DATE: July 9, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director of Public Health
SUBJECT: Retroactive Agreements for Paramedic Ambulance Services with the Cities of Sanger and Selma
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive Agreement with the City of Sanger, for paramedic ambulance services, effective July 1, 2024, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $84,375; and
2. Approve and authorize the Chairman to execute a retroactive Agreement with the City of Selma, for paramedic ambulance services, effective July 1, 2024, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $67,500.
REPORT
Approval of the recommended actions will continue paramedic ambulance services in the Fresno County Ambulance Zones G and I. Zone G - Selma Response Area includes the City of Selma and the surrounding area. Zone I - Sanger Response Area includes the City of Sanger and the surrounding area. The recommended agreements satisfy the requirement 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 Districts 4 and 5.
ALTERNATIVE ACTION(S):
Your Board may choose not to approve the agreements. The County would need to identify another ambulance provider through a competitive bid process or allow ambulance coverage by an ambulance provider on a non-exclusive basis. Allowing an ambulance provider to provide paramedic services to the County, without an agreement, would be in violation of State regulations until agreements for paramedic ambulance services are established.
RETROACTIVE AGREEMENT:
The recommended agreement is retroa...
Click here for full text