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Receive a presentation on Emergency Medical Services (EMS) in Solano County, including the role and responsibilities of the Local Emergency Medical Services Agency (LEMSA); Adopt a resolution to withdraw from the Solano Emergency Medical Services Cooperative Joint Powers Authority; and Approve the establishment and composition of the LEMSA 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 (H&SS) recommends that the Board of Supervisors:
1. Receive a presentation on Emergency Medical Services (EMS) in Solano County, including the role and responsibilities of the Local Emergency Medical Services Agency (LEMSA);
2. Adopt a resolution to withdraw from the Solano Emergency Medical Services Cooperative Joint Powers Authority; and
3. Approve the establishment and composition of the LEMSA advisory committee.
SUMMARY:
Solano County's Emergency Medical Services (EMS) system is a core component of the public health and public safety infrastructure, responsible for ensuring timely, coordinated emergency medical care from the moment a 9-1-1 call is received through hospital treatment. Under California law, each county must operate a Local Emergency Medical Services Agency (LEMSA), which is responsible for system oversight, ambulance regulation, medical control for paramedics, quality monitoring, and coordination of disaster medical response through its role as the Medical Health Operational Area Coordinator (MHOAC).
In December 2025, the Board introduced an ordinance amending Chapter 7.1 of the Solano County Code to return LEMSA authority to Solano County. The ordinance became effective 30 days after adoption.
This presentation provides the Board with an overview of Solano County's EMS system, including governance, statutory requirements, operational responsibilities, and recent structural changes. The presen...
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