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8. A.\8 Legislative Bill Action ............................................................... the League of Califomia Cities and Califomia State The League believes that much of the conflict Association of Countie§ to re.solve much of the over EMS govem& lce can be resolve, f if stake- conflict between local govemments on emergency holders are able to l"'Irticipate in EMS s:stem medical service (EMS) issues. For the last twenty design and evaluation and if complainan:s are years, cities and counties have had substantial given a fair and open hearing. AB 2293 provides conflicts regarding EMS, specifically over which of the framework for a solution to these long-standing these goveming entities has authority for establish- perceived conflicts between cities and counties, ing the level and provider of emergency ambu- the fire service and LEMSAs. Staff: Natasha lance service. Several lawsuits, including one that FODman; Status: AsHIth, 3130; Position: Sup- reached the state supreme court, have resulted. port/Co-Sponsor with CSAC, Although the Supreme Court case (City of San Bernardino vs. County of San Bernardino) found in favor of the counties, debate has continued to pit ~ county local EMS agencies (LEMSAs) against the cities and fire service in various parts of the state. ~ Navigating The Currently, the Emergency Medical Services System and the Pre-hospital Emergency Medical Legislative Process Care Personnel Act, permit each county to estab- Deadlines, Procedures and lish an emergency medical services program Common Terms under which the county is required to designate a local emergency medical services EMS agency. NEW: An overview of the budget process The act authorizes each county to establish an emergency medical care committee and also and special sessions authorizes the county to prescribe its member- ship. To resolve conflicts associated with current Plus: law, AB 2293 puts a local advisory committee and . A description of the legislative process appeals process for EMS issues into law. The . Tips on writing an effective letter and model's primary features include: testifying before a legislative . Each local EMS agency will have an Emer- committee gency Medical Care Committee (EMCC) with a . Suggestions on how to participate in prescribed membership that achieves a balance the League legislative program between city and county perspectives. The EMCC . A glossary of commonly used legislative reviews and evaluates the local EMS plan. and budget terms . A legislative calendar listing key state . The EMCC serves as the first level appeals budget dates for city officials body for complaints including, but not limited to, transportation, exclusive operating areas, con- This publication is available from the League for tracts and RFP competition. $5. There is a ten percent discount on orders of . If the EMCC decision is not acceptable to the five or more. complainant, the issue is referred to the State EMS Questions? Contact League Publications at Commission. That Commission will forward its recommendation to the local Board of Supervi- 916/658-8257 sors, which retains the final decision authority. Or order online at: www.cacities.org/store PAGE 12/PRIORITY FOCUS Visit the league's Official Web Site--www.cacities.org