Title
a. Amend the County of Monterey Health Department’s Fiscal Year 2023-2024 Adopted Budget to increase appropriations by $178,597 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. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the County of Monterey Health Department’s Emergency Medical Services Bureau Fiscal Year 2023-24 Adopted Budget 016-4000-8111-HEA009.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Amend the County of Monterey Health Department’s Fiscal Year 2023-2024 Adopted Budget to increase appropriations by $178,597 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. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the County of Monterey Health Department’s Emergency Medical Services Bureau Fiscal Year 2023-24 Adopted Budget 016-4000-8111-HEA009.
SUMMARY/DISCUSSION:
In 1989, the Monterey County 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 all funds remaining at the end of the fiscal year, in excess of any reserve held and rolled over to the next year, shall be distributed proportionally, based on the dollar amount of claims and paid to all physicians and surgeons who submitted qualifying claims during that year.
The increase of appropriations in the amount of $178,597 is needed to allow the EMS Agency to disburse the funds for FY 21-22 as mandated by regulation. In the future, this disbursement will be included in the EMS Bureau’s annual budget. There is a two-year lag in the disbursement because the funds are maintained in a restricted account, and this is when the funds are made available to The EMS Agency.
OTHER AGENCY INVOLVEMENT:
This report was presented to the Budget Committee on February 28, 2024.
FINANCING:
There will be no impact to the General Fund from approval of the recommended actions, as the additional expenditures in FY 2023-24 will be financed with department funds.
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:
______________________________Date:_________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Health Safety Code 1797.98a
Distribution Summary