File #: 20-1442    Version: 1
Type: Agenda Item Status: Approved
File created: 10/21/2020 In control: Board of Supervisors
On agenda: 12/8/2020 Final action: 12/8/2020
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board: 1) Discharge the Chief Administrative Office from further accountability to collect the debts identified on the attached Discharge of Accountability Report in the amount of $4,091,256.33 pursuant to Government Code Sections 25257 through 25259, for the period 2011 through 2019; and 2) Authorize the County Auditor-Controller to adjust the accounts receivable of $4,091,256.33 in the CSA 3 & CSA 7 funds accordingly. FUNDING: N/A
Attachments: 1. A - Ambulance Board Write Off Summary, 2. B - Ambulance Board Write Off Detail, 3. C - Government Code 25257-25259
Related files: 19-0930, 19-1248, 21-0877, 22-0638
Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board:
1) Discharge the Chief Administrative Office from further accountability to collect the debts identified on the attached Discharge of Accountability Report in the amount of $4,091,256.33 pursuant to Government Code Sections 25257 through 25259, for the period 2011 through 2019; and
2) Authorize the County Auditor-Controller to adjust the accounts receivable of $4,091,256.33 in the CSA 3 & CSA 7 funds accordingly.

FUNDING: N/A
Body
DISCUSSION / BACKGROUND

The County’s Ambulance Billing Program was transferred from the Health and Human Services Agency (HHSA) to the Chief Administrative Office (CAO) effective January 1, 2020. Within the last year and a half, the emergency medical services and ambulance billing programs have selected a new billing contractor and have undergone a major reorganization. As a result, the data and amounts being presented for discharge may not be predictive of future collections performance.

In accordance with California Government Section Code Section 25257 to 25259, the “Board of Supervisors may make an order discharging the department, officer or employee from further accountability and if appropriate may direct the County Auditor-Controller to adjust any change against the department, officer, or employee in a like amount.”

When County debts are determined to be uncollectible for any of the following reasons, the accounts are presented to the Board of Supervisors (Board) annually for discharge from further accountability to collect the debts:

1. Bankruptcy
2. Death of the Debtor
3. Statute of Limitations has expired; and
4. Non-Contract Payor
5. Timely Billing

In order to be considered for discharge, Bankruptcy and Death of Debtor requires legal proof. The County’s contracted collection agency, Access Capital, is required to confirm this. The Statute of Limitations is the time that the colle...

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