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File #: 20-1510    Version: 1
Type: Agenda Item Status: Approved
File created: 11/5/2020 In control: Board of Supervisors
On agenda: 12/15/2020 Final action: 12/15/2020
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board take the following actions, approving the transfer of responsibility for the Maddy Emergency Medical Services Fund (EMS Fund) from the Health and Human Services Agency to the Chief Administrative Office: 1) Authorize establishment of a new special revenue fund within the Chief Administrative Office chart of accounts; 2) Approve and authorize the Chair to sign a budget transfer establishing estimated revenue and appropriations within the new special revenue fund (4/5 vote required); and 3) Approve and authorize the Chair to sign Resolution 201-2020, authorizing the Chief Administrative Officer or designee to authorize the use of EMS Funds. FUNDING: Maddy EMS Fund court penalties.
Attachments: 1. A - EMS Fund BT, 2. B - Richie Fund Reso Routing Sheet-Approved, 3. C - Richie Fund Reso-Approved, 4. Executed Resolution 201-2020, 5. Executed Budget Transfer
Related files: 18-1740, 21-0235
Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board take the following actions, approving the transfer of responsibility for the Maddy Emergency Medical Services Fund (EMS Fund) from the Health and Human Services Agency to the Chief Administrative Office:
1) Authorize establishment of a new special revenue fund within the Chief Administrative Office chart of accounts;
2) Approve and authorize the Chair to sign a budget transfer establishing estimated revenue and appropriations within the new special revenue fund (4/5 vote required); and
3) Approve and authorize the Chair to sign Resolution 201-2020, authorizing the Chief Administrative Officer or designee to authorize the use of EMS Funds.

FUNDING: Maddy EMS Fund court penalties.
Body
DISCUSSION / BACKGROUND
California Health and Safety Code section 1797.98a authorizes counties to establish EMS Funds, also known as Maddy Funds, to reimburse physicians and surgeons for the cost of uncompensated emergency care and to provide for other EMS expenses, by imposing a court penalty assessment. The code further authorizes the establishment of Richie’s Funds as a part of the Maddy Fund, with an additional penalty assessment. In addition to the uses allowed under the Maddy Fund, a portion of Richie’s Funds are dedicated to funding pediatric trauma centers, or in counties without a pediatric trauma center, improving access to pediatric trauma and emergency services.

The Board approved the creation of an EMS Fund effective February 1, 1989 (Resolution 33-89) and of the additional Richie’s Fund penalties effective August 1, 2007 (Resolution 192-2007). The EMS Fund was originally administered by the Health Department, and has been administered by HHSA through Fiscal Year 2019-2020.

On December 11, 2018 (Legistar #18-1740) the Board transferred the Emergency Preparedness and Emergency Medical Services programs from the Health and Human Ser...

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