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Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board Approve the Final Passage (Second Reading) of Ordinance 5132 to repeal and replace Ordinance 4991 (Chapter 8.74) - County Emergency Medical Service and Medical Transportation. (Cont. 11/10/20, Item 41)
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DISCUSSION / BACKGROUND
On November 10, 2020, the Board approved the Introduction (First Reading) of Ordinance 5132 (Refer: Item 41, 11/10/20202). The Board Continued this item to November 17, 2020 for Final Passage (Second Reading).
The County has established an emergency medical services program in accordance with California Health and Safety Code, and has adopted Chapter 8.74 - County Emergency Medical Service and Medical Transportation, as a framework for the integrated operation of a local emergency and non-emergency medical services and medical transportation system in the County.
The County's Emergency Medical Services (EMS) Agency, housed in the Chief Administrative Office, is the local regulatory body for emergency medical services within the County, pursuant to the State EMS Act. The State Emergency Medical Services Agency (EMSA) provides oversight to the local regulatory bodies. The structure of the County's emergency medical transport system had been a point of discussion with EMSA for several years, resulting in EMSA's disapproval of the County's Emergency Medical Services (EMS) Plan. The County appealed the disapproval and the matter was scheduled for an administrative hearing in the summer of 2019; however, the County and EMSA initiated discussions to settle the matter. A settlement was reached, which was approved by the Board on July 16, 2019 (file No. 19-1089). The settlement agreement (attached) contained several key provisions that necessitate revisions to Chapter 8.74:
1) EMSA confirmed the County as the exclusive provider of ambulance transportation and prehospital emergency medical se...
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