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Adopt an ordinance amending Chapter 7.1 of the Solano County Code relating to the Local Emergency Medical Services Agency (LEMSA)
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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 and County Counsel recommend that the Board of Supervisors adopt an ordinance designating the Solano County Health & Social Services Department, Public Health Division as the Local Emergency Medical Services Agency (LEMSA) for Solano County.
SUMMARY:
The proposed ordinance was introduced on November 18, 2025, to facilitate the return of direct governance for emergency medical services and designation as the Local Emergency Medical Services Agency (LEMSA) to Solano County.
Since 1996, Solano County has participated in the Solano Emergency Medical Services Cooperative (SEMSC), a Joint Powers Authority (JPA) that has acted as the County's designated LEMSA pursuant to Health and Safety Code ?1797.200. The SEMSC model was originally created to promote regional collaboration between the County, cities, and fire districts. While that structure has historically facilitated coordination, recent circumstances-including the pending award of a new exclusive ambulance services contract-have raised concerns about perceived conflicts of interest when governing members of SEMSC represent agencies that may benefit from the contracting process.
Returning LEMSA authority to the County ensures that oversight of emergency medical services, ambulance contracting, and related system management functions are conducted independently of potential provider interests and under the direct authority of this Board.
FINANCIAL IMPACT:
Ongoing costs of administering LEMSA functions are anticipated to be offset through established Emergency Medical Services program fees and existing cost-recovery mechanisms.
DISCUSSION:
The Emergency Medical Services System and Prehospital E...
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