Legislation Details

File #: A 26-386    Name: EMT Electronic Payment ACI Fees
Type: BoS Agreement Status: Health Department - Consent
File created: 9/3/2026 In control: Board of Supervisors
On agenda: 9/29/2026 Final action:
Title: a. Approve and authorize the Director of Health Services or designee to accept credit card, debit card, and/or e-check, payments from customers and charge a service fee of no more than 4% to recover the interchange fees associated with the acceptance of credit card, debit card, or e-check payment; and b. Approve and authorize the Director of Health Services or designee to increase credit card, debit card, and/or e-check fees should it be necessary to recover costs.
Attachments: 1. Board Report
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Title
a. Approve and authorize the Director of Health Services or designee to accept credit card, debit card, and/or e-check, payments from customers and charge a service fee of no more than 4% to recover the interchange fees associated with the acceptance of credit card, debit card, or e-check payment; and
b. Approve and authorize the Director of Health Services or designee to increase credit card, debit card, and/or e-check fees should it be necessary to recover costs.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to accept credit card, debit card, and/or e-check, payments from customers and charge a service fee of no more than 4% to recover the inter-exchange fees associated with the acceptance of credit card, debit card, or e-check payment; and
b. Approve and authorize the Director of Health Services or designee to increase credit card, debit card, and/or e-check fees should it be necessary to recover costs.

SUMMARY:
The recommended actions will authorize the EMS Agency to accept electronic payments for state-mandated EMT certification fees through the County's existing payment processor, improving customer convenience and reducing administrative workload. Applicants who voluntarily choose to pay electronically will be assessed a convenience fee that recovers the County's actual processing costs, as authorized by California Government Code section 6159.

DISCUSSION:
The Emergency Medical Services (EMS) Agency is designated by the County of Monterey as the Local Emergency Medical Services Agency (LEMSA) pursuant to Division 2.5, Chapter 4, Article 1 of the California Health and Safety Code. As the LEMSA, the EMS Agency is responsible for planning, implementing, coordinating, and evaluating the County's emergency medical services system; establishing medical control; developing policies and treatment protocols; overseeing quality improvement activities; approving ...

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