DATE: June 6, 2017
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department 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 with the City of Selma, for paramedic ambulance services, effective July 1, 2017 through June 30, 2019 ($33,750).
REPORT
Approval of the recommended action will continue paramedic ambulance services in Fresno County Ambulance Zone G, Selma Response Area, which encompasses the City of Selma and the surrounding area. The recommended agreement satisfies the requirement of Title 22 of the California Code of Regulations that the County have a written agreement with paramedic provider agencies. The services will be funded with Health Realignment, with no increase in Net County Cost.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should the Board not approve the recommended action, the existing agreement would expire and the County would be in violation of State regulations until an agreement for paramedic ambulance services is established.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of the agreement is $33,750, which includes $20,250 for FY 2017-18 and $13,500 for FY 2018-19. The agreement will be fully offset with Health Realignment funds. Sufficient appropriations will be included in the Department of Public Health Org 5620 FY 2017-18 Requested Budget and in subsequent fiscal year budget requests.
DISCUSSION:
Since 1978, the County has provided monthly payments to local rural ambulance service providers for estimated uncompensated care, based upon supporting prior year documentation from the agencies. Due to changes effected by the Patient Protection and Affordable Care Act (Public Law 111-148), the costs of uncompensated care have decreased for ambulance providers. The Department is proposing t...
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