DATE: June 20, 2017
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Amendment IV to Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment IV to revenue Agreement No. 14-613 and related California Civil Rights Laws Attachment form with the California Department of Public Health, for Emergency Medical Services Agency Support extending the term one year from July 1, 2017 through June 30, 2018 with no increase in the maximum of $168,381.
REPORT
The recommended amendment extends the agreement with the California Department of Public Health (CDPH) for Department of Public Health Emergency Medical Services (EMS) Division support and assistance of the Hospital Preparedness Programs (HPP) in Fresno, Kings, Madera, and Tulare. The one-year extension will allow the Department to expend unspent FY 2016-17 funds in FY 2017-18, with no change to compensation and no increase in Net County Cost.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended action, the Department EMS Division would not be able to provide assistance to the HPP in Fresno, Kings, Madera, and Tulare Counties, requiring each county to complete their EMS Agency responsibilities.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The agreement maximum remains unchanged at $168,381. The one-year extension to allows FY 2016-17 funds to be utilized for an additional year through June 30, 2018. Sufficient appropriations and estimated revenues are included in the Department Org 5620 FY 2016-17 Adopted Budget and will be included in the FY 2017-18 Recommended Budget.
DISCUSSION:
The Counties of Fresno, Kings, Madera, and Tulare each receive CDPH HPP grant funding. A specific amount of those funds are allocated to each county’s Local EMS Agency. The Department is the designated Local EMS Agency for Kings, Madera, and Tulare Counties. Activities include participation on program working groups and working with EMS providers and hospitals on preparedness activities in the event of a large-scale incident.
On October 7, 2014, your Board approved Agreement No. 14-613 with CDPH. The funding provided for the cost of the Department’s EMS Division to address several objectives in each County’s HPP, which include:
• coordinating healthcare partnerships;
• participation in medical/health operational area programs;
• attending state sponsored training;
• establishing continuity of operations plans for EMS; and,
• EMS management of multi-casualty incidents and field treatment sites.
Throughout the term of the agreement, amendments one through three modified terms of the without adjusting the compensation or extending the term. With your Board’s approval, the recommended amendment will extend the agreement one year to expend unspent FY 2016-17 funds in FY 2017-18.
The California Civil Rights Attachment provides assurance that the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code). The Unruh Civil Rights Act is legislation that provides all persons within the jurisdiction of this State are free and equal, no matter what their sex, race, color, religion, ancestry, national origin, disability, medical condition, genetic information, marital status, or sexual orientation are entitled to the full and equal accommodations, advantages, facilities, privileges, or services in all business establishments of every kind whatsoever. All other terms and conditions of the agreement remain unchanged.
REFERENCE MATERIAL:
BAI #37, December 13, 2016 - Third Amendment to Agt. No. 14-613
BAI #50, May 24, 2016 - Second Amendment to Agt. No. 14-613
BAI #60, July 14, 2015 - First Amendment to Agt. No. 14-613
BAI #24, October 7, 2014 - Agreement No. 14-613
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment IV to Agreement No. 14-613 with CDPH
CAO ANALYST:
Sonia De La Rosa