HomeMy WebLinkAboutMINUTES - 06042013 - SD.8RECOMMENDATION(S):
1. ACKNOWLEDGE that on May 14, 2013 the Board of Supervisors approved a population based allocation method
to replace the former engine based allocation method for CSA EM-1 Zone B funding (Measure H); and
2. RECEIVE updated information regarding the impact of the new allocation method on the Contra Costa Fire
Protection District; and
3. ACKNOWLEDGE that all available Measure H revenue is allocated each fiscal year and there are no additional
funds available for allocation.
FISCAL IMPACT:
No General Fund Impact. Informational report only.
BACKGROUND:
CSA EM-1 funding is a countywide benefit assessment district under which the Board of Supervisors (BOS) has
established charges on real property to support EMS. The CSA was established in 1990 following a countywide
advisory election demonstrating voter support for a benefit assessment with annual parcel charges of up to 10 dollars
per single-family residential unit to support enhancements to the county’s EMS System, including expanded
paramedic services, EMS communications, medical training and equipment for fire fighter first responders. The CSA
EM-1 has two Zones: Zone A covers the San Ramon Fire District service area, and Zone B covers the remainder of
the county. The current assessments are at the maximum and cannot be increased without a two-thirds majority vote
of the electorate.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 06/04/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:See Addendum
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Frost
925-313-9554
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: June 4, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Daryl Louder, Contra Costa Fire Chief
SD. 8
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:June 4, 2013
Contra
Costa
County
Subject:Follow-up Report on CSA-EM-1 Funding for Fire Districts
The major impetus for establishing CSA EM-1 was the need recognized by the County Board of Supervisors to
expand paramedic ambulance coverage in order to assure paramedic response to all potentially life-threatening 9-1-1
calls. CSA EM-1 funds have been used to enhance the EMS system for different purposes over the years.
On May 14, 2013 the Board of Supervisors approved the adoption of a population based formula to allocate CSA
EM-1 (Measure H) Zone B funding previously allocated on a per-engine basis. Zone A funding is not impacted and
no new formulate has been adopted. During the discussion of the funding recommendations, the Board requested
information regarding the use of the revenues. Over the past six years, revenue has averaged $4,468,571 per year.
Expenditures have averaged $4,250,258 per year over the same time period. The attached chart - Attachment A -
reflects the 2012/13 fiscal year allocations totaling $4,591,426. All anticipated revenue has been allocated for
expenditure in the current year.
The Board of Supervisors had specific questions regarding the impact of the change in allocations on the Contra
Costa Fire Protection District (CCFPD). The information provided in the May 14, 2013 Board Order contained
formula errors and has been recalculated. In addition, as explained during the discussion at the meeting, contracts are
in place with several of the fire districts which do not expire until June 30, 2015. The Board agreed that the current
contracts should be honored, the population based funding formula would be adjusted for the transition year until
these contracts expire, and the new allocation method based solely on population would be used going forward. The
chart below displays the impact of Measure H funding on CCCFPD for the 2013-14 fiscal year adjusted for transition
from the current contracts :
BACKGROUND: (CONT'D)
2012-13 Fiscal Year Allocation (Engine Based) $ 1,183,136
2013-14 Fiscal Year Allocation (Population Based) Adjusted for Transition $ 1,487,550
Increase in Allocation from 2012-13 to 2013-14 $ 304,414
Anticipated Future Fiscal Year Allocation (Population Based)$ 1,533,722
CONSEQUENCE OF NEGATIVE ACTION: The Board will not receive the information requested from staff.
CHILDREN'S IMPACT STATEMENT: Ten percent of all emergency medical services are delivered to children less
than 15 years old. Reductions in fire first medical response affect all populations including children. CLERK'S
ADDENDUM
ADOPTED the recommendations as presented; and REQUESTED the Emergency Medical Services Director
return to the Board on July 9, 2013 with an updated version of the chart on allocations to each fire district and
information about the uses of the Special Projects fund.
ATTACHMENTS Attachment A
Project Recipient2012‐13 Annual Amount2013‐14 Annual Amount Comments TotalMeti Mobile Prehospital SimulationTraining Program All fire agencies$26,570 $26,570Normal run costs to sustain program. Investment does not reflect start up costsFire SupportFirst Responder Training and Equipment San Ramon Allocation$33,000 $33,000Zone A allocationFire SupportEMS Field Manuals All fire agencies $10,000 $10,000Annual EMS System protocal updateFire Support0.5 FTE Medical Director for ALS Fire Providers ALS Fire Provider Agencies$140,607 $140,607Required for Fire Provider ALS ProgramsFire SupportZoll ePCR (electronic patient care record) All fire agencies excluding Richmond and Crockett$112,000 $112,000Includes Zoll Maintenance, periodic upgrades, licenses and Contractor IT support Since 2006Fire SupportPhysio Control Annual Fees (First Responder AED program related) All fire agencies $58,410 $58,410AEDs Mainenance 1 per engine LifePak External Defibrillators Since 7/2008Fire SupportSubtotal Measure H $380,587 $380,587Sheriffs Dispatch Funding Sheriffs Communications$250,000 $250,000EMS Dispatch SupportSheriffSubtotal Measure H $250,000 $250,000Paramedic Engine FundALS Fire Agencies CCFPD, MOFD, PFD, RHFD, ECFD‐Kensington, $1,845,7602004 Board order paramedic engine allocation. San Ramon Fire not eligibleReplaced by population FundingFirst Responder Training and Equipment All Fire Agencies$267,000Split between all agencies since 2004Replaced by population FundingCQI Program OversightCCFPD, MOFD, Pinole, Rodeo Hercules, Kensington, El Cerrito (San Ramon not eligible)$206,514$4,419/per engine Fire provider agency staff (RN‐EMTP) support. San Ramon not eligibleReplaced by population FundingSubtotal Measure H $2,319,274 $2,331,134EMS Agency Administrative support for Paramedic Programs 7406 EMS Staff EMS Agency 5 FTEs of Professional Staff and 3 FTEs of Support Staff positions$675,907 $675,907Fire Paramedic Oversight Activities for EMS System Program. Staff fulfills statutory requirements for Paramedic program and EMS Agency operations. Funding does not include CCHS supported operational EMS System and AdminAllocation for EMS System and Impact Studies EMS Agency$200,000 $200,000System design, EMS system impact studies, feasability studies, new program and consultative reportsEMS System and AdminSubtotal Measure H $875,907 $875,907EMS System Enhancement Funds RequestsAll Fire Provider Agencies and EMS System Providers Eligible$500,000 $500,000One time funding:special projects programs , communications, dispatch, training, special equipment, studies or other related projectsPrimarily Fire or other EMS System eligible entitySubtotal Measure H $500,000 $500,000Taxes/Assessment Levy Collections County Assessor/CAO$295,000 $295,000Includes Zone A and Zone B admin fees charged by county to manage collection of benefit assessmentCountyDOIT/Communictation Charges County$22,500 $22,500fees for radios, transmission,telecom data processing associated with emergency and normal EMS communicationsCountySubtotal Measure H $317,500 $317,500$4,643,268 $4,655,128Measure H utilization for systemwide benefit and enhancementsFire Dedicated PortionWhere Measure H is spent: 2012‐13 and 2013‐14 Measure H Annual Project Costs Total Measure H Annual Expenditures$2,331,134