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File #: 21-1378    Version: 1
Type: Agenda Item Status: Approved
File created: 8/13/2021 In control: Board of Supervisors
On agenda: 10/26/2021 Final action: 10/26/2021
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board consider the following: 1) Approve and authorize the Chair to sign Amendment II to the Memorandum of Understanding (MOU) 266-S1410 with Barton Healthcare System and Marshall Medical Center for disbursement of Richie's Funds from the County's EMS Fund, allowing the County to notify the hospitals by written notification of a new annual funding amount; and 2) Authorize the Chair to execute Amendment II to MOU 266-S1410. FUNDING: Fines, penalties, or forfeitures collected by the courts for applicable criminal offenses under California Government Code 76000.5, California Health and Safety Code Section 1797.98a, and County Resolution 192-2007.
Attachments: 1. A - 21-1378 3034_506 RICHIE FUNDS AMD II BR, 2. B - 21-1378 506 AMD II_Barton Signed, 3. C - 21-1378 3034 AMD II_Marshall Signed, 4. D - 21-1378 3034_506 (266-S1410) FE, 5. E - 21-1378 3034_506 AMD I (266-S1410) FE, 6. Executed Amendment 2
Related files: 21-0235, 15-0210, 20-1510

Title

Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board consider the following:

1) Approve and authorize the Chair to sign Amendment II to the Memorandum of Understanding (MOU) 266-S1410 with Barton Healthcare System and Marshall Medical Center for disbursement of Richie's Funds from the County's EMS Fund, allowing the County to notify the hospitals by written notification of a new annual funding amount; and

2) Authorize the Chair to execute Amendment II to MOU 266-S1410.

 

FUNDING:  Fines, penalties, or forfeitures collected by the courts for applicable criminal offenses under California Government Code 76000.5, California Health and Safety Code Section 1797.98a, and County Resolution 192-2007.

Body

BACKGROUND

The Maddy Emergency Medical Services Fund is a special revenue fund that was established pursuant to Health and Safety Code § 1797.98a. The EMS Fund receives court penalty assessments which are used to reimburse physicians and surgeons the cost of uncompensated emergency care and to provide for other EMS expenses. The EMS Fund includes a sub-fund, the Richie's Fund, which is dedicated to funding pediatric trauma centers, or in counties without a pediatric trauma center, improving access to pediatric trauma and emergency services. On December 15, 2020, the Board approved the transfer of responsibility of the EMS Fund from the Health and Human Services Agency to the Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division.

 

In March 2021, the Board approved Amendment I to MOU 266-S1410, extending the contract term through March 1, 2024.

 

Amendment II clarifies the reimbursement process and time frame, and allows the County to modify the annual funding amounts by written notification to the hospitals, i.e. a letter signed by the contract administrator.  Amendment II also authorizes the one-time reimbursement of eligible items previously purchased by hospitals during the period of April 2020 through March 2021.

 

ALTERNATIVES

The Board could decline to approve the use of Richie’s Funds to reimburse previously incurred expenses.

 

PRIOR BOARD ACTION

15-0210 - 3/10/2015: Board approval and authorization to execute MOU 266-S1410

20-1510 - 12/15/2020: Board approval of the transfer of responsibility of the EMS Fund from the Health and Human Services Agency to the Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division.

21-0235 - 02/23/2021: Board approval and execution of Amendment I to MOU 266-S1410

 

OTHER DEPARTMENT/AGENCY INVOLVEMENT

County Counsel

 

CAO RECOMMENDED ACTION

Approve as recommended.

 

FINANCIAL IMPACT

The proposed Amendment II does not have any financial impact. The Richie's Funds disbursed by this MOU are designated to be used to improve access to, and coordination of, pediatric trauma and emergency services in the County. The MOU restricts funding not to exceed actual Richie's Funds available.

 

As of July 2021, the Richie’s Fund balance is approximately $45,000. Anticipated annual revenue is approximately $20,000.

 

CLERK OF THE BOARD FOLLOW UP ACTION

Return fully executed Amendment II to Chief Administrative Office, Central Fiscal Services, attention: Gina De Martini-Kuhns for further processing.

 

CONTACT

Michelle Patterson, EMS Manager