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Board rejects recommended AMR ambulance contract after hours-long public hearing
Summary
After a daylong public hearing with dozens of speakers, the Alameda County Board of Supervisors voted to reject staff’s recommendation to award the countywide exclusive-operating-area ambulance contract to AMR West and asked staff to return with options, including a possible open-system alternative.
The Alameda County Board of Supervisors voted on June 17 to reject Alameda County Health’s recommendation to award a six‑year exclusive-operating-area (EOA) ambulance contract to AMR West, following more than five hours of public testimony and detailed questioning by supervisors. The board’s decision came after an extended presentation from county health staff and consultants and dense testimony from labor leaders, firefighters, paramedics, hospital clinicians, community groups and AMR and Falcon (FALC) representatives.
Alameda County Health presented the procurement that began with an RFP issued in January 2024 and was developed after a multi‑year EMS redesign effort. County staff said the RFP prioritized clinical performance, health equity and system sustainability rather than simple response-time metrics; the proposed contract included nurse navigation, expanded behavioral‑health response teams (CAT teams), and financial penalties tied to equity gaps in prehospital care. The county’s…
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