Mendocino County Municipal Code Div. TWO Authorizations

A. All EMS Entities operating in the County shall be authorized by the LEMSA in accordance with the requirements of this Chapter and any Federal or State law or regulation governing EMS.

B. Authorization shall consist of a Provider Authorization and, if indicated for the type of EMS Entity, an Ambulance Service Provider Permit.

C. Provider Authorizations shall be issued in accordance with LEMSA Provider Authorization Policy.

D. Ambulance Service Provider Permits shall be issued in accordance with LEMSA Ambulance Service Permit Policy.

(Ord. No. 4379, 3-7-2017)

A. Any entity (either as an owner, agent or otherwise) who wishes to furnish, operate, conduct, maintain, or otherwise engage in, or offer, or profess to engage in providing ambulance service in the County shall have a valid Ambulance Service Provider Permit in accordance with the LEMSA System Plan and EMS policies, procedures, and guidelines.

B. Permit requirements shall apply to providers of air and ground ambulances, including BLS, ALS and CCT vehicles.

C. Permit requirements shall not apply to ambulance service providers engaged in the transport of patients where the transport initiated outside County boundaries for transport into or through the County.

D. Public agencies operating as EMS Entities are exempt from the LEMSA permitting process.

E. LEMSA Policy shall specify due process for the issuance of Ambulance Service Provider permits including:

1. Application and approval process.

2. Procedure for denial of application.

3. Procedure for suspension or revocation of permits issues in conformity with this chapter.

4. Appeal process for contesting denial of application, or suspension and or revocation of permits issued in conformity with this chapter.

(Ord. No. 4379, 3-7-2017)

A. Any EMS entity providing ambulance service, Advanced Life Support or other EMS Services requiring LEMSA authorization in the County, shall secure a Provider Authorization from the LEMSA specifying terms and conditions for the provision of EMS including, but not limited to, class of service to be provided, LEMSA approval for optional scope of practice, participation in LEMSA data and quality improvement activities and applicable performance standards as defined in LEMSA policies, procedures and guidelines.

B. Provider Authorizations shall not apply to cities or fire districts providing pre-hospital emergency medical services subject to and in accordance with Health and Safety Code section 1797.201. Such agencies providing services under Section 1797.201 shall nonetheless be subject to LEMSA medical control and applicable performance standards as defined in LEMSA policies, procedures and guidelines. Compliance of City and Fire District pre-hospital emergency service providers with LEMSA medical control and applicable performance standards pursuant to LEMSA policies, procedures and guidelines shall not evidence or constitute an "agreement" with such City and Fire Districts for purposes of Section 1797.201, and nothing in this ordinance may be so construed. Nothing in this ordinance is intended to affect, or may be construed to affect, in any way the rights and obligations of City and Fire District pre-hospital emergency service providers pursuant to Section 1797.201. Nothing in this ordinance is intended to affect or may be construed to affect the eligibility of City and Fire District pre-hospital emergency service providers to enter exclusive operating agreements under Health and Safety Code section 1797.224.

C. Exemptions.

1. Provider Authorization requirements shall not apply to non-transport EMS Entities except where specific LEMSA authorizations for EMS Scope of Practice are required by California Health and Safety Code and/or California Code of Regulations.

2. Provider Authorization requirements shall not apply to ambulance service providers engaged in the transport of patients where the transport initiated outside County boundaries for transport into or through the County.

(Ord. No. 4379, 3-7-2017)

A. The LEMSA, as directed by the Board, may establish one or more exclusive operating areas (EOAs), as defined in Health & Safety Code section 1797.85, which may be awarded either without a competitive process (a "non-competitive EOA") or pursuant to a competitive process (a "competitive EOA"), provided that in either case the requirements of Health and Safety Code section 1797.224 are met.

B. An EMS Entity granted an EOA shall enter into an agreement with the County (an "EOA Agreement") setting forth the terms on which the EMS Entity shall provide services within the EOA, including the level and type of ambulance services covered by the EOA Agreement.

C. No EMS Entity shall render any type or level of services considered exclusive within an EOA, unless the EMS Entity has entered into an EOA Agreement with the County to provide such services.

D. Nothing in this Chapter or in any rule or regulation enacted by the County shall be construed as requiring the County to establish either a competitive or noncompetitive EOA.

(Ord. No. 4379, 3-7-2017)

A. All dispatch of ambulance(s) and/or EMS Entities in response to a request for EMS services shall be in accordance with relevant LEMSA policy for the provision of Medical Control to EMS Dispatch.

B. Dispatch of ambulance(s) and/or EMS Entities in response to a request for EMS and/or ambulance transportation shall only be conducted by communications centers approved by the LEMSA.

(Ord. No. 4379, 3-7-2017)

During any "state of war emergency," "state of emergency" or "local emergency," as defined in the California Emergency Service Act (Chapter 7 of Division 1 of Title 2 of the Government Code), as amended, each Ambulance Service Provider shall provide equipment, facilities, and personnel as required by the LEMSA.

(Ord. No. 4379, 3-7-2017)

A. Any person or EMS Entity required to have a valid Ambulance Service Provider Permit to provide ambulance services within the County, that does not have a valid Ambulance Service Provider Permit shall be in violation of this Chapter as well as any relevant statute or regulation.

B. Any EMS Entity providing ambulance services without the LEMSA authorization required in the Health and Safety Code or the California Code of Regulations Title 22 via a Provider Authorization shall be in violation of this Chapter as well as any relevant statute or regulation.

(Ord. No. 4379, 3-7-2017)