1797.232.
(a) A city or fire district that contracted for or provided, as of June 1, 1980, prehospital emergency medical services (EMS) and enters an agreement with a county for the joint exercise of powers under Chapter 5 (commencing with Section 6500) of Division 7 of Title 1 of the Government Code regarding prehospital EMS, shall be deemed to retain its authorities regarding, and administration of, the prehospital EMS pursuant to Section 1797.201.(b) A city or fire district that contracted for or provided, as of June 1, 1980, prehospital EMS through an agreement with a county for the joint exercise of powers under Chapter 5 (commencing with Section 6500) of Division 7 of Title 1 of the Government Code that ceased to contract for, provide, or
administer prehospital EMS as a result of City of Oxnard v. County of Ventura (2021) 71 Cal.App.5th 1010, shall be deemed to retain its authorities regarding, and administration of, the prehospital EMS pursuant to Section 1797.201.
(c) A city or fire district that contracted for or provided, as of June 1, 1980, prehospital EMS, which contracts with a county to provide prehospital EMS in areas outside of that city or fire district pursuant to statute shall be deemed to retain its authorities regarding, and administration of, the prehospital EMS pursuant to Section 1797.201.
(d) If a city’s or fire district’s assertion of its authorities regarding, and administration of, the prehospital EMS pursuant to Section 1797.201 under subdivision (a) or (b) of this section causes a local EMS area to no longer satisfy the requirements for an exclusive operating area under Sections 1797.85 or
1797.224, all of the following shall apply:
(1) The local EMS agency shall provide a right of first refusal to the exclusive operating area’s designated providers to continue providing services in a new exclusive operating area comprised of the remainder of the local EMS area outside of the city or fire district, which shall be deemed an exclusive operating area created without a competitive process under Sections 1797.85 or 1797.224.
(2) If the designated providers decline to continue services under paragraph (1), the county may provide prehospital EMS, including emergency ambulance services, in the remainder of the local EMS area on an exclusive or nonexclusive basis by any of the following service options:
(A) Creating a separate county department to provide such services.
(B) Assigning the duty of providing such services to the county fire department.
(C) Contracting with cities, districts, and other local agencies, including a city or fire district under subdivision (a) or (c), to provide such services.
(D) Contracting with private ambulance services to provide such services.
(3) If the county determines that the service options in paragraph (2) are not economically viable, then the city or fire district asserting its authorities regarding, and administration of, the prehospital EMS pursuant to Section 1797.201 under subdivision (a) or (b) of this section shall enter an agreement with the county to provide prehospital EMS, including emergency ambulance services, within the remainder of the local EMS area on an exclusive
basis consistent with subdivision (e)of Section 14136 of the Welfare and Institutions Code.
(e) This section does not affect, modify, limit, or otherwise impair the medical control of the medical director of a local EMS agency granted under this division, including, but not limited to, Chapter 5 (commencing with Section 1798).