Title
Support the Request to:
a. Amend the Health Department Fiscal Year (FY) 2023-24 Adopted Budget to increase appropriations by $55,540 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; and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2023-24 Health Department Adopted Budget (016-4000-8111-HEA009).
Report
RECOMMENDATION:
It is recommended that the Budget Committee support the request to:
a. Amend the Health Department Fiscal Year (FY) 2023-24 Adopted Budget (016-4000-8111 HEA009) to increase appropriations by $55,540 to reimburse physicians as required by Health and Safety Code Chapter 2.5 Section 1797.98a., financed with available fund balance; and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the change in the FY 2023-24 Health Department Adopted Budget (016-4000-8111-HEA009).
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). Maddy revenues are generated from court fines, penalties, and forfeitures from various criminal offenses and motor vehicle violations.
Health and Safety Code Section 1797.98d states that funds shall be distributed following a prescribed distribution breakdown. Up to 10% of the proceeds are available for the program's administration and the remaining 90% to be distributed to health care providers for emergency medical services provided to individuals who do not have healthcare insurance and cannot afford to pay for emergency medical care and for discretionary EMS purposes. The fund com...
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