To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: County Service Area (CSA) EM-1 Tentative Report (Measure H) - FY 2026-27
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
1. OPEN the public hearing; RECEIVE public comments; and CLOSE the public hearing.
2. CONSIDER all objections or protests to the Tentative Report.
3. ADOPT the assessment set forth in the Tentative Report.
4. ADOPT a Resolution, confirming the Tentative Report and the assessment set forth therein.
FISCAL IMPACT:
There is no General Fund impact. Proposed Fiscal Year (FY) 2026-27 assessments for County Service Area (CSA) EM-1 total $240,341.97 for Zone A and $4,598,795.00 for Zone B.
BACKGROUND:
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 additional staffed paramedic units to respond to 9-1-1 calls: support for firefighter EMS first responder programs, EMS communications and miscellaneous EMS enhancements.
The basic assessment rates proposed are $3.94 per single-family residence or benefit unit for Zone A (San Ramon Valley) and $10.00 per single-family residence or benefit unit for Zone B (balance of county). The lower rate for Zone A reflects the fact that certain EMS enhancements are funded by other revenue sources in the San Ramon Valley area. The proposed FY 2026-27 rates are unchanged from the previous year.
After confirmation of the Tentative Report, a Final Report will be prepared in conformance with the official assessment roll for Fiscal Year 2026-27. The Final Report will then be presented to the Board of Supervisors for confirmation. That confirmation will constitute the levy of the assessment.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to set the CSA EM-1 assessment rates prior to August 10, 2026, may result in the EM-1 a...
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