(a) Every person, firm, or corporation engaged in operating a private ambulance that requires a Certificate of Operation shall pay an initial application fee of $13,517 at the time of filing the initial application, and an annual renewal fee of $6,758 to the Department of Emergency Management.
(b) Every person, firm, or corporation holding a Certificate of Operation must also pay an annual ambulance permit fee of $2,163 for each vehicle to the Department of Emergency Management.
(c) As authorized by Section 100083 of Title 22 of the California Code of Regulations, the following fees are due and payable to the Department of Emergency Management by every person, firm, or corporation applying for and renewing the certification for an Emergency Medical Services (“EMS”) Training Program:
(1) EMS Training Program Initial Application: $2,399 for a Paramedic Program, $1,602 for an Emergency Medical Technician (“EMT”) Program, and $805 for a Continuing Education Program.
(2) EMS Training Program Renewal, due every four years from the time of the last renewal: $1,203 for a Paramedic Program, $879 for an EMT Program, and $487 for a Continuing Education Program.
(d) As authorized by Section 100083 of Title 22 of the California Code of Regulations and Section 1797.212 of the California Health and Safety Code, the following fees are due and payable to the Department of Emergency Management by persons applying for and renewing EMT Certificates:
(1) Application for initial EMT Certificate: $193.
(2) Renewal of current and valid EMT Certificate, not including EMT-Paramedic: $143 due every two years.
(3) Application for initial and lapsed EMT-Paramedic Accreditation: $42.
(4) Application for initial and lapsed Critical Care Paramedic Endorsement: $42.
(5) Application for initial and lapsed Community Paramedic Accreditation: $42.
(6) Lost/duplicate EMT Certificate, Accreditation or Endorsement Card: $25.
(7) Professional Verification Form Completion: $25.
(e) As authorized by Sections 1798, 1798.2, and 1798.164 of the California Health and Safety Code, the following fees are due and payable annually in advance to the Department of Emergency Management by the following facilities (as defined in Section 901 of the Health Code) that receive patients through Ambulance Service Providers:
(1) Receiving Hospital: $20,616.
(2) STEMI (ST segment elevation myocardial infarction) Center: $25,197.
(3) Stroke Center: $25,197.
(4) Trauma Center: $25,197.
(5) Pediatric Center: $25,197.
(f) The Department of Emergency Management reviews and approves event medical plans for special events permitted by City departments. The following fees, based on anticipated crowd size, are due and payable upon submission of an event medical plan for review:
(1) Event medical plan review fee for event with 10,000 persons or more: $1,000.
(2) Event medical plan review fee for event with 5,000 to 9,999 persons: $500.
(3) Event medical plan review fee for event with 1,000 to 4,999 persons: $150.
(4) Event medical plan review fee for event with 1 to 999 persons: $50.
(g) Every person, firm, or corporation engaged as a Community Paramedic Provider shall pay an initial application fee of $200,000 at the time of filing the initial application or program review under Community Paramedicine or Triage to Alternate Destination Act of 2020, and an annual renewal fee of $100,000 to the Department of Emergency Management.
(h) Beginning with fiscal year 2023-2024 and annually thereafter, the fees set forth in this Section 249.8 may be adjusted each year, without further action by the Board of Supervisors, as set forth in this subsection (h). Not later than April 1, the Director of the Department of Emergency Management shall report to the Controller the revenues generated by the fees for the prior fiscal year and the prior fiscal year’s costs of operation, as well as any other information that the Controller determines appropriate to the performance of the duties set forth in this Article 2. Not later than May 15, the Controller shall determine whether the current fees have produced or are projected to produce revenues sufficient to support the costs of providing the services for which the fee is assessed and that the fees will not produce revenue that is significantly more than the costs of providing the services for which the fee is assessed. The Controller shall, if necessary, adjust the fees upward or downward for the upcoming fiscal year as appropriate to ensure that the program recovers the costs of operation without producing revenue that is significantly more than such costs. The adjusted rates shall become operative on July 1.
(i) For all services and other matters for which a fee is set forth in this Section 249.8, the Department of Emergency Management shall maintain on its website a listing of current fees, and shall make available upon request a copy of the listing of current fees.
(Amended by Ord. 531-78, App. 12/1/78; Ord. 244-91, App. 6/24/91; Ord. 160-08, File No. 080747, App. 7/30/2008; Ord. 154-09, File No. 090702, App. 7/15/2009; Ord. 59-10, File No. 100113, App. 3/25/2010; Ord. 185-10, File No. 100704, App. 7/23/2010; Ord. 172-17, File No. 170680, App. 7/27/2017, Eff. 8/26/2017, Retro. 7/1/2017; Ord. 135-21, File No. 210658, App. 8/4/2021, Eff. 9/4/2021; Ord. 184-22, File No. 220684, App. 8/4/2022, Eff. 9/4/2022; Ord 175-23, File No. 230659, App. 7/28/2023, Eff. 8/28/2023)