DATE: September 8, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Amendment to Agreements for Emergency Medical Services Administration with the Counties of Kings, Madera, and Tulare.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Amendment No. 6 to Agreement No. 90-257 with the County of Kings, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2026 with no change to the term of unlimited annual renewals and increasing the annual maximum by $6,088 to $66,968;
Approve and authorize the Chairman to execute a retroactive Amendment No. 6 to Agreement No. 90-258 with the County of Madera, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2026 with no change to the term of unlimited annual renewals and increasing the annual maximum by $6,088 to $66,968; and
Approve and authorize the Chairman to execute a retroactive Amendment No. 3 to Agreement No. 04-104 with the County of Tulare, for Emergency Medical Services Administration, to modify compensation terms effective July 1, 2026 with no change to the term of unlimited annual renewals and increasing the annual maximum by $6,088 to $66,968
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the recommended actions will provide for a 10% increase to the base rate for the counties of Kings, Madera, and Tulare for the Department of Public Health’s (Department) 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 ($60,880) agreed to in 2025 as part of the Fifth Amendment for Kings and Madera, and Second Amendment for Tulare, would remain unchanged and the Department would adjust oversight services and corresponding expenditures based on existing revenue.
RETROACTIV...
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