Agenda

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C. 48

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	March 7, 2017

Contra

Costa

County

Subject:

Approval of California Mutual Aid Region II Intra-Region Cooperative Agreement for Emergency Medical and Health Disaster Assistance

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/07/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Candace Andersen, District II Supervisor

Contact:	Patricia Frost, 925-646-4690
cc:	Tasha Scott Marcy Wilhelm Patricia Weisinger

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: March 7, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE AND AUTHORIZE the Health Officer acting as the Medical Health Operational Area Coordinator (MHOAC) or designee to execute the California Mutual Aid Region II Intra-Region Cooperative Agreement for Emergency Medical and Health Disaster Assistance.

FISCAL IMPACT:

An Intra-Region Cooperative Agreement is required by FEMA and the State of California for Operational Areas and Health Care Jurisdictions to qualify for federal funds associated with emergency medical and health disaster assistance.

BACKGROUND:

Recent rulings at the state and federal level require regional medical health mutual aid agreements to be in place to qualify for reimbursement of federal and state disaster funds. FEMA has determined that the current California Statewide Medical Mutual Aide Agreement is not sufficient to fulfill this obligation. Recent experience associated with Medical Health Mutual Aid response to the Napa Earthquake, Valley Fire and San Bernardino Incident have demonstrated that the lack of a regional mutual aid agreement creates barriers for both qualifying for and receiving timely reimbursement associated with state and federal emergency and disaster declarations.

The California Mutual Aid Region II Intra-Region Cooperative Agreement (see attachment) is based on the Southern California model agreement and has been vetted over the last year with Region II Health Officers, Public Health and EMS Administrators. The presence of an adopted regional agreement positions all jurisdictions and who are involved in sending and receiving medical mutual aid to qualify for state and federal emergency funds and optimal reimbursement.

The regional cooperative agreement must be entered into by all parties without edits or changes to be recognized by State and Federal Agencies responsible for disaster and emergency fund reimbursement. Region II jurisdictions eligible to participate in this regional agreement include: Alameda, City of Berkeley, Contra Costa, Del Norte, Humboldt, Lake, Marin, Mendocino, Monterey, Napa, San Benito, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano and Sonoma.

CONSEQUENCE OF NEGATIVE ACTION:

The County will not qualify for federal funds and will experience long delays in state reimbursement associated with emergency medical services and medical health mutual aid between Region II operational areas. Regional mutual aid agreements are required for timely state and federal mutual aid reimbursement. In an absence of participation in the regional agreement the County would have to rely on general funds to support mutual aid reimbursement associated with requests for medical mutual aid that would otherwise be eligible for federal disaster funds under FEMA.