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services provided by the County within the Kittitas County Jail, the City shall <br />ultimately be responsible and pay directly or reimburse the County for any and all <br />costs associated with the delivery of any emergency or necessary medical service <br />provided to City Prisoners. The City shall be responsible for any and all emergent or <br />necessary medical, dental and psychiatric treatment provided outside of the Kittitas <br />County Jail and shall be billed thereafter. <br />B. If the County becomes aware that a City Prisoner is in need of medical health care <br />requiring the assistance of a medical health care services provider outside of the <br />Kittitas County Jail, then the County shall make reasonable effort to notify the City <br />prior to obtaining said service. If the City is contacted and does not authorize the <br />County to obtain the service, then the City shall, within four (4) hours, pick up the <br />inmate from the County to transport to medical care. Provided, in the case of <br />emergency, the County may notify the City after the service has been provided. <br />C. An adequate record of all such services shall be kept by the County for the City's <br />review at its request, to the extent consistent with confidentiality regulations. Any <br />medical or dental services of major consequence shall be reported to the City as soon <br />as time permits. <br />D. Should medical, psychiatric or dental services require hospitalization, the City agrees <br />to compensate the County dollar for dollar any amount expended or cost incurred in <br />providing the same; provided that, except in emergencies, the City will be notified by <br />contacting the duty supervisor at the City prior to the prisoner's transfer to a hospital, <br />if and when circumstances allow, or as soon afterward as practicable. <br />E. In the event a City Prisoner is being held on additional charges from one of the <br />following local jurisdictions, Kittitas County Sheriffs Office, Washington State <br />Patrol, Ellensburg PD, South Cle Elum, Roslyn PD, Kittitas PD, Central Washington <br />University PD, the City's responsibility for medical costs attributable to that prisoner <br />shall be no greater than that of the other jurisdiction(s). <br />F. Upon payment to the County by the City for a City Prisoner's health care expense, the <br />County will assign to the City, if requested by the City, any and all right to <br />reimbursement for medical expenses authorized under RCW 70.48.130. <br />G. The City agrees to pay directly or reimburse the County for any and all medical <br />expenses, as defined in Section VLA, incurred for City Prisoners and persons arrested <br />by or on behalf of the City, which are not performed by medical staff on contract with <br />the County within the Kittitas County Jail, or paid by the Department of Social and <br />Health Services, including medical, psychiatric, and dental bills as well as <br />prescription medication expenses. City responsibility for such medical expenses <br />incurred for persons convicted of felonies will terminate upon that conviction. <br />Interlocal Agreement for Housing of Inmates <br />Page 4 of 10 <br />