Title
Recommendation to Ratify the City Manager's Execution of the Second Amendment to the Ambulance Transport Services Agreement with the County of Alameda to Accept Reimbursement Funds for the Alameda CARE Team's Response to Certain 911 Calls. (Fire 3200)
Body
To: Honorable Mayor and Members of the City Council
From: Gerry Beaudin, City Manager
EXECUTIVE SUMMARY
In November 2019, the City Council authorized the City Manager to execute an Emergency Medical Services (EMS) Ambulance Transport Services Agreement (Agreement) with the County of Alameda (County), enabling the City of Alameda (City) to continue providing ambulance transport services and to be reimbursed through City-established User Fees. On May 14, 2024, a first amendment was executed with no substantive changes, as permitted by the text of the Agreement. The County has since asked the City to execute a Second Amendment to the Agreement (Exhibit 1) to allow time for the County to continue to explore a possible re-design of the EMS service delivery model countywide and will provide the City with reimbursement for responses handled by the Alameda Fire Department's Alameda CARE Team, which pairs a paramedic with a behavioral health clinician to respond to certain low-acuity and behavioral health-related 911 calls instead of a traditional advanced life support (ALS) ambulance response. It is recommended that the City Council ratify the City Manager's execution of the Second Amendment.
BACKGROUND
Under Health and Safety Code Section 1797.201, the City is an authorized provider of basic life support, ALS, and emergency ambulance transport services within the City. To operate ALS services, the City must maintain a written agreement with the County's Local Emergency Medical Services Agency (LEMSA) delegating that authority to the City. In 2019, City Council authorized the City Manager to execute two separate five-year agreements with the County, each with the option of up to a five-year extension: 1)...
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