Agenda

Return

C. 52

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	October 11, 2022

Contra

Costa

County

Subject:

Agreement #23-768 with the Moraga-Orinda Fire District

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/11/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Marshall Bennett, 925-608-5454
cc:	L Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: October 11, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute an agreement authorizing the Moraga-Orinda Fire Protection District (MOFD) to provide emergency ambulance services in the County’s Emergency Response Area III for the period October 1, 2022 through June 30, 2025.

FISCAL IMPACT:

No anticipated General Fund impact: this is a non-financial agreement.

BACKGROUND:

The long-term ambulance services agreement would authorize MOFD to provide emergency ambulance services in the county’s Emergency Response Area III from October 1, 2022, through June 30, 2025. Emergency Response Area III, located in Moraga and Orinda, is one of five ambulance operating areas in Contra Costa County.

BACKGROUND: (CONT'D)

MOFD has provided emergency ambulance services in Emergency Response Area III without interruption since before January 1, 1980. The County and the MOFD entered into the most recent ambulance services contract for Emergency Response Area III on October 1, 2019. The existing contract expires September 30, 2022.

Under the ambulance services agreement, the MOFD will provide emergency ambulance services as requested by any County-designated public safety dispatch center. The MOFD will provide these services 24 hours a day for the full term of the agreement. The MOFD must staff and equip its ambulances to provide advance life support care, including staffing each ambulance with at least one paramedic and one emergency medical technician (EMT). The agreement establishes response time standards that the MOFD must meet when responding to emergency calls. It also establishes clinical, personnel, vehicle, communications equipment, and other standards that the MOFD must meet.

The County’s five Emergency Response Areas are “exclusive operating areas” that were established in accordance with Health and Safety Code section 1797.224 (Section 224), a provision of the EMS Act (the “Emergency Medical Services System and the "Prehospital Emergency Medical Care Personnel Act,” codified at Health and Safety Code sections 1797 through 1799.207). Under Section 224, a competitive process to select an ambulance provider for an exclusive operating area is not required if the local EMS agency develops or implements a local plan that continues the use of existing providers operating within a local EMS area in the manner and scope in which the services have been provided without interruption since January 1, 1981.

Because the MOFD has provided emergency ambulance services in Emergency Response Area III without interruption since before January 1, 1980, the District is “grandfathered with exclusivity” under Section 224 and a competitive process is not required for this contract.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the County would not have a long-term emergency ambulance services contract for Emergency Response Area III.