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(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 $10,000 at the time of filing the initial application, and an annual renewal fee of $5,000 to the Department of Public Health.
(b) Every person, firm or corporation holding a Certificate of Operation must also pay an annual ambulance permit fee of $1,600 for each vehicle to the Department of Public Health.
(c) As authorized by Title 22 of the California Code of Regulations, the following fees are due and payable to the Department of Public Health 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: $1,775 for a Paramedic Program, $1,185 for an Emergency Medical Technician (“EMT”) Program, and $595 for a Continuing Education Program.
(2) EMS Training Program Renewal, due every four years from the time of the last renewal: $890 for a Paramedic Program, $650 for an EMT Program, and $360 for a Continuing Education Program.
(d) As authorized by 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 Public Health by persons applying for and renewing EMT Certificates:
(1) Application for initial EMT Certificate: $145.
(2) Renewal of current and valid EMT Certificate, not including EMT-Paramedic: $107 due every two years.
(3) Application for initial EMT-Paramedic Accreditation: $31.
(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 Public Health by the following facilities (as defined in Section 901 of the Health Code) that receive patients through Ambulance Service Providers:
(1) Receiving Hospital: $10,719.
(2) STEMI (ST segment elevation myocardial infarction) Center: $13,310.
(f) The fees in this Section 249.8 shall be retroactive and effective as of May 1, 2009.
(g) Beginning with fiscal year 2009-2010 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 (g). Not later than April 1, the Director of the Department of Public Health 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. 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.
(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)