SanDiegoCounty.gov
File #: 24-263    Version: 1
Type: Public Safety Status: Agenda Ready
File created: 4/19/2024 In control: BOARD OF SUPERVISORS
On agenda: 4/30/2024 Final action:
Title: NOTICE OF PUBLIC HEARING: AN ORDINANCE AMENDING ARTICLE XX OF THE SAN DIEGO COUNTY ADMINISTRATIVE ORDINANCE CODE, RELATING TO SAN DIEGO COUNTY EMERGENCY MEDICAL SERVICES FEES (4/30/24 - FIRST READING; 5/21/24 - SECOND READING UNLESS ORDINANCE IS MODIFIED ON SECOND READING) (DISTRICTS: ALL)
Attachments: 1. Fire EMS Fees BL docket, 2. FIRE EMS Fees FY 24 25 AIS, 3. FIRE EMS Fees FY 24 25 AL, 4. ATT A Summary Comparison of Fees FY 24 25 for docket, 5. ATT B Option A Ordinance Amending Article XX of SD Code Relating to EMS Fees docket, 6. ATT C Option A Ordinance Amending Article XX of SD Code Relating to EMS Fees docket, 7. ATT D Option B Ordinance Amending Article XX of SD Code Relating to EMS Fees docket, 8. ATT E Option B Ordinance Amending Article XX of SD Code Relating to EMS Fees Informational Copy docket, 9. ATT F Summary of Cost Recovery Proposal Actions FY 24 25 for docket, 10. ATT G Summary of Proposed Ordinance EMS FY 24 25 for docket, 11. 04302024 Ag21 Public Communication 1, 12. 04302024 ag21 Exhibit, 13. 04302024 ag21 Speakers, 14. 0430204 ag21 Minute Order, 15. 04302024 ag21 Proof of Publication

DATE:
April 30, 2024 and May 21, 2024
21

TO:
Board of Supervisors

SUBJECT
TitleNOTICE OF PUBLIC HEARING:
AN ORDINANCE AMENDING ARTICLE XX OF THE SAN DIEGO COUNTY ADMINISTRATIVE ORDINANCE CODE, RELATING TO SAN DIEGO COUNTY EMERGENCY MEDICAL SERVICES FEES (4/30/24 - FIRST READING; 5/21/24 - SECOND READING UNLESS ORDINANCE IS MODIFIED ON SECOND READING) (DISTRICTS: ALL)

Body
OVERVIEW
Today's action requests that the San Diego County Board of Supervisors (Board) approve amendments to Article XX of the San Diego County Administrative Code for fees charged by the County of San Diego (County) Emergency Medical Services (EMS) Office, a division of San Diego County Fire. The Board last approved revisions to three of the eight EMS's fees on May 2, 2023 (22).

The EMS Office is the Board of Supervisors designated Local EMS Agency (LEMSA), which coordinates and regulates the EMS delivery system in our region. This includes: the permitting and inspecting of ambulances to ensure the safety of the public and employees; assuring that all EMS personnel are vetted and approved to work in our system; providing epidemiologic research, trend identification and clinical effectiveness metrics; and linking prehospital data to the State of California and specialty care registries, such as trauma, stroke and cardiac care. These activities ensure that all residents and visitors receive appropriate and timely emergency medical care in the field and by designated specialty care centers.

By regularly reviewing costs and fees, departments can recuperate costs in a systematic manner, ensure fees are fair and equitable, and enable stakeholders to plan for future fees and fee increases. In accordance with Board Policy B-29, County EMS recently reviewed eight existing fees and associated costs and after doing so, proposes adjustments to all eight during Fiscal Year 2024-25 with the addition of one new fee, for a total of nine fees. Attachment A is a summary comparison of current an...

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