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File #: 25-287    Name: EMS Adopted Budget Amendment
Type: General Agenda Item Status: Health Department - Consent
File created: 4/9/2025 In control: Board of Supervisors
On agenda: 5/20/2025 Final action:
Title: Adopt a Resolution to: a. Amend the Health Department’s Fiscal Year (FY) 2024-25 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Bureau (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 (4/5ths vote required); and b. Amend the Health Department’s FY 2024-25 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Bureau (001-4000-8109- HEA006) (4/5ths vote required); and c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2024-25 Health Department’s Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.
Attachments: 1. Board Report
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Title
Adopt a Resolution to:
a. Amend the Health Department’s Fiscal Year (FY) 2024-25 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Bureau (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 (4/5ths vote required); and
b. Amend the Health Department’s FY 2024-25 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Bureau (001-4000-8109- HEA006) (4/5ths vote required); and
c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2024-25 Health Department’s Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors Adopt a Resolution to:
a. Amend the Health Department’s Fiscal Year (FY) 2024-25 Adopted Budget to increase appropriations by $150,000 in the Emergency Medical Services Bureau (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 (4/5ths vote required); and
b. Amend the Health Department FY 2024-25 Adopted Budget to increase appropriations and estimated revenue by $250,000 in the Emergency Medical Services Bureau (001-4000-8109- HEA006) (4/5ths vote required); and
c. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2024-25 Health Department Adopted Budget 016-4000-8111- HEA009 and 001-4000-8109- HEA006.

SUMMARY/DISCUSSION:
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 Medical Services Bureau (EMS)...

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