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Tuolumne board directs staff to proceed with ambulance ordinance revisions to clarify nonexclusive provider language

Tuolumne County Board of Supervisors · April 7, 2026
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Summary

Health officer and legal counsel presented updates to county ordinance language governing ambulance provider agreements to reflect the county's nonexclusive operating area status; the board directed staff to take the recommended steps and scheduled a second reading.

County health officer Kim Freeman and outside counsel Derek Cole told the Board that proposed revisions to Tuolumne County's ambulance-provider ordinance update confusing, outdated language and add clarity on nonexclusive operating-area provisions.

The amendments remove references to an exclusive operating area (which the county does not have) and add language that would allow the Board to adopt nonexclusive-provider provisions in the future should it choose to do so. Derek Cole, who drafted the revisions, said the goal was to ensure a multi-provider system that serves the whole county equitably.

"The goal here was really to make sure that you have a multi-provider system that works for the providers, but that also works for the county and that doesn't create any inequities or advantage of one provider over the other," Cole told the Board.

There was no public comment on the item. A motion to move forward on the staff recommendation passed unanimously; staff will schedule a second reading of the ordinance for adoption on April 21, 2026, as indicated in the agenda materials.