City of Sacramento
City Council - 5PM Report
915 I Street Sacramento, CA 95814
www.cityofsacramento.org
File ID: 2025-01248 6/24/2025
Contract: Medical Director [Two-Thirds Vote Required]
File ID: 2025-01248
Location: Citywide
Recommendation: Pass a Motion: 1) suspending competitive bidding by a two-thirds vote of the City Council in the best interests of the city; 2) award a contract with Permanente Medical Group, Inc. with an initial term of two (2) years expiring June 30, 2027 with the option for three (3) one-year extensions for a total not-to-exceed amount of $936,000; and 3) authorizing the Interim City Manager or designee to execute the specified above and any and all extension(s).
Contact: Chris Costamagna, Fire Chief, (916) 808-2200, [email protected], Fire Department
Presenter: None
Attachments:
1-Description/Analysis
2-Permanente Medical Group, Inc. Contract
Description/Analysis
Issue Detail: The Department is requesting council approval to execute an agreement with Kaiser Permanente Medical Group, Inc. for Medical Director services.
Emergency Medical Services (EMS) systems are regulated and governed by the California Health and Safety Code, Division 2.5, Section 1797-1799.207, Title 22 of the California Code of Regulations, the California Emergency Medical Services Authority (CEMSA), and the Sacramento County EMS Agency (SCEMSA). To meet the regulations and requirements set forth by these governing bodies to deliver Advanced Life Support (ALS) and Basic Life Support (BLS) Emergency medical services in the City of Sacramento and our contracted communities, the Sacramento Fire Department (SFD) is required to maintain the services of a licensed physician, often referred to as a “Medical Director” (MD).
In previous years, the SFD acquired those services through a contract with the Sacramento Regional Fire/EMS Communications Center (SRFECC). As of June 30, 2022, the SRFECC decided not to
File ID: 2025-01248 6/24/2025
renew those contracted services with each participating agency (SFD, Sacramento Metro Fire District, Consumnes Fire Department, and Folsom Fire Department). Considering SRFECC’s decision, each fire agency had to contract services with their own MD independently to remain in compliance with the regulations set by the governing authorities.
Policy Considerations: Council approval per the Sacramento City Code Section 3.56.090, all contracts for supplies or nonprofessional services involving an expenditure of $250,000 or more shall be awarded by the City Council. Such contracts shall be formal written agreements executed by the City Manager on behalf of the city. The signature by the City Manager constitutes their certification that there remain unexpended and unapplied balances of the appropriations or funds applicable to the contract sufficient to pay the estimated expenses of executing the contract.
Economic Impacts: None.
Environmental Considerations: Ongoing administrative maintenance activities, such as purchases of supplies, equipment, or materials that are not made for purposes of a public construction project, do not constitute a “project” and are exempt from the California Environmental Quality Act (CEQA) CEQA Guidelines, Section 15061(b) (3), 15378(b) (2).
Sustainability: Not applicable.
Commission/Committee Action: Not applicable.
Rationale for Recommendation: Staff is recommending the approval of an initial two (2) year contract with the option for three (3) one-year extensions between the City of Sacramento Fire Department and Permanente Medical Group, Inc. to staff the Medical Director position from July 1, 2025, through June 30, 2027. The City of Sacramento must comply with the regulations and requirements for having a Medical Director, as described in the aforementioned issue. When Medical Director services were provided by the SRFECC, the provider was PMG. The licensed physicians provided by PMG have a diverse and extensive background in pre-hospital emergency medical services (EMS) systems. In addition, they are familiar with the regulations required by the governing authorities to remain in compliance to provide EMS in Sacramento County.
Financial Considerations: Sufficient funding is available in the Fire Department’s Fiscal Year (FY) 2025/26 operating budget to pay for services through June 30, 2026.
Purchases made after June 30, 2026 on this contract are subject to funding availability in the adopted budget of the applicable fiscal year.
Local Business Enterprise (LBE): Permanente Medical Group, Inc. is not an LBE. The minimum LBE participation requirement is waived by the City Manager or the City Manager’s designee as the City has suspended competitive bidding and utilized an alternate procurement method to select a
File ID: 2025-01248 6/24/2025
vendor(s) in the best interests of the City.