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Receive a follow-up presentation regarding the establishment and composition of advisory committee structure for the Solano County Local Emergency Medical Services Agency (LEMSA); and Provide direction regarding the preferred advisory committee structure
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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 follow-up presentation regarding the establishment and composition of advisory committee structure for the Solano County Local Emergency Medical Services Agency (LEMSA); and
2. Provide direction regarding the preferred advisory committee structure.
SUMMARY:
Under California law, each county is required to operate or participate in a Local Emergency Medical Services Agency (LEMSA), which is responsible for Emergency Medical Services (EMS) system oversight, ambulance regulation, paramedic medical control, quality improvement activities, and disaster medical coordination through the County's Medical Health Operational Area Coordinator (MHOAC) responsibilities.
On November 18, 2025, the Board introduced an ordinance amending Chapter 7.1 of the Solano County Code to return LEMSA authority directly to Solano County. The ordinance was subsequently adopted in December 2025 and became effective 30 days thereafter, formally designating the Health and Social Services Department, Public Health Division, as the County's LEMSA. This transition restored direct County oversight of EMS system functions, including ambulance contracting, regulatory compliance, medical control, quality monitoring, and overall system performance.
On May 12, 2026, the Board formally adopted a resolution withdrawing Solano County from the Solano Emergency Medical Services Cooperative (SEMSC) Joint Powers Authority. In addition, the Board considered a recommendation on the establishment and compos...
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