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C. 69

To:	Board of Supervisors
From:	David Twa, County Administrator
Date:	May 26, 2020

Contra

Costa

County

Subject:

Comment Letter to the California Emergency Medical Services Authority

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 05/26/2020

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:

Paul Reyes, 335-1096

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: May 26, 2020
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Contra Costa County EMS Agency Director to execute and submit a comment letter to the California Emergency Medical Services Authority on proposed amendments to California EMS regulations.

FISCAL IMPACT:

There is no fiscal impact associated with drafting and submitting the correspondence to the EMS Authority.

BACKGROUND:

State law (the EMS Act) authorizes the California Emergency Medical Services Authority to adopt regulations that apply to local EMS agencies throughout the state. On March 6, 2020, the EMS Authority published proposed changes to these regulations, Chapter 13 of Division 9 of Title 22 of the California Code of Regulations. Chapter 13 is commonly referred to as the “Emergency Medical Services System Regulations.”

BACKGROUND: (CONT'D)

Many of the proposed regulations are problematic for the County in carrying out its EMS responsibilities. In particular, the EMS Authority proposes a regulation to prohibit sub-contracting of emergency ambulance services. The Alliance model, the contractual relationship between the Contra Costa County Fire Protection District and American Medical Response West (AMR) for the delivery of 911 emergency ambulance service within Contra Costa County, would be directly and adversely affected by such a regulation if it were adopted by the EMS Authority.

The public comment period on the proposed regulations closes on June 8, 2020, and all correspondence related to this matter must be received by the EMS Authority no later than this date.

CONSEQUENCE OF NEGATIVE ACTION:

The County will not participate in the public rulemaking process.