To: Board of Supervisors
From: Ori Tzvieli, Interim Health Services Director
Report Title: CSA EM-1 Final Report (Measure H) - FY 2025-26
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT a resolution confirming Final Report for County Service Area (CSA) Emergency Medical Services Area 1 (EM-1) and setting assessments to be collected with the Fiscal Year (FY) 2025-26 property taxes.
FISCAL IMPACT:
Proposed FY 2025-26 assessments for CSA EM-1 total $4,834,833.66. There is no General Fund impact.
BACKGROUND:
On June 10, 2025, the Board held a public hearing on the Tentative Report for CSA EM-1 and adopted Resolution No. 2025/191 declaring the Board's intent to levy assessments set forth in that report. Pursuant to Ordinance Code Section 1012-2.612, the attached Final Report for CSA EM-1 updates the Tentative Report based solely upon changes in ownership, changes of address, subdivision of existing parcels, and changes in the class of use of parcels.
Revenues from the CSA EM-1 assessments are used to provide an enhanced countywide emergency medical service system as approved by the voters with the passage of Measure H in November 1988. Enhanced EMS services include (1) increased paramedic coverage; (2) added emergency medical training and equipment for firefighters; and (3) an improved EMS communications system.
The basic assessment rate proposed for Zone B, comprising all the area of Contra Costa County except for San Ramon Valley, is $10.00 per single-family residence or benefit unit. The rate proposed for Zone A (San Ramon Valley), which does not include paramedic subsidy, is $3.94. These rates are unchanged from the prior year.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to set the CSA EM-1 assessment rate prior to August 10, 2025, may result in the EM-1 assessments not being included in the property tax bills.
The Board of Supervisors of Contra Costa County, California
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IN THE MATTER OF the Confirmation of the Final Report for County Service Area EM-1 (Emergency Medical Services) Fiscal Year 2025-26 and Approval of Assessments.
WHEREAS, County Service Area EM-1 has been established to provide enhanced emergency medical services as miscellaneous extended services pursuant to the County Service Area Law (Government Code Sections 25210.1 and following);
WHEREAS, the Board, on June 10, 2025, held a public hearing and thereafter adopted Tentative Report for CSA EM-1, Fiscal Year 2025-26 has been filed with the Clerk of the Board pursuant to Ordinance Code Section 1012-2.602;
WHEREAS the Tentative Report sets forth proposed assessments for Zone A and Zone B, which have been established within CSA EM-1 to receive specified miscellaneous services;
WHEREAS notice of a Board hearing on the Tentative Report was published pursuant to Government Code Section 6066; and;
WHEREAS, at the public hearing, the Board afforded to every interested person an opportunity to protest or object to the Tentative Report, either in writing or orally, and the Board has considered each protest and objection.
NOW, THEREFORE, BE IT RESOLVED that the Board of Supervisors hereby confirms the Tentative Report for CSA EM-1, Fiscal Year 2025-26, and the assessments identified therein for Fiscal Year 2025-26.
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