Legislation Details

File #: A 26-380    Name: EMT-ES Agreement Cal Fire
Type: BoS Agreement Status: Health Department - Consent
File created: 8/31/2026 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 execute an Emergency Medical Technician (EMT) Expanded Scope Service Provider Agreement between the County of Monterey and Cal Fire for the provision of EMT-Expanded Scope Services for a period of five (5) years effective once signed by authorized representatives of all parties; and b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not significantly change the scope of services.
Attachments: 1. Board Report, 2. EMT Expanded Scope Service Provider Agreement
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Title
a. Approve and authorize the Director of Health Services or designee to execute an Emergency Medical Technician (EMT) Expanded Scope Service Provider Agreement between the County of Monterey and Cal Fire for the provision of EMT-Expanded Scope Services for a period of five (5) years effective once signed by authorized representatives of all parties; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not significantly change the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute an Emergency Medical Technician (EMT)-Expanded Scope Service Provider Agreement between the County of Monterey and Cal Fire for the provision of EMT-Expanded Scope Services for a period of five (5) years effective once signed by authorized representatives of all parties; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not significantly change the scope of services.

SUMMARY:
The Director of Health Service seeks approval to execute an EMT-Expanded Scope Service Provider Agreement with Cal Fire. This agreement will permit Cal Fire to provide services at the EMT-Expanded Scope level of care as authorized by County of Monterey EMS System Policy.

DISCUSSION:
The Emergency Medical Services (EMS) Agency is designated by the County of Monterey as the Local Emergency Medical Services Agency (LEMSA) responsible for planning, implementing, and evaluating the EMS system throughout Monterey County. Under Title 22 of the California Code of Regulations, an organization may not provide services at the EMT-Expanded Scope level unless that organization is an authorized part of the EMS system of the local EMS agency.

Under County of Monterey EMS System Policy, an organization seeking to provide services at the EMT-Expanded Scop...

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