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Carmel council directs staff to contract ambulance operations to Monterey Fire to maintain medic coverage
Summary
After reviewing options to keep available paramedic service and protect the city's paramedic provider status, the Carmel-by-the-Sea City Council voted unanimously to pursue a 5‑year contract with Monterey Fire to manage ambulance operations; the city will retain ambulance ownership and billing.
The Carmel-by-the-Sea City Council voted May 6 to direct staff to pursue a contract with the Monterey Fire Department for ambulance administration and operations, a move staff and council said will lower the risk of losing the city's paramedic provider status and improve medic-level coverage.
Staff explained the city has traditionally operated its own ambulance but has struggled in recent years to staff paramedic positions reliably. County regulators recently notified the city it risked failing to meet obligations tied to its paramedic/provider agreement—often referred to in the discussion as “201 rights”—because intermittent staffing shortfalls had forced…
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