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Approve the bylaws of the Solano County Emergency Medical Services Advisory Committee
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Published Notice Required? Yes ___ No _ X_
Public Hearing Required? Yes ___ No _ X_
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services recommends that the Board of Supervisors approve the bylaws of the Solano County Emergency Medical Services Advisory Committee.
SUMMARY:
In late 2025, the Board of Supervisors voted to return the Local Emergency Medical Services Agency (LEMSA) authority to Solano County Health and Social Services Department (H&SS), Public Health Division. This structure places EMS system oversight, ambulance regulation and contracting, medical control, quality improvement, and related regulatory functions under direct County authority. In May and June 2026, the Board heard discussion and ultimately voted to establish an Emergency Medical Services Advisory Committee with designated representatives.
California Health and Safety Code Division 2.5, Section 1797.220, authorizes counties to establish advisory bodies to support the functions of the Local Emergency Medical Services Agency (LEMSA). The Solano County Emergency Medical Services Advisory Committee (EMSAC) will provide recommendations to the Solano County Board of Supervisors and the LEMSA regarding system planning, stakeholder coordination and input, clinical and operational issues, public education and system improvement initiatives. The EMSAC promotes a coordinated, patient-centered emergency medical services system focused on improving access, quality, accountability, collaboration, and outcomes for residents and visitors of Solano County.
FINANCIAL IMPACT:
There is no fiscal impact associated with the adoption of the EMSAC bylaws. The EMSAC’s administrative support will be provided by existing EMS Agency staff.
DISCUSSION:
The EMSAC will serve in an advisory capacity to H&SS and the Board of Supervisors, providing structured stakeholder input while regulatory and administrative authority remains with H&SS as the County’s designated LEMSA and final policy and governance authority remains with the Board of Supervisors, as applicable.
The proposed EMSAC bylaws establish a formal advisory structure to support the County-operated LEMSA. Responsibilities include reviewing EMS system performance, providing recommendations on policies and system changes, supporting quality improvement, and promoting collaboration among hospitals, fire agencies, ambulance providers, dispatch centers, behavioral health, and community partners.
The bylaws codify membership approved by the Board of:
• Three hospital representatives/certified medical professionals from emergency base-station systems;
• Two trauma center physician representatives;
• One Public Safety Answering Point (PSAP)/EMS dispatch representative;
• Two Fire Chiefs (1 urban, 1 rural);
• One community member;
• One behavioral health representative;
• One Exclusive Operating Area (EOA) 911 ambulance provider;
• One 201 ambulance provider; and
• One Basic Life Support Interfacility Transport (BLS IFT) provider.
In addition, the bylaws establish appointment requirements, terms of service, officer responsibilities, committee structure, meeting procedures, Brown Act and Maddy Act compliance, conflict-of-interest requirements, and procedures for future amendments.
Approval of the bylaws will formalize the EMSAC, clearly define its advisory role, and preserve regional stakeholder participation under the County’s new EMS governance structure.
ALTERNATIVES:
The Board may choose not to approve the EMSAC bylaws. This is not recommended, as it would delay the formalization of the advisory board structure and limit stakeholder engagement and system oversight in alignment with California Health and Safety Code requirements.
OTHER AGENCY INVOLVEMENT:
The EMSAC draft bylaws were developed in consultation with County Counsel.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION