RECOMMENDATION(S)
EXECUTIVE DIRECTOR
On May 5, 2026:
1. Approve the introduction of the Ordinance (first reading):
AN ORDINANCE AMENDING ARTICLE XX OF THE SAN DIEGO COUNTY
ADMINISTRATIVE ORDINANCE CODE, RELATING TO SAN DIEGO COUNTY
FIRE PROTECTION DISTRICT GROUND AMBULANCE SERVICE AREA
CHARGES AND FEES
2. Waive Board Policy B-29, Fees, Grants, and Revenue Contracts - Department
Responsibility for Cost Recovery which requires full cost recovery for services.
If, on May 5, 2026, the SDCFPD Board takes action as recommended, then on May 19, 2026:
1. Consider and adopt (unless ordinance is modified on second reading):
AN ORDINANCE AMENDING ARTICLE XX OF THE SAN DIEGO COUNTY
ADMINISTRATIVE CODE, RELATING TO SAN DIEGO COUNTY FIRE
PROTECTION DISTRICT GROUND AMBULANCE SERVICE AREA CHARGES
AND FEES
EQUITY IMPACT STATEMENT
Advanced (Paramedic) and Basic (Emergency Medical Technician) Life Support ambulances are
critical components to an emergency medical services system that seeks to reduce health
disparities in our region. San Diego County Fire, on behalf of the San Diego County Fire
Protection District, worked with outside consultants to establish a service plan and quality
assurance measures to meet the minimum requirements for residents in rural communities.
Updating the fee schedule will have minimum impacts to our lowest-income and most
vulnerable residents.
SUSTAINABILITY IMPACT STATEMENT
The proposed action to update the ambulance transportation fees in the San Diego County Fire
Protection District supports efforts for County programs, operations, and contracts that reflect
the values and priorities, including equitable service delivery, to residents in our region. The
proposed fee increase protects our lowest-income residents while promoting an equitable
emergency medical services program that is closer to full cost recovery to operate the system.
FISCAL IMPACT
There is no fiscal impact in the current fiscal year. If approved, this request will result in an
estimated increase in revenue of $0.85 million in the ASA in Fiscal Year 2026-27. Costs and
revenue for this request will be included in the Fiscal Year 2026-28 CAO Recommended
Operational Plan for the ASA. The funding source is fees paid by entities or individuals for
services.
A waiver of Board of Supervisor Policy B-29: Fees, Grants, Revenue Contracts - Department
Responsibility for Cost Recovery is requested because the proposed fees will not cover the