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Emergency Services <br /> 8 . The FY 2025 -26 Approved Fee Schedule included Emergency Medical Service ( EMS ) <br /> ambulatory fees at 175 % of the Centers for Medicare/Medicaid Services ( CMS ) current <br /> allowable rate . This budget amendment updates the mileage fee to be consistent with the <br /> 175 % of the current CMS allowable rate and to amend the language of the fee schedule <br /> including the Healthcare Common Procedure Coding System ( HCPCS ) billing codes . The <br /> budgetary impact will be reviewed and submitted as part of the Manager' s FY 2026 -27 <br /> Recommended Budget . <br /> Fee Type 2024 175 % CMS Allowable 2025 175 % CMS Allowable <br /> Rate Rate <br /> Mileage 15 . 65/mile 16 . 01 /mile <br /> ALIGNMENT WITH STRATEGIC PLAN : This item supports : <br /> • GOAL 2 : HEALTHY COMMUNITY <br /> OBJECTIVE 5 . Invest in , support , train , and retain our community safety , health , and <br /> emergency services employees and direct care workforce . <br /> OBJECTIVE 6 . Provide sustainable , equitable , and high -quality community safety and <br /> emergency services to meet the community' s evolving needs . <br /> Visitors Bureau <br /> 9 . The Visitors Bureau is requesting use of $ 30 , 000 of its available unassigned fund balance <br /> for tourism initiatives . These funds will be utilized to provide marketing for the Savannah <br /> Bananas baseball games that will be held in Orange County in 2026 . This budget <br /> amendment provides for the $ 30 , 000 appropriation from the Visitors Bureau Unassigned <br /> Fund Balance . With this appropriation , an estimated , un -audited $ 238 , 116 will remain in <br /> reserves , which represents 7 % of the budgeted expenditures . <br /> ALIGNMENT WITH STRATEGIC PLAN : This item supports : <br /> • GOAL 6 : DIVERSE AND VIBRANT ECONOMY <br /> OBJECTIVE 1 . Provide family-oriented and inclusive programming or other cultural <br /> events for residents and visitors . <br /> FINANCIAL IMPACT : The budget , grant , and capital ordinance amendments increases the <br /> authorization in the General Fund by $403 , 512 , the Community Development Fund by $208 , 976 , <br /> the Visitors Bureau Fund by $ 30 , 000 , the County Capital Fund by $ 821 , 311 and the County <br /> Capital Reserve by $ 1071976 . <br /> RECOMMENDATION ( S ) : The Manager recommends the Board approve the budget , grant , and <br /> capital project ordinance amendments for Fiscal Year 2025 -26 . <br />