HomeMy WebLinkAboutMINUTES - 12082015 - FPD C.03RECOMMENDATION(S):
APPROVE Appropriations and Revenue Adjustment No. 5019 authorizing new revenue in the amount of
$12,300,000 in the EMS Ambulance Transport Fund (7040) and appropriate it to fund expenditures related to the
provision of ambulance transport services within Exclusive Operating Areas I, II and V within Contra Costa County.
FISCAL IMPACT:
$12,300,000, 100% EMS Ambulance Transport reimbursement revenue. The estimated revenue reflects anticipated
reimbursements from government and private insurance carriers to the District related to EMS ambulance transport
activities.
BACKGROUND:
On July 21, 2015 the Board approved the Health Services Director recommendation to award the EMS ambulance
transport contract to Contra Costa County Fire Protection District (CCCFPD) and directed staff to commence with
contract negotiations between the CCCFPD and the Contra Costa County Emergency Medical Services Agency
(CCCEMSA) and return with a negotiated contract for final approval. Over the past four months, County Counsel has
facilitated several all-hands contract negotiation sessions to discuss critical details of the proposed, new service
delivery model. The
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/08/2015 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, Director
Candace Andersen,
Director
Mary N. Piepho, Director
Karen Mitchoff, Director
Federal D. Glover, Director
Contact: Timothy Ewell,
925-335-1036
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: December 8, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C.3
To:Board of Supervisors
From:Jeff Carman, Chief, Contra Costa County Fire Protection District
Date:December 8, 2015
Contra
Costa
County
Subject:APPROPRIATION AND REVENUE ADJUSTMENT NO. 5019 - EMS AMBULANCE TRANSPORT FUND
BACKGROUND: (CONT'D)
negotiated contract supports opportunities to build efficiencies and support EMS stakeholder collaboration. Unlike
emergency ambulance service contracts in the past, this agreement also provides the County with significant
flexibility to adjust terms and conditions in response to external factors that may affect emergency ambulance
services in the future. On November 17, 2015 the Board of Supervisors and the CCCFPD Board of Directors
approved the final contract.
As a California Fire Protection District, Health and Safety Code section 13862(e) gives the District power to
provide ambulance services as part of its general operations, pursuant to 1797. In the case of CCCFPD, the
District did not previously provide ambulance services and, therefore, does not have the right to provide
ambulance services under Health and Safety Code section 1797.201. In the future, the District will be required to
bid on the provision of ambulance services during the County EMS Agency request for proposal process, should
there be a desire to continue with those contract services.
In addition to approving the contract on November 17, 2015, the Auditor Controller was authorized to establish
the EMS Ambulance Transport Fund and make transfers, as necessary, between the new fund and the CCCFPD
operating fund during the start up period of the new contract arrangement to provide working capital between the
time in which costs of providing services are incurred by the District and reimbursement revenue from
government and private insurance carriers is received.
Today's action recognizes anticipated revenue based on estimated cash flows presented by the District at the
November 17, 2015 Board of Supervisors' meeting and and establishes appropriations, both in the amount of
$12,300,000, to provide expenditure authority for the District to provide services outlined in the contact.
CONSEQUENCE OF NEGATIVE ACTION:
The District will be unable to recognize anticipated revenues and have expenditure authority to perform
contractual obligations approved by parties to the EMS Transport contract authorized on November 17, 2015.
CHILDREN'S IMPACT STATEMENT:
No impact.
ATTACHMENTS
Appropriation and Revenue Adjustment No. 5019