CITY COUNCIL REGULAR MEETING AGENDA PACKET 5-5-26

Page 1 of 2 Item #5 CITY COUNCIL AGENDA REPORT May 5, 2026 Fire TITLE: ADOPT A RESOLUTION APPROVING THE SECOND AMENDMENT TO THE EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT (FRALS) AGREEMENT BETWEEN THE CITY AND THE COUNTY OF ALAMEDA SUMMARY The City of Pleasanton has an agreement with Alameda County to provide First Responder Advanced Life Support (FRALS) services, as part of the countywide local emergency medical services (EMS) system. Staff is recommending an update to the FRALS Agreement to ratify the time/date range for the current contract, which is slated to expire on July 1, 2026. The updated agreement, with changes, is intended to capture the direction from the Alameda County Board of Supervisors to extend the agreement with the current provider, FALCK, USA, for a two-year term, including a possible one-year extension. The proposed timeline within the agreement will terminate if a new transport provider is selected, and an updated agreement will be presented to the City Council before the start of any new provider. RECOMMENDATION Adopt a resolution authorizing the City Manager to sign the second amendment to the EMS FRALS Agreement. BACKGROUND In 1980, the State Legislature enacted the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act (EMS Act) to create a comprehensive system governing pre-hospital emergency medical services. The purpose of the EMS Act is to provide for integrated and effective emergency medical services throughout the state. Pursuant to the EMS Act, Alameda County is the designated Local Emergency Medical Services Agency (LEMSA) responsible for the medical control and management of the emergency medical services system in Alameda County. In 2011, the City of Pleasanton entered into a five (5) year agreement with Alameda County as the LEMSA for the City to provide First Responder Advanced Life Support (FRALS) services, as part of the local emergency medical services system in Alameda County (Original Agreement). Similar agreements were entered into by other cities and agencies in the County, including the City of Livermore. The Original Agreement defined the FRALS standards and delivery, and contained a detailed schedule of reimbursements from the County to the City to offset some of the City costs to provide paramedic services. Multiple amendments to the Original Agreement extended the expiration date to June 30, 2019, and discontinued the County's reimbursements to the City for FRALS services that had offset some of the City's costs to provide paramedic services. Page 28 of 248