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18 <br />e. All of the records identified in subsection a through d above shall be <br />maintained for a minimum three (3) year period unless a longer retention <br />period is otherwise required by other retention periods. <br />f. Confidentiality of Patient Records. Each franchise shall maintain <br />confidentiality of patient records as provided by the Health Insurance <br />Portability and Accountability Act of 1996 (HIPPA), Public Law 104-191, <br />N.C. Gen. Stat. 143-518 and all other state and federal law. <br />12.2 Each franchise shall submit a written monthly report to the Emergency Services <br />Director, or their designee, providing the number of calls and runs during the <br />month. The report shall contain the number of emergency calls, the number of <br />convalescent calls, the total number of calls and the total number of patients <br />transported. <br />SECTION XIII. RATES AND CHARGES <br />13.1 Each franchisee shall submit a schedule of rates to the County for approval and <br />shall not charge more nor less than the approved by the County rates without <br />specific approval. <br />13.2 No service shall attempt to collect rates on emergency calls until the patient has <br />reached the point of destination, has received medical attention and is in a <br />condition deemed by the physician fit to consult with the service, but such service <br />may attempt to collect rates with family or guardian of the patient once patient is <br />in the process of receiving medical attention. <br />13.3 On convalescent calls or calls where a person requires transportation to a non- <br />emergency facility, attempts to collect payment may be made before the <br />ambulance begins its trip. <br />SECTION XIV. ENFORCEMENT <br />14.1 The Orange County Emergency Services Director shall be the enforcing authority <br />for the regulations contained in this Ordinance. Such Director will: <br />a. Receive all franchise applications from potential providers. <br />b. Review each proposal for conformity to this Ordinance; conduct an <br />investigation of the applicant's proposal under consideration by the <br />County. <br />c. Recommend to the Board of Commissioners the approval/disapproval of <br />the franchise(s). <br />Page 14 of 18 <br />