DATE: August 11, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with the California Emergency Medical Services Authority
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Revenue Agreement with the California Emergency Medical Services Authority for multi-county emergency medical services coordination, effective July 1, 2026 through June 30, 2027 ($961,257).
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action will provide State General Fund revenue for continued emergency medical services coordination of the four-county region: Fresno, Kings, Madera, and Tulare, pursuant to Section 1797.108 of the California Health and Safety (H&S) Code. The funding may only be used to maintain and improve the Emergency Medical Services (EMS) system and continue essential minimum program activities. The recommended Agreement provides State Funds and requires local program funding from the four counties mentioned above. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the Department of Public Health (Department) would be unable to fund personnel and service costs associated with the administration of the EMS system for the four-county region.
RETROACTIVE AGREEMENT:
The recommended Agreement was received from the California Emergency Medical Services Authority (EMSA) on June 3, 2026 and is retroactive to July 1, 2026 and is being brought to your Board in accordance with the agenda item processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended action will provide $961,257 in State General Funds, which is small increase ($810) from prior year's award for Central California EMS Agency. The allocation allows for reimbursement o...
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