PA ID# 201-35000-00; City of Houston
PW ID# PW 597; Emergency Medical Service Costs
December 21, 2006
Mr. Richard Patterson Deputy State Coordinating Officer State Public Assistance – Gulf Coast TRO 9001 I-H35 North Austin, Texas, 78753-3930
Re: Second Appeal: City of Houston. PAID 201-35000-00; Emergency Medical Service Costs, FEMA- 3216-DR-TX, Project Worksheet (PW) 597
Dear Mr. Patterson:
This is in response to a letter dated November 7, 2006, from Mr. Gary E. Gray, CPA, Assistant Director, Finance and Administration Department, City of Houston, regarding the referenced appeal. Specifically, Mr. Gray is appealing FEMA’s determination that $2.3 million in Emergency Medical Service (EMS) costs that the City incurred between October 1, 2005 and March 31, 2006, was ineligible for reimbursement under the Public Assistance Program.
Disaster Specific Guidance #2 states in part, “If an evacuee becomes ill in a shelter and a determination is made to transport that person to a hospital for further treatment, the costs associated with the transportation, diagnosis, testing and stabilization of that evacuee is eligible.” Apartment complexes that housed Katrina evacuees were considered “shelters” until March 31, 2006. The City submitted documentation showing the number of additional EMS transports made to areas housing significant number of Katrina evacuees from October 1, 2005 to March 31, 2006, to support its request for reimbursement. Therefore, the additional documented costs (minus insurance recoveries) the City incurred for providing EMS transports to evacuees is eligible for reimbursement. Based on the above, I approve the City’s appeal. I have asked the Transitional Recovery Office staff in Austin, Texas, to prepare a PW, based on actual costs the City incurred through March 31, 2006, to implement this determination.
Please inform the City of this determination. This determination is the final decision on this matter pursuant to 44 CFR § 206.206.
John R. D’Araujo, Jr.
Director of Recovery
Cc: Bill Peterson Regional Director FEMA Region VI
Butch Smith Director Texas Transitional Recovery Office