REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY
AND RECORD OF ACTION
January 27, 2026
FROM
DANIEL MU?OZ, EMS Administrator, Inland Counties Emergency Medical Agency
SUBJECT
Title
Specialty Care System Program Rate Structure Update
End
RECOMMENDATION(S)
Recommendation
Acting as the governing body of the Inland Counties Emergency Medical Agency, approve the Specialty Care System Program rate structure that supports the Inland Counties Emergency Medical Agency's administration of the Specialty Care Systems, effective July 1, 2026 through June 30, 2027 as outlined in Attachment A.
(Presenter: Daniel Mu?oz, EMS Administrator, 388-5807)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
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). The updated rate methodology calculates annual Specialty Care System Program rates based on actual programmatic costs for administering the Trauma, Cardiovascular ST Elevation Myocardial Infarction (STEMI), and Stroke Critical Care Systems. These costs include direct and indirect staffing, system monitoring, performance evaluation, quality improvement, data reporting, and regulatory compliance. The rate structure is designed as a cost-recovery model consistent with local Emergency Medical Services (EMS) agency practices statewide. Applicable revenue and appropriation will be included in the Inland Counties Emergency Medical Agency (ICEMA) 2026-27 recommended budget and future recommended budgets.
BACKGROUND INFORMATION
ICEMA, as the Local Emergency Medical Services Agency (LEMSA), is responsible for ensuring
effective EMS for the Counties of San Bernardino, Inyo, and Mono. ICEMA is responsible for planning, implementing, and evalua...
Click here for full text