DATE: February 25, 2025
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director of Public Health
SUBJECT: Agreement for Paramedic Ambulance Services with the City of Selma
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement that supersedes the existing Agreement with the City of Selma for paramedic ambulance services, effective upon execution through June 30, 2029, which includes two optional one-year extensions, total not to exceed $6,750.
REPORT
Approval of the recommended action will continue paramedic ambulance services in the Fresno County Ambulance Zone G, granting the City of Selma a Grandfathered Exclusive Operating Area (EOA). Zone G - Selma Response Area includes the City of Selma and the surrounding area. The recommended agreement satisfies the requirements under Title 22 of the California Code of Regulations (Title 22) for the County to have a written agreement with paramedic provider agencies. The services will be funded with Health Realignment, with no increase in Net County Cost. This item pertains to District 4.
ALTERNATIVE ACTION(S):
If your Board chooses not to approve the agreement, the City of Selma will continue to provide ambulance services within Zone G on a non-exclusive basis and the County will need to continue to provide compensation for uncompensated care costs.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of the recommended agreement with the City of Selma is $5,625 for the remaining months in fiscal year 2024-25 through June 30, 2025. Compensation for estimated runs and uncollected charges are being ended by the Department under this Agreement, and Selma has requested that they continue under the original agreement through the end of the 2024-25 fiscal year, as they have the revenue budgeted for fiscal year 2024-25.
The recommended agreement will be fully offset with Health Realignment funds. Sufficient...
Click here for full text