File #: 23-1081    Version: 1
Type: Agenda Item Status: Approved
File created: 5/22/2023 In control: Board of Supervisors
On agenda: 6/20/2023 Final action: 6/20/2023
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board: 1) Approve and authorize the Chair to sign a Fiscal Year (FY) 2022-23 budget transfer reducing General Fund Contingency and increasing revenues and appropriations in the County Service Area (CSA) 3 ambulance fund in the amount of $1,025,000 to fund ambulance operations in the Tahoe Basin South Shore area; and 2) Approve and authorize the Chair to sign a FY 2022-23 budget transfer increasing appropriations in Services and Supplies and Operating Transfers out in CSA 7 and reducing contingency in that fund in the amount of $100,000. (4/5 vote required) FUNDING: CSA 3 - General Fund Contingency, CSA 7 - CSA 7 Contingency.
Attachments: 1. A - Budget Transfer, 2. Executed Budget Transfer, 3. Executed Budget Transfer
Related files: 21-0953, 22-0380, 21-1197, 24-0786, 23-1913
Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board:
1) Approve and authorize the Chair to sign a Fiscal Year (FY) 2022-23 budget transfer reducing General Fund Contingency and increasing revenues and appropriations in the County Service Area (CSA) 3 ambulance fund in the amount of $1,025,000 to fund ambulance operations in the Tahoe Basin South Shore area; and
2) Approve and authorize the Chair to sign a FY 2022-23 budget transfer increasing appropriations in Services and Supplies and Operating Transfers out in CSA 7 and reducing contingency in that fund in the amount of $100,000. (4/5 vote required)

FUNDING: CSA 3 - General Fund Contingency, CSA 7 - CSA 7 Contingency.
Body
DISCUSSION / BACKGROUND
The County is responsible for ensuring the provision of prehospital Advanced Life Support (ALS) services to the residents of the County and does so by contracting for these services through CSAs. The County is divided into two CSAs for the provision of ambulance services. CSA 3 includes the Lake Tahoe Basin, the City of South Lake Tahoe, Meeks Bay, and Tahoma. The California Tahoe Emergency Services Operations Authority (CTESOA) has been the contracted ambulance operator in the CSA 3 South Shore operating area for 20 years. CSA 7 includes the West slope of the County, the City of Placerville, Pollock Pines, the Divide, Cameron Park, Shingle Springs, Diamond Springs, and South County. The El Dorado County Emergency Services Authority (EDC ESA) has been the contracted ambulance operator in the CSA 7 West Slope operating area since 1976.

The County’s Emergency Medical Services (EMS) System is authorized by County Ordinance Code Chapter 8.74 - County Emergency Medical Service and Medical Transportation Ordinance (“EMS Ordinance”), under the provisions of Title 22 of the California EMS Act, and the California Health and Safety Code.

CSA 3 Budget Transfer
In general, in CSA 3, there are ...

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