File #: BC 24-018    Name: Amend EMS Budget
Type: Budget Committee Status: Agenda Ready
File created: 2/9/2024 In control: Budget Committee
On agenda: 2/28/2024 Final action:
Title: a. Support request to amend the Health Department FY 2023-24 Adopted Budget to increase appropriations by $178,597 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. Support directing the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2023-24 Health Department Adopted Budget 016-4000-8111-HEA009.
Attachments: 1. BC Report
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Title
a. Support request to amend the Health Department FY 2023-24 Adopted Budget to increase appropriations by $178,597 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. Support directing 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 of the Board of Supervisors:
a. Support request to amend the Health Department FY 2023-24 Adopted Budget to increase appropriations by $178,597 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. Support directing the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2023-24 Health Department Adopted Budget 016-4000-8111-HEA009.

SUMMARY/DISCUSSION:
In 1989, the Monterey County 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 all funds remaining at the end of the fiscal year, in excess of any reserve held and rolled over to the next year, shall be distributed proportionally, based on the dollar amount of claims, and paid to all physicians and surgeons who submitted qualifying claims during that year.

The increase of appropriations in the amount of $178,597 is needed to allow the EMS Agency to disburse...

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