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File #: 19-1322    Version: 1 Name: Retroactive Amendment to Agreement for Emergency Medical Services Administration with the County of Tulare
Type: Agenda Item Status: Approved
File created: 9/20/2019 In control: Public Health
On agenda: 11/5/2019 Final action:
Enactment date: Enactment #: Agreement No. 04-104-1
Title: Approve and authorize the Chairman to execute a retroactive First Amendment to Agreement No. 04-104 with the County of Tulare, for Emergency Medical Services Administration to modify compensation terms, effective July 1, 2019 with no change in the unlimited renewals and increasing the annual maximum by $12,433 to $53,875.
Attachments: 1. Agenda Item, 2. Agreement A-04-104-1 with Tulare County
DATE: November 5, 2019

TO: Board of Supervisors

SUBMITTED BY: David Pomaville, Director, Department of Public Health

SUBJECT: Retroactive Amendment to Agreements for Emergency Medical Services Administration with the County of Tulare

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive First Amendment to Agreement No. 04-104 with the County of Tulare, for Emergency Medical Services Administration to modify compensation terms, effective July 1, 2019 with no change in the unlimited renewals and increasing the annual maximum by $12,433 to $53,875.
REPORT
Approval of the recommended action will provide for a 30% increase to the County of Tulare's annual base rate for the Department of Public Health's administration and oversight of emergency medical services (EMS), with no increase in Net County Cost. This item is countywide.

ALTERNATIVE ACTION(S):

Should your Board not approve the recommended action, the cost ($41,442) agreed to on March 16, 2004, as part of the First Amendment, would remain unchanged and the Department would adjust oversight services and corresponding expenditures based on existing revenue.

RETROACTIVE AGREEMENT:

The recommended amendment is retroactive due to the counties consideration of the proposed increase in their budget processes. The Tulare County Board of Supervisors approved the recommended amendment on September 17, 2019; however, the funding changes are effective retroactively to July 1, 2019.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. The recommended amendment will increase the base rate by 30% or $12,433; increasing the annual maximum from $41,442 to $53,875. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2019-20 Adopted Budget and will be included in budget requests for the duration of the term.

DISCUSSION:

California Health and Safety Code, section 1797.200 requires that each County d...

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