REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY
AND RECORD OF ACTION
March 24, 2026
FROM
DANIEL MUÑOZ, EMS Administrator, Inland Counties Emergency Medical Agency
SUBJECT
Title
Introduction of Proposed Fee Resolution for Inland Counties Emergency Medical Agency for Fiscal Years 2026-27, 2027-28, and 2028-29
End
RECOMMENDATION(S)
Recommendation
Acting as the governing body of the Inland Counties Emergency Medical Agency:
1. Conduct a public hearing to review the proposed Resolution that establishes the Inland Counties Emergency Medical Agency fee schedule for Fiscal Years 2026-27, 2027-28, and 2028-29, 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, 2026.
2. Make alterations, if necessary, to the proposed Resolution.
3. Adopt Resolution establishing the Inland Counties Emergency Medical Agency fee schedule for Fiscal Years 2026-27, 2027-28, and 2028-29, 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, 2026.
(Presenter: Daniel Muñoz, 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 (EMS) to the public. The proposed fee schedule is expected to generate approximately $700,000 annually in cost recovery for 2026-27, 2027-28, and 2028-29, which will be included in ICEMA’s 2026-27 recommended budget and future recommended budgets.
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, 2026, July 1, 2027, and July 1, 2028, for its regulatory oversight of EMS and the training and credentialing 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 related services. This Resolution will replace the current Resolution No. 2025-62 approved by the Board of Directors (Board) on March 25, 2025 (Item No. 80), that established the 2025-26 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.
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. For 2026-27 and 2027-28, ICEMA is recommending maintaining fees to continue to achieve full cost recovery. For 2028-29, the department recommends increases for most fees ranging from 1.6% to 3% to offset anticipated inflationary costs.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (John Tubbs II, Deputy County Counsel, 387-5455) on March 10, 2026; and County Finance and Administration (Carl Lofton, Administrative Analyst, 387-5404) on March 10, 2026.