Title
a. Approve Amendment No. 13 to the Agreement between the County of Monterey and American Medical Response West for the provision of Advanced Life and Basic Life Support Ambulance Services for the County of Monterey (Agreement No. A-110610) to extend the Agreement term to January 31, 2026, implement a 4.4% rate increase, and remove the current Exhibit B (Monterey County Rate Tables) and replace it with a new Exhibit B (Monterey County Rate Tables); and
b. Authorize the Director of Health Services or designee to execute Amendment No. 13 to the Agreement between the County of Monterey and American Medical Response West for the provision of Advanced Life and Basic Life Support Ambulance Services for the County of Monterey.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve Amendment No. 13 to the Agreement between the County of Monterey and American Medical Response West for the provision of Advanced Life and Basic Life Support Ambulance Services for the County of Monterey (Agreement No. A-110610) to extend the Agreement term to January 31, 2026, implement a 4.4% rate increase, and remove the current Exhibit B (Monterey County Rate Tables) and replace it with a new Exhibit B (Monterey County Rate Tables); and
b. Authorize the Director of Health Services or designee to execute Amendment No. 13 to the Agreement between the County of Monterey and American Medical Response West for the provision of Advanced Life and Basic Life Support Ambulance Services for the County of Monterey.
SUMMARY/DISCUSSION:
On December 15, 2009, the Board of Supervisors awarded the Agreement for the provision of Advanced Life and Basic Life Support Ambulance Services for the County of Monterey to American Medical Response West (AMR). This Agreement is set to expire on June 30, 2025. The EMS Agency submitted the RFP to the Emergency Medical Services Authority (EMSA) for approval in June 2025 and is currently working on making the necessary changes to obtain the approval needed. This short-term extension is needed to allow the EMS Agency enough time to secure approval on the RFP from the Emergency Medical Services Authority (EMSA) and to ensure there is ample time to conduct the RFP.
This work supports the County of Monterey Health Department 2025-2028 Strategic Plan Goals: 2. Enhance public health and safety through prevention and 4. Engage MCHD workforce and improve operational functions to meet current and developing population health needs. It also supports one of the ten essential public health services, specifically, 7. Link people to need personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel and Risk Management have reviewed proposed Amendment No. 13 to Agreement A-11610 as to legal form and fiscal provisions, respectively.
FINANCING:
There is no cost to the General Fund for this agreement.
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: Teresa Rios, EMS Director/Bureau Chief, 783-7082
Approved by: Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Board Report
Amendment No. 13
Amendment No. 12
Amendment No. 11
Amendment No. 10
Amendment No. 9
Amendment No. 8
Amendment No. 7
Amendment No. 6
Amendment No. 5
Amendment No. 4
Amendment No. 3
Amendment No. 2
Amendment No. 1
Agreement