Title
Adopt a Resolution to:
a. Amend the Health Department’s Fiscal Year (FY) 2024-25 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Bureau (016-4000-8111- HEA009) to reimburse physicians as required by Health and Safety Code Chapter 2.5 Section 1797.98a., financed with available fund balance (4/5ths vote required); and
b. Amend the Health Department’s FY 2024-25 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Bureau (001-4000-8109- HEA006) (4/5ths vote required); and
c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2024-25 Health Department’s Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors Adopt a Resolution to:
a. Amend the Health Department’s Fiscal Year (FY) 2024-25 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Bureau (016-4000-8111- HEA009) to reimburse physicians as required by Health and Safety Code Chapter 2.5 Section 1797.98a., financed with available fund balance (4/5ths vote required); and
b. Amend the Health Department FY 2024-25 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Bureau (001-4000-8109- HEA006) (4/5ths vote required); and
c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2024-25 Health Department Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.
SUMMARY/DISCUSSION:
In 1989, the County of Monterey Board of Supervisors established the County Emergency Medical Services Fund (EMSF), referred to as the Maddy Fund (016-4000-8111-HEA009), under Section 1797.98 of the Health and Safety Code. The Maddy Fund is administered by the Health Department’s Emergency Medical Services Bureau (EMS). Maddy revenues are generated from court fines, penalties, and forfeitures from various criminal offenses and motor vehicle violations.
Health and Safety Code Section 1797.98d states that funds shall be distributed following a prescribed distribution breakdown. Up to 10% of the proceeds are available for the program’s administration and the remaining 90% to be distributed to health care providers for emergency medical services provided to individuals who do not have healthcare insurance and cannot afford to pay for emergency medical care and for discretionary EMS purposes. The fund compensates all physicians and surgeons who submitted qualifying claims during that year.
In the current fiscal year, the EMS Agency is experiencing an increase of physicians and surgeons registering to receive compensation from the Maddy Fund. The increase of appropriations in the amount of $150,000 is needed to allow the EMS Agency to compensate physicians and surgeons who have submitted claims this year.
Appropriations in the amount of $250,000 for EMS operational budget, (001-4000-8109-HEA006) are required to accommodate increased expenditures which will be financed with additional revenue.
This recommended action supports the County of Monterey Health Department 2025-2028 Strategic Plan Goals: 2) Provide exceptional person-centered care through accessible, community-focused health services. And it also supports the following of the ten essential public health services, specifically: 6) Enforce laws and regulations that protect health and ensure safety.
OTHER AGENCY INVOLVEMENT:
The County of Monterey Administrative Office has reviewed and approved the requested increase in appropriations. This item was approved to bypass Budget Committee due to processing issues that caused time constraints.
FINANCING:
There will be no impact to the General Fund from this action as the additional expenditures of $150,000 will be financed with available fund balance in the Maddy Fund (Fund 016), and the additional expenditures of $250,000 in the EMS operational budget will be financed with revenue.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability, and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services, promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Korina Moreno, Administrative Services Assistant, 755-6344
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report