Why am I getting charged a First Responder Fee?

The Cosumnes Community Services District Board Of Directors approved a resolution in 2014 to implement the First Responder Fee to cover the increasing costs of providing Paramedic level Emergency Medical Services on all Fire Suppression Companies within the jurisdictional boundary of the CSD. This fee is reviewed annually by the Cosumnes Fire Department Staff and is approved for the following fiscal year based on a review of the actual costs associated with providing this service level. You have a received a First Responder Fee if you were the subject of an Emergency Medical Service (EMS) incident such as a vehicle accident, technical rescue, traumatic injury or medical complaint and a fire suppression company/fire ambulance or both provided an assessment for those injuries/complaints under the Sacramento County Emergency Medical Services protocols.

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1. Why am I getting charged a First Responder Fee?
2. Why is there a First Responder Fee charged if a Cosumnes Fire Department Engine and an out of District Ambulance arrive at the scene?
3. Is the First Responder Fee charged if a Cosumnes Fire Department Engine and a Cosumnes Fire Department Ambulance arrive at the scene?
4. Why would an out of District Ambulance take me to the hospital instead of a Cosumnes Fire Department Ambulance?
5. Who do I contact if I have a question about my First Responder Fee bill?
6. What is the process to dispute my First Responder Fee bill?
7. What happens if I do not pay my First Responder Fee bill?