Legislation Details

File #: RES 26-041    Name: EMS Increase of Appropriations
Type: BoS Resolution Status: Passed
File created: 3/13/2026 In control: Board of Supervisors
On agenda: 4/14/2026 Final action: 4/14/2026
Title: Adopt Resolution to: a. Amend the Health Department Fiscal Year (FY) 2025-26 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Agency (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 (4/5th vote required); b. Amend the Health Department FY 2025-26 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Agency (001-4000-8109- HEA006) to meet operational needs (4/5th vote required); and c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2025-26 Health Department Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.
Attachments: 1. Board Report, 2. Resolution, 3. Completed Board Order Item No. 27, 4. Completed Resolution Item No. 27
Title

Adopt Resolution to:

a. Amend the Health Department Fiscal Year (FY) 2025-26 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Agency (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 (4/5th vote required);

b. Amend the Health Department FY 2025-26 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Agency (001-4000-8109- HEA006) to meet operational needs (4/5th vote required); and

c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2025-26 Health Department Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.

Report

RECOMMENDATION:

It is recommended that the Board of Supervisors Adopt a Resolution to:

a. Amend the Health Department Fiscal Year (FY) 2025-26 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Agency (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 (4/5th vote required);

b. Amend the Health Department FY 2025-26 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Agency (001-4000-8109- HEA006) to meet operational needs (4/5th vote required); and

c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2025-26 Health Department Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.

SUMMARY:

In 1989, the County of Monterey 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 Medi...

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