REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY
AND RECORD OF ACTION
March 25, 2025
FROM
DANIEL MUÑOZ, Interim EMS Administrator, Inland Counties Emergency Medical Agency
SUBJECT
Title
Introduction to the Fiscal Year 2025-26 Proposed Fee Resolution
End
RECOMMENDATION(S)
Recommendation
Acting as the governing body of the Inland Counties Emergency Medical Agency:
1. Conduct a public hearing to review proposed Resolution that establishes the Inland Counties Emergency Medical Agency fee schedule to provide for reimbursement of the costs of oversight of the Emergency Medical Services System in San Bernardino, Inyo, and Mono Counties, effective July 1, 2025.
2. Make alterations, if necessary, to proposed Resolution.
3. Adopt Resolution establishing the Inland Counties Emergency Medical Agency fee schedule to provide for reimbursement of the costs of oversight of the Emergency Medical Services System in San Bernardino, Inyo, and Mono Counties, effective July 1, 2025.
(Presenter: Daniel Muñoz, Interim EMS Administrator, 388-5823)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). This item will allow the Inland Counties Emergency Medical Agency (ICEMA) to establish a fee schedule in order to recover costs associated with providing medical control and emergency medical services to the public. The proposed fee schedule is expected to generate approximately $700,000 in cost recovery for 2025-26, which will be included in ICEMA’s 2025-26 recommended budget.
BACKGROUND INFORMATION
ICEMA is requesting the adoption of a resolution that establishes the ICEMA Fee Schedule and sets forth the fees to be charged by ICEMA, effective July 1, 2025, for its regulatory oversight of Emergency Medical Services (EMS) and the services it provides within San Bernardino, Inyo, and Mono Counties. The proposed Resolution includes fees related to the provision of medical control, aircraft medical control, EMS credentialing of personnel, training program approvals, specialty care hospital designations, and various other services. This Resolution will repeal the existing Resolution No. 2024-28 that was in place for 2024-25.
California Health and Safety Code, Section 1797.200, requires the local EMS agency, ICEMA, to oversee the components of the EMS system that includes:
• Medical Control
• Aircraft Medical Control
• System Organization and Management
• Staffing and Training
• Transportation
• Assessment of Hospitals and Critical Care Centers
• Data Collection
• Public Information and Education
• Disaster Response
ICEMA’s proposed fees represent the estimated cost of providing various medical control services. These include increased fee amounts to the Medical Control and EMS Certification/Authorization fee groups. ICEMA is also recommending the deletion of obsolete fees and consolidation of similar fees.
ICEMA is a Joint Powers Authority and is the local EMS agency for San Bernardino, Inyo, and Mono Counties. ICEMA is tasked with ensuring an effective system of quality patient care and coordinated emergency medical response by planning, implementing and evaluating an effective emergency medical services system including pre-hospital providers, specialty care hospitals, and hospitals.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by County Counsel (John Tubbs II, Deputy County Counsel, 387-5455) on February 14, 2025; Finance (Carl Lofton and Jessica Trillo, Administrative Analysts, 387-5404) on March 6, 2025; and County Finance and Administration (Paloma Hernandez-Barker, Deputy Executive Officer, 387-5423) on March 12, 2025.