DATE: September 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Retroactive Amendment to Agreements for Emergency Medical Services Administration with the Counties of Kings, Madera, and Tulare.
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive Amendment No. 5 to Agreement No. 90-257 with the County of Kings, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2025 with no change to the term of unlimited annual renewals and increasing the annual maximum by $7,005 to $60,880;
2. Approve and authorize the Chairman to execute a retroactive Amendment No. 5 to Agreement No. 90-258 with the County of Madera, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2025 with no change to the term of unlimited annual renewals and increasing the annual maximum by $7,005 to $60,880; and
3. Approve and authorize the Chairman to execute a retroactive Amendment No. 2 to Agreement No. 04-104 with the County of Tulare, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2025 with no change to the term of unlimited annual renewals and increasing the annual maximum by $7,005 to $60,880.
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the recommended actions will provide for a 13% increase to the base rate for the counties of Kings, Madera, and Tulare for the Department of Public Health's administration and oversight of emergency medical services (EMS). This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the cost ($53,857) agreed to in 2019 as part of the Fourth Amendment for Kings and Madera, and First Amendment for Tulare, would remain unchanged and the Department would adjust oversight services and corresponding expenditures based on existing rev...
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