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C. 63
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: November  2, 2021
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Agreement with the San Ramon Valley Fire Protection District

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   11/02/2021
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
ABSENT:
Federal D. Glover, District V Supervisor
Contact: Marshall Bennett, 925-608-5454
cc: Marcy 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:     November  2, 2021
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute an agreement authorizing the San Ramon Valley Fire Protection District to provide emergency ambulance services in the County’s Emergency Response Area IV from November 1, 2021, through September 30, 2025.

FISCAL IMPACT:

No anticipated General Fund impact; this is a nonfinancial agreement.

BACKGROUND:

The attached long-term ambulance services agreement would authorize the San Ramon Valley Fire Protection District to provide emergency ambulance services in the County’s Emergency Response Area IV from November 1, 2021, through September 30, 2025. Emergency Response Area IV, located in the San Ramon Valley, is one of five ambulance operating areas in Contra Costa County.   
  


BACKGROUND: (CONT'D)
The San Ramon Valley Fire Protection District has provided emergency ambulance services in Emergency Response Area IV without interruption since before January 1, 1980. The County and the District entered into the most recent long-term ambulance services contract for Emergency Response Area IV on December 9, 2008. The existing contract with extensions expires October 31, 2021.   
  
Under the attached long-term ambulance services agreement, the District will provide emergency ambulance services as requested by any County-designated public safety dispatch center. The District will provide these services 24 hours a day for the full term of the agreement. The District 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 District must meet when responding to emergency calls. It also establishes clinical, personnel, vehicle, communications equipment, and other standards that the District must meet.  
  
The County’s five ambulance operating 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 District has provided emergency ambulance services in Emergency Response Area IV 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:

The County would not have a long-term emergency ambulance services contract for Emergency Response Area IV.

CLERK'S ADDENDUM

Speakers:  Marshall Bennett.

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