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Adopt a resolution adopting the Emergency Ambulance Services Provider Contracting Policy for the Local Emergency Medical Services Agency of Solano County
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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 adopt a resolution adopting the Emergency Ambulance Services Provider Contracting Policy for the Local Emergency Medical Services Agency of Solano County.
SUMMARY:
On November 18, 2025, the Board introduced an ordinance amending Chapter 7.1 of the Solano County Code to return the Local Emergency Medical Services Agency (LEMSA) authority to Solano County, which was subsequently adopted on December 2, 2025. On January 2, 2026, the ordinance became effective, formally designating the Health and Social Services Department, Public Health Division, as the County's LEMSA. The transition of the LEMSA from SEMSC to the County requires updated policies to govern the contracting and oversight of emergency ambulance services.
The current ambulance services agreement of the Exclusive Operating Area (EOA) contract expires on December 1, 2026, and the County, in its capacity as the LEMSA, must conduct a competitive procurement process consistent with California Health and Safety Code sections 1797.204 and 1797.230. State law requires that, before entering or renewing any ambulance service contract, the LEMSA adopt a resolution adopting a written contracting policy addressing wage comparability, staffing levels, and other procurement considerations.
The County has concluded the competitive procurement process and must now adopt a resolution adopting the Emergency Ambulance Services Provider Contracting Policy to complete the contracting process prior to the expiration of the current contract on December 1, 2026.
FINANCIAL IMPACT:
Adoption of the policy and resolution itself has no direct fisca...
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