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<br />. <br /> <br />. <br /> <br />. <br /> <br />e <br /> <br />e <br /> <br />While this appears to be a large increase at one time, we ask that you consider the following <br />factors: <br /> <br />> We have not increased our EMS rates in six years <br /> <br />> A large percentage of the Patient Billing Fees are paid for by Insurance Companies and they <br />are currently paying higher fees to other entities. <br /> <br />In closing, we ask that you consider the increases that are proposed in the attached survey. We <br />believe these changes will allow the City of La Porte to continue its provision of award winning <br />(EMS provider of the year in 1993) service to its citizens. <br /> <br />:2. <br />