Legislation Details

File #: A 26-232    Name: Amendment No.1 to Designation Agreement for Trauma Center Services
Type: BoS Agreement Status: Health Department - Consent
File created: 6/1/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action:
Title: a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Agreement No. A-15428 the Designation Agreement for Trauma Center Services between the County of Monterey Emergency Medical Services (EMS) Agency and Natividad Medical Center to extend the term of the agreement for two years, for an aggregate term of July 1, 2021 to June 30, 2028 and updates citations to renumbered State of California regulations; and b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.
Attachments: 1. Board Report, 2. Amendment No. 1 to the Designation Agreement for Trauma Center Services, 3. Original Designation Agreement for Trauma Center Services
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Title
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Agreement No. A-15428 the Designation Agreement for Trauma Center Services between the County of Monterey Emergency Medical Services (EMS) Agency and Natividad Medical Center to extend the term of the agreement for two years, for an aggregate term of July 1, 2021 to June 30, 2028 and updates citations to renumbered State of California regulations; and
b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to AGREEMENT No. A-15428 the Designation Agreement for Trauma Center Services between the County of Monterey Emergency Medical Services (EMS) Agency and Natividad Medical to extend the term of the agreement for two years, for an aggregate term of July 1, 2021 to June 30, 2028 and updates citations to renumbered State of California regulations; and
b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.

SUMMARY:
The Director of Health Services seeks approval to execute Amendment No. 1 to the Agreement with Natividad for trauma center services and the designation of Natividad as a trauma center in the County of Monterey. This amendment extends the term of the agreement to June 30, 2028, and updates citations to regulations that were renumbered by the State of California EMS Authority since the execution of the original agreement.

DISCUSSION:
The Emergency Medical Services (EMS) Agency is designated under California law by the County of Monterey as the local Emergency Medical Services Agency (LEMSA) responsible for planning, implementing, and evaluating t...

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