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HEARING - Chief Administrative Office, Emergency Medical Services and Emergency Preparedness & Response Division (CAO-EMS/EP) recommending the Board consider the following:
1) Adopt and authorize the Chair to sign Resolution 089-2022 revising the ambulance fee schedule for County Service Area 3 (CSA 3), increasing fees for service within the ambulance rate schedule (superseding Resolution 186-2015); and
2) Authorize the CAO-EMS/EP Division, in coordination with the CAO Fiscal Unit, to annually adjust ambulance rates based on an average of the changes in the US Medical Care Services and the San Francisco-Oakland All Items indices of the Federal Bureau of Labor Statistics Consumer Price Index.
FUNDING: Fee for Service
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DISCUSSION / BACKGROUND
The County is responsible for ensuring the provision of 911 emergency medical services as set forth in the County’s ambulance ordinance.
Transport and dispatch services for CSA 3 South Shore area are contracted to the California Tahoe Emergency Services Operations Authority, herein referred to as Cal Tahoe JPA. Cal Tahoe JPA has been under contract to provide transport operational services since 2001, and their current contract expires August 31, 2031.
Transport and dispatch operational services for the area of Meeks Bay in CSA 3 are contracted to the North Tahoe Fire Protection District. North Tahoe has a current contract that expires August 31, 2023.
Transport and dispatch services for County Service Area 7, which covers the West Slope, are provided by the El Dorado County Emergency Services Authority.
The contract for services in CSA 3 must be awarded through a competitive process. The last Request for Proposal process was conducted in the Spring of 2021, and the contract was awarded that Fall. Cal-Tahoe JPA was the only provider to respond. The proposal provided for the continuation of the same hybrid model which includes a combination of fire-based civilian personnel; however, the prior contract ha...
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