE SUPPORT SERVICES).
Section 18-62 of the Code of Ordinances of St. Lucie County, Florida, is hereby amended
to read as follows:
Section 18-62. Renewal and amendment of certificate.
(a) A-Any certificate holder whose certificate will expire on or after December 31, 2022 shall
submit an application for renewal of its certificate to the public safety director at last 90 day
prior to the date of expiration of the certificate on or before August 1, 2022. Thereafter every
certificate holder shall submit an application for renewal of its certificate annually on or before
August 1. Each application for renewal of a certificate of public convenience and necessity shall
be accompanied by a nonrefundable fee in an amount to be approved by resolution of the board.
The application for renewal shall be reviewed by the emergency medical services advisory council
of compliance with the terms of the certificate and the requirements of section 18-59 and the
results of any inspections conducted pursuant to section 18-60. Following its review, the council
shall forward a recommendation on the renewal application to the board of county
commissioners. The board of county commissioners shall renew a certificate upon a
determination that the certificate holder remains in compliance with the terms of its certificate
and this article. The term of a renewed certificate shall be two (2) years, subject to suspension
alteration, or revocation as provided in Section 18-63.
(b) In the event a certificate holder desires to amend its certificate to increase the maximum
number of permitted transport vehicles, it shall submit an application to the public safety
director prior to placing the vehicle into service indicating the proposed increase in permitted
vehicles,the type of additional vehicles proposed,and documented justification for the proposed
increase based upon its monthly service reports and such other factors as the certificate holder
may deem relevant. Upon receipt of the application for an increase in permitted transport
vehicles, the public safety director shall traasaait forward the application to the emergency
medical services advisory council for review and recommendation to the board of county
commissioners. The emergency medical services advisory council shall review the
recommendation in accordance with the provisions of section 18-54 and forward a
recommendation to the board of county commissioners.The board shall consider the application
in accordance with the procedures and standards of review as set forth in sections 18-55 and 18-
56.
PART I. SEVERABI LITY AND APPLICABILITY.
It is declared to be the intent of the Board of County Commissioners of St. Lucie County,
that if any section, subsection, sentence, clause, or provision of this ordinance be held invalid,
the remainder of the ordinance shall not be affected.
Yam-
Stwekthrengh passages deleted. Underlined passages added.
PART J. FILING WITH THE DEPARTMENT OF STATE.
The Clerk is hereby directed forthwith to send a certified copy of the Ordinance to
the Bureau of Laws, Department of State, The Capitol, Tallahassee, Florida, 32304.
PART K. EFFECTIVE DATE.
This ordinance shall take effect upon the date of adoption.
PART L. ADOPTION.
After motion and second, the vote on this ordinance was as follows:
Commissioner Chris Dzadovsky, Chair AYE
Commissioner Sean Mitchell, Vice Chair AYE
Commissioner Linda Bartz AYE
Commissioner Frannie Hutchinson AYE
Commissioner Cathy Townsend AYE
PART M. CODIFICATION.
Provisions of this ordinance shall be incorporated in the Code of Ordinances of St.
Lucie County, Florida, and the word "ordinance" may be changed to "section," "article," or other
appropriate word, and the sections of this ordinance may be renumbered or relettered to
accomplish such intention; provided, however, that Parts B through E shall not be codified.
PASSED AND DULY ADOPTED this 17th day August 2021.
ATTEST: BOARD OF COUNTY COMMISSIONERS
ST. LUCIE CQ4k1 , t 1D
10-ie 4ficSzp.. BY: (•
�_
Deputy ex . Chair'
a m .
r0 ,gc APPROVED A TO FORM AND
c°4'Nrr, tio• .. P`° CORRECTNES .
BY:
County tto ney
9
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i;Public Notices I Public Notices
BEFORE THE BOARD OF COUNTY COMMISSIONERS
ST. LUCIE COUNTY,FLORIDA
NOTICE OF INTENT
NOTICE IS HEREBY GIVEN that the Board of County Commission-
ers of St.Lucie County,Florida will hold a public hearing to con-
sider adopting Ordinance No.21-032 which, if adopted, would
amend the St. Lucie County Code of Ordinances by amending
Article III (Life Support Services), amending Section 18-52
(Applicationanformatlon and Fee Required)to change the sec-
tion title to"COPCN Required-Annual Needs Assessment; Ini-
tial Application And Fee",provide for the annual determination
of need for additional life support services in the County,estab-
lish an application submission period for an initial COPCN if such
need is determined to exist,and add a requirement for inclusion
of a survey of local service needs and a description of employee
training protocols with the application;amending Section 18-53
(Same-Review and Investigation By Public Safety Director) to
clarify the reference to a local or regional trauma agency shall
only be applicable if such an agency has been created in St.Lu-
cie County; amending Section 18-54 (Same-Emergency Medical
Services Advisory Council Review)to clarify the reference to a
local or regional trauma agency shall only be applicable if such
an agency has been created in St.Lucie County; amending Sec-
tion 18-55(Same-Board of County Commissioners Review)to re-
duce the term of a COPCN from two years to one year subject to
renewal as provided in Section 18-62 and to clarify the refer-
ence to a local or regional trauma agency shall only be applica-
ble if such an agency has been created in St. Lucie County;
amending Section 18-59 (Exemptions) t0 Change the title To
"Exemptions; Certificate Holder Responsibilities , delete refer-
ence to County as Medicaid Administrator, add requirements
for maintaining current COPCN sticker on vehicles and attend-
ing annual certificate holder meeting; amending Section 18-60
(Inspections)to provide for the Board of County Commissioners
to establish a fee for inspections; amending Section 18-62 (Re-
newal And Amendment Of Certificate) to establish an annual
renewal application period The public hearing will be heard by
the Board at its regular meeting on Tuesday, the 17th day of
August 2021 at 9:00 am.. or as soon thereafter as the matter
may be heard in the St.Lucie County Commission Chambers at
the St.Lucie County Administration Building Annex,Third Floor,
2300 Virginia Avenue,Fort Pierce,Florida. The hearing may be
continued from time to time as may be necessary. Matters af-
fecting your personal and property rights may be heard and act-
ed upon. Written comments received in advance of the public
hearing will also be heard, The St.Lucie County Board of Coun-
ty Commissioners has the power to review,approve, modify,or
deny any ordinance within their area of responsibility.
Copies of the proposed ordinance may be obtained from the
County Attorney's Office,St Lucie County Administration Build-
ing Annex. 2300 Virginia Avenue, Fort Pierce, Florida, 34982. j
Amendments to the Ordinance may be made at the public hear- 1 ! ['
decision made with respect
an
y ny person decides to appeal any
to any matter considered at the meetings or hearings of any
board, committee, commission, agency, council, or advisory �j'I(� o (� 2021
group, that person will need a record of the proceedings and F'1UV e7
that,for such purpose, may need to ensure that a verbatim re-
cord of the proceedings is made, which record should include
the testimony and evidence upon which the appeal is to be COUNTY ATTORNEY
���` ��
based. l�\7
Anyone with a disability requiring accommodation to attend
this meeting should contact Kara OePasquele, Risk Manager, at _AUG
—
(772)462-1783,or T.D.D.(772)462.1428, at least forty-eight(48)
hours prior to the meeting.
The title of the proposed ordinance is:
ORDINANCE NO.21.032
AN ORDINANCE AMENDING ARTICLE 18,EMERGENCY MANAGE-
MENT AND EMERGENCY SERVICES, BY AMENDING ARTICLE II,
(LIFE SUPPORT SERVICES)OF THE CODE OF ORDINANCES OF ST.
LUCIE COUNTY, FLORIDA; AMENDING SECTION 18-52
(APPLICATION-INFORMATION AND FEE REQUIRED) TO CHANGE
THE SECTION TiTLE TO"COPCN REQUIRED-ANNUAL NEEDS AS-
SESSMENT; INITIAL APPLICATION AND FEE", PROVIDE FOR THE
ANNUAL DETERMINATION OF NEED FOR ADDITIONAL LIFE SUP-
PORT SERVICES IN THE COUNTY, ESTABUSH AN APPLICATION
SUBMISSION PERIOD FOR AN INITIAL COPCN IF SUCH NEED IS
DETERMINED TO EXIST,AND ADD A REQUIREMENT FOR INCLU-
SION OF A SURVEY OF LOCAL SERVICE NEEDS AND A DESCRIP-
TION OF EMPLOYEE TRAINING PROTOCOLS WITH THE APPLICA-
TION;AMENDING SECTION 18-53(SAME-REVIEW AND INVESTI-
GATiON BY PUBLIC SAFETY DIRECTOR)TO CLARIFY THE REFER-
ENCE TO A LOCAL OR REGIONAL TRAUMA AGENCY SHALL ONLY
BE APPLICABLE IF SUCH AN AGENCY HAS BEEN CREATED IN ST.
LUCIE COUNTY;AMENDING SECTION 18-54(SAME-EMERGENCY
MEDICAL SERVICES ADVISORY COUNCIL REVIEW) TO CLARIFY
THE REFERENCE TO A LOCAL OR REGIONAL TRAUMA AGENCY
SHALL ONLY BE APPLICABLE IF SUCH AN AGENCY HAS BEEN
CREATED IN ST. LUCIE COUNTY; AMENDING SECTION 18-55
(SAME-BOARD OF COUNTY COMMISSIONERS REVIEW) TO RE-
DUCE THE TERM OF A COPCN FROM TWO YEARS TO ONE YEAR
SUBJECT TO RENEWAL AS PROVIDED IN SECTION 18-62 AND TO
CLARIFY THE REFERENCE TO A LOCAL OR REGIONAL TRAUMA
AGENCY SHALL ONLY BE APPLICABLE IF SUCH AN AGENCY HAS
BEEN CREATED IN ST.LUCIE COUNTY; AMENDING SECTION 18-
59(E)(EINPTiONS)TO CfiANdf THE TITLE TO"EXEMPTIONS; CER-
TIFICATE HOLDER RESPONSIIIIUTIES", DELETE REFERENCE TO
COUNTY AS MEDICAID ADMINISTRATOR, ADD REQUIREMENTS
FOR MAINTAINING CURRENT COPCN STICKER ON VEHICLES AND
ATTENDING ANNUAL CERTIFICATE HOLDER MEETING; AMEND-
ING SECTION 18-60(INSPECTIONS)TO PROVIDE FOR THE BOARD
OF COUNTY COMMISSIONERS TO ESTABLISH A FEE FOR INSPEC-
TIONS; AMENDING SECTION 18-62 (RENEWAL AND AMEND-
MENT OF CERTIFICATE) TO ESTABLISH AN ANNUAL RENEWAL
APPLICATION PERIOD; PROVIDING FOR CONFLICTING PROVE
SIONS; SEVERABILiFY AND APPLICABILITY; PROVIDING FOR FIL-
ING WITH THE DEPARTMENT OF STATE:PROVIDING FOR AN EF-
FECTiVE DATE; PROVIDING FOR ADOPTION; AND PROVIDING
FOR CODIFICATION
THIS NOTICE EXECUTED and dated this 6th day of August 2021.
Publish:August 6,2021
TCN4649278 ----- -- —
RON DESANTIS LAUREL M. LEE
Governor Secretary of State
August 24, 2021
Ms. Michelle R. Miller
Clerk & Comptroller
St. Lucie County
2300 Virginia Avenue
Fort Pierce, Florida 34982
Attn: Vera Smith
Dear Ms. Miller:
Pursuant to the provisions of Section 125.66, Florida Statutes, this will acknowledge receipt of your
electronic copy of St. Lucie County Ordinance No. 21-032, which was filed in this office on August 23,
2021.
Sincerely,
Anya Grosenbaugh
Program Administrator
AG/lb
R. A. Gray Building 500 South Bronough Street Tallahassee, Florida 32399-0250
Telephone: (850) 245-6270
RON DESANTIS LAUREL M. LEE
Governor Secretary of State
February 28, 2022
Ms. Michelle R. Miller
Clerk & Comptroller
St. Lucie County
2300 Virginia Avenue
Fort Pierce, Florida 34982
Attn: Vera Smith
Dear Ms. Miller:
Pursuant to the provisions of Section 125.66, Florida Statutes, this will acknowledge receipt of your
electronic copy of St. Lucie County Ordinance No. 21-032, which was filed in this office on February 28,
2022.
Sincerely,
Anya Owens
Program Administrator
AO/lb
R. A. Gray Building 500 South Bronough Street Tallahassee, Florida 32399-0250
Telephone: (850) 245-6270