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Earlier editions: 2026-09

Title 6 — HEALTH AND SAFETY›Chapter 6.114 — ALAMEDA COUNTY EMERGENCY MEDICAL SERVICES AMBULANCE ORDINANCE

Alameda County Municipal Code Art. VIII Miscellaneous Provisions

Alameda County Municipal Code · 2026-10 edition · updated 2026-10-04 · Alameda County

Cite as: Alameda County Municipal Code Article VIII · Text as of 2026-10-04

6.114.430 - Exemptions.

A. When county officials have determined that adequate emergency ambulance service will not be available from existing ambulance providers, this chapter may be waived at the request of any county communications center or at the request of any law enforcement or fire protection agency during any "state of war emergency," "state of emergency," or "local emergency" as defined in Government Code Section 8558 or during any period (not over thirty (30) days, but renewable every thirty (30) days).

B. This chapter shall not prevent any peace officer as described in the California Code or Regulations, Title 13, Motor Vehicles 1107(a)(2) or public safety personnel as defined in county policies, from arranging for the transportation of an individual in need of emergency medical care when no ambulance with an appropriate ambulance service permit is available and such transportation is required immediately for the preservation of life or to avoid substantial impairment of the person to be transported.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.440 - Medical direction.

All EMT and paramedic personnel working in Alameda County are required to provide patient care in accordance with medical care policies, procedures and protocols promulgated by the county's EMS medical director. All CCT RNs working in Alameda County are required to provide care in accordance with medical care policies, procedures and protocols promulgated by their service provider's medical director.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.450 - EMS special event notification.

Permittees providing special event standby coverage shall comply with the county's special event policy and complete an EMS special event notification form. This form shall be submitted to the county for approval at least seven days prior to the beginning of the coverage. The county may impose conditions on the approval of the request, which are necessary to ensure the safety of the public, including, but not limited to, notification of the local public safety jurisdiction, county communications, and appropriate 9-1-1 first responder providers. This provision shall help to ensure that adequate and integrated emergency medical services are available to the public and event participants. Any unauthorized standby service provided by a private EMS service may result in a fine, permit suspension or revocation.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.460 - Emergency and disaster operations.

A. In the events of a disaster or mass casualty incident, the ability of the emergency ALS ambulance providers to provide necessary prehospital emergency ambulance care and transportation may be disrupted or be inadequate for the number of casualties. It is necessary; therefore, that all ambulances permitted in Alameda County be available to assist disaster or mass casualty medical needs when there is a disaster or mass casualty incident. In the events of a disaster or mass casualty incident, the county will determine the amount of assistance needed, determine accessible acceptable ambulance staffing and configuration, and may authorize the dispatch of any ambulance as permitted by law. Each service shall make available, and place into service, all permitted units at the request of the county. The county shall coordinate all medical mutual aid requests through the county centralized emergency medical dispatch, the medical mutual aid system, and the county health officer when applicable.

B. The permittee shall have on file with the county, its disaster response plan which includes a personnel call-back plan.

C. All management and field personnel of the permittee shall follow the county's multi casualty incident (MCI) plan policy during an MCI.

D. The county may assist the permittee in seeking reimbursement for its costs from any disaster relief monies. The county shall have no financial responsibility for these costs or charges.

E. When requested by the county, the permittee shall participate in a county organized disaster exercise by sending one fully staffed ambulance with a minimum ninety (90) day notice from the county. All costs associated with their participation in the disaster exercise shall be the sole responsibility of the permittee.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.470 - Clinical experience program.

All BLS ambulance companies, in business more than one year, shall work with the county to develop and maintain a program that provides clinical experience to students enrolled in EMT training programs approved by the county.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.480 - County liability.

Unless expressly agreed in writing, the county and the county of Alameda and its officers and employees shall not be liable for any permittee costs or charges associated with compliance under this chapter or the rules or regulations promulgated hereunder.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

6.114.490 - Separability.

If any chapter, section, or subsection, sentence, clause, phrase, or portion of this chapter are for any reason held invalid or unconstitutional by any court of competent judgment, such portion shall be deemed a separate, distinct and independent provision and shall not affect the validity of the remaining portions hereof.

(Ord. 2007-48 § 2 (part))

(Ord. No. 2012-25, § 2, 6-26-12)

Exceptions & meaning →

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