File #: 24-154    Name: Amend EMS FY 23-24 Adopted Budget
Type: General Agenda Item Status: Passed
File created: 3/1/2024 In control: Board of Supervisors
On agenda: 3/12/2024 Final action: 3/12/2024
Title: a. Amend the County of Monterey Health Department's Fiscal Year 2023-2024 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 (4/5ths vote required); and b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the County of Monterey Health Department's Emergency Medical Services Bureau Fiscal Year 2023-24 Adopted Budget 016-4000-8111-HEA009.
Attachments: 1. Board Report, 2. Health Safety Code 1797.98a, 3. Distribution Summary, 4. Completed Board Item No. 39
Title
a. Amend the County of Monterey Health Department's Fiscal Year 2023-2024 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 (4/5ths vote required); and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the County of Monterey Health Department's Emergency Medical Services Bureau Fiscal Year 2023-24 Adopted Budget 016-4000-8111-HEA009.

Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Amend the County of Monterey Health Department's Fiscal Year 2023-2024 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 (4/5ths vote required); and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the County of Monterey Health Department's Emergency Medical Services Bureau Fiscal Year 2023-24 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 c...

Click here for full text