EXHIBIT 4
ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY Colleen Chawla, HCSA Director
CATA COUNTE
Emergency Medical Services Agency Lauri McFadden, EMS Director Zita Konik, MD, Medical Director
1000 San Leandro Blvd, Suite 200 Main (510) 618-2050
San Leandro, CA 94577 Fax (510) 618-2099
July 12, 2023
Jen Ott
City Manager
City of Alameda
2263 Santa Clara Ave. #300
Alameda, CA 94501
Dear Ms. Ott:
This letter constitutes notice that the EMS Director of the Alameda County EMS Agency has approved an increase in the user fees that may be charged by the County's contracted 9-1-1 ambulance transport service provider Falck. Under the terms of the City of Alameda's current Emergency Medical Services Ambulance Transport Agreement Section 10.2, your City may consequently increase its user fees to remain equivalent to the County's Contracted Private Provider rates effective July 1, 2023.
UPDATED EXHIBIT G
CITY'S USER FEES - 911 SYSTEM
Current Effective 7/1/2023*
Bundled Base Rate $ 3,331.40 $ 3,664.87
Mileage/Mile $ 75.17 $ 82.69
Oxygen $ 248.88 $ 273.79
** Treat, Non-transport Rate $ 688.13 $ 735.01
* It is understood that these rate increases are conditional on each city's ability to demonstrate that the charges are not considered taxes under the California Constitution (art. XIIIC sec. le). Each city will be responsible for vetting this issue for their individual Councils. Actual effective date based on City Council approval.
** This rate shall be limited to patients who receive a medical intervention, such as intravenous medication administration, and subsequently refuse transport. Patient assessment, including ECG monitoring, does not constitute treatment.
All other terms and conditions of your Agreement with the County shall remain in full force and effect.
Please acknowledge receipt and understanding of this notification as provided below, and return an original signed copy to the Alameda County Emergency Medical Services Agency no later than August 18, 2023 at the following address:
Alameda County Emergency Medical Services Agency
Attention: Michelle Barrientos
1000 San Leandro Blvd, Suite 200
San Leandro, CA 94577
Please also forward a copy of any documentation reflecting approval of the user fee increase by your City Council, if applicable, upon receipt.