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Judgment of the Court (Third Chamber)10 March 2011noteIn Case C-274/09,REFERENCE for a preliminary ruling under Article 234 EC from the Oberlandesgericht München (Germany), made by decision of 2 July 2009, received at the Court on 20 July 2009, in the proceedingsPrivater Rettungsdienst und Krankentransport StadlervZweckverband für Rettungsdienst und Feuerwehralarmierung Passau,Malteser Hilfdienst eV,Bayerisches Rotes Kreuz,THE COURT (Third Chamber),composed of K. Lenaerts, President of the Chamber, D. Šváby, E. Juhász (Rapporteur), G. Arestis and T. von Danwitz, Judges,Advocate General: J. Mazák,Registrar: B. Fülöp, Administrator,having regard to the written procedure and further to the hearing on 24 June 2010,after considering the observations submitted on behalf of:— Privater Rettungsdienst und Krankentransport Stadler, by B. Stolz and P. Kraus, Rechtsanwälte,— the Zweckverband für Rettungsdienst und Feuerwehralarmierung Passau, by M. Kuffer and D. Bens, Rechtsanwälte,— Malteser Hilfsdienst eV, by W. Schmitz-Rode, Rechtsanwalt,— the Bayerisches Rotes Kreuz, by E. Rindtorff, Rechtsanwalt,— the German Government, by M. Lumma and J. Möller, acting as Agents,— the Czech Government, by M. Smolek, acting as Agent,— the Swedish Government, by S. Johannesson, acting as Agent,— the European Commission, by C. Zadra and G. Wilms, acting as Agents,after hearing the Opinion of the Advocate General at the sitting on 9 September 2010,gives the following
Judgment
Legal context
European Union legislation
National legislation
‘Article 1Subject-matter and aimThis Law governs emergency rescue, transport of patients accompanied by a doctor, transport of the sick, mountain and cave rescue and water rescue (rescue service). The area-wide supply of rescue services is a public task and shall be ensured by a public rescue service ……Article 4Bodies entrusted with the task(1) Districts and municipalities not forming part of a district shall have the task of ensuring provision of the public rescue service in rescue service areas in accordance with this Law …(2) The highest-level rescue service authority shall, after consulting the municipal umbrella organisations involved, determine by regulation the rescue service areas in such a way that the rescue service can be run in an effective and economic manner.(3) The districts and the municipalities not forming part of a district that are within the same rescue service area shall perform their tasks under this Law in conjunction with a municipal association for the rescue service and fire alarm.…Article 13Award of emergency rescue, of transport of patients accompanied by a doctor and of transport of the sick(1)The municipal association for the rescue service and fire alarm shall entrust the carrying out on land of emergency rescue, of transport of patients accompanied by a doctor and of transport of the sick to1. the Bayerisches Rotes Kreuz (Bavarian Red Cross)2. the Arbeiter-Samariter-Bund (Workers’ Samaritan Federation)3. the Malteser-Hilfsdienst (Maltese Aid Service),4. the Johanniter-Unfall-Hilfe (St. John’s Accident Assistance) or5. comparable aid organisations.…(2) In so far as the aid organisations are not prepared or in a position to take on the task, the municipal association for the rescue service and fire alarm shall entrust the carrying out of rescue services on land to third parties or shall carry them out itself or through its members.(3) The municipal association for the rescue service and fire alarm shall make a decision in its discretion, after due assessment of the circumstances, as to the selection of the operator and as to the scope of the award. The selection decision shall be made transparently and in accordance with objective criteria. The municipal association for the rescue service and fire alarm shall publicise the forthcoming selection decision in an appropriate manner, so that interested service providers can apply.(4) The legal relationship between the municipal association for the rescue service and fire alarm and the person entrusted with running the rescue service shall be governed by a public law contract.…Article 21Requirement for authorisation(1) Any person who engages in emergency rescue, transport of patients accompanied by a doctor or transport of the sick requires authorisation.…Article 24Conditions for authorisation…(2)Authorisation for emergency rescue, the transport of patients accompanied by a doctor or transport of the sick in the public rescue service shall be granted if … a public law contract pursuant to Article 13(4) … is submitted ……(4) Authorisation for transport of the sick outside the public rescue service shall be refused if it is to be anticipated that the public interest in an efficient rescue service … will be compromised by exercise of the authorisation ……Article 32Charging and basis of usage feesUsage fees shall be charged for the provision of rescue services, including the involvement of doctors. The usage fees shall be based on the costs that can be estimated in accordance with economic principles applicable to undertakings and are consistent with proper provision of services, economical and cost-efficient management and efficient organisation ……Article 34Usage fees of operators for emergency rescue, the transport of patients accompanied by a doctor and transport of the sick…(2) The social security institutions shall agree the usage fees to be paid by them for emergency rescue, the transport of patients accompanied by a doctor and transport of the sick in a uniform manner with the persons running the rescue service or their Land federations...(3) The usage fee agreement shall be concluded annually in advance.(4) The costs of emergency rescue, of the transport of patients accompanied by a doctor and of transport of the sick shall be allocated in accordance with uniform standards to the users. The usage fees agreed with the social security institutions shall also be charged by the operators to all other persons and bodies which call upon the services of the public rescue service.(5) The usage fees shall in each case be based on the estimated allowable costs under the second sentence of Article 32 of providing the services in the service areas of emergency rescue, transport of patients accompanied by a doctor and transport of the sick and on the estimated operation numbers in the operational period. The costs of providing the services shall also include in particular the costs of the involvement of doctors in the rescue service, … and the costs in respect of the activity of the Central Settlement Office for the Rescue Service in Bavaria in accordance with paragraph 8. The social security institutions shall agree in each case separately with the individual operators, with the operators of the integrated head offices and with the Central Settlement Office for the Rescue Service in Bavaria their estimated costs in the fee period. The costs can be agreed as a budget.(6) If a usage fee agreement under paragraph 2 or an agreement under paragraph 5 does not materialise by 30 November in the financial year preceding the fee period, arbitration proceedings before the fee arbitration board … shall be held regarding the amount of the estimated costs and of the usage fees … Usage fees shall not be adjusted retroactively.(7) The estimated costs agreed with the social security institutions or determined with binding force shall be met from the fees received for emergency rescue, for transport of patients accompanied by a doctor and in transporting the sick (revenue settlement). After a fee period has ended, every operator, every operator of an integrated head office and the Central Settlement Office for the Rescue Service in Bavaria shall prove the costs actually incurred in a final statement of account and compare them with those in the costs agreement (rendering of accounts). If a difference arises between the actual costs and the estimated costs recognised by the social security institutions for the costs agreement, the result of the rendering of accounts shall be dealt with at the next possible fee negotiations; this carrying forward is precluded if the costs of the operator … or the Central Settlement Office … have been agreed as a budget.(8)In implementing paragraphs 2 to 7 and Article 35, the services of a Central Settlement Office for the Rescue Service in Bavaria shall be called upon, which shall in particular:1. participate as an adviser in relation to agreeing the usage fees pursuant to paragraph 2 and in relation to the agreements under paragraph 5;2. on the basis of the estimated costs of the parties involved and of the number of public rescue service operations to be anticipated, calculate the necessary usage fees and propose them for agreement to the parties involved; this shall also apply to the necessary adjustment of usage fees in the course of the current financial year;3. collect the usage fees for the services of the public rescue service … from the persons liable to pay the costs …;4. conduct the revenue settlement;5. make [payments in respect of the] costs of providing the services to the operator of the service …;6. examine the operators’ … rendering of accounts with regard to plausibility and the correctness of the calculations;7. draw up an audited overall final statement of account for the public rescue service.The Central Settlement Office for the Rescue Service in Bavaria shall provide its services in this regard on a non-profit-making basis. All parties involved shall be obliged to support the Central Settlement Office for the Rescue Service in Bavaria in the performance of its tasks and to give to it the information and written documentation necessary for that purpose.…Article 48Arbitration boards…(3)The fee arbitration board shall comprise, in addition to the chairman:1. in disputes concerning land rescue usage fees three members for the land rescue operators and three members for the social security institutions ……(5) The chairman of the fee arbitration board and his proxy shall be appointed jointly by the operators of the public rescue service, the Bavarian Association of Health-Insurance Doctors, the persons responsible for ensuring the presence of doctors to accompany transported patients, and the social security institutions.Article 49Rescue service authorities(1)The authorities for implementing this Law … shall be:1. the Bavarian Ministry of Internal Affairs as the highest-level rescue service authority, ……Article 53Regulations and administrative provisions(1)The highest-level rescue service authority may by regulation:…11. set up the Central Settlement Office for the Rescue Service in Bavaria ……’
The dispute in the main proceedings and the questions referred for a preliminary ruling
The questions referred for a preliminary ruling
Costs
Operative part
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