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Commission weighs waiving AMR fines, extends contract debate amid hospital offload delays
Summary
Knox County commissioners advanced a proposed amendment to the AMR ambulance contract that would extend the agreement to Jan. 31, 2024, and forgive millions in penalties tied to response-time 'level 0' events while commissioners pressed staff on preserving penalties for time-sensitive calls; a separate resolution to discontinue the AMR agreement was deferred depending on the amendment's final outcome.
Knox County commissioners spent much of their Dec. 12 work session examining a proposed 10th amendment to the county's ambulance services contract with Rural/AMR, which would extend the contract through Jan. 31, 2024, and expand an exemption to certain time-response penalties that AMR says were accumulating because of hospital offload delays.
The amendment, presented as Resolution 605, would extend existing relief from time-response fines (previously waived under Amendment 9) and, as drafted, could forgive roughly $3.9 million more in fines from June'October 2022; staff said eliminating all "level zero" penalties for that period would raise total relief to approximately $4.3 million. Commissioners voted to move the item forward with no recommendation and asked for more data before a final vote.
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