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Public Safety Director Swenson attended the EMSRB Executive Board Meeting on October 22, 2019 and the EMSRB Board Meeting on November 21, 2019. At these meetings the state law and process for ambulance transfer of license (name change) or ownership change were discussed as part of the impending changes in our ambulance PSA (Primary Service Area). At this time the EMSRB Board has not rendered a decision as to whether the ambulance service change in the PSA that covers Lino Lakes is change of ownership or simply a transfer of license (change of naine). This distinction will determine what path the EMSRB conducts to evaluate with the impending change in ambulance providers in our PSA. The statutory language that outlines the Transfer of License process is contained in Minnesota Statute 144E.14. This statute also provides details that would require EMSRB Board to determine the change is not a transfer of license but rather a change in ownership requiring a new application process. Details on the new application process is outlined in Minnesota Statute 144E.11. It should be noted that no public input would be accepted if the EMSRB Board determines the change is simply a transfer of license. As cited in MN 144E.14, if the EMSRB Board determines that "the proposed transfer would result in an addition of a new base of operations, expansion of the service's primary service area, or provision of a new type or types of ambulance service, the board shall require the prospective licensee or owner to comply with section 144E.11." The process would require public hearings on the proposed changes if more than five (5) written comments opposing the application are received by the EMSRB Board. Staff from the Anoka County Dispatch Center (ACDC) contacted Public Safety Director Swenson to express their concerns of the impending change of ambulance service in our PSA. Public Safety Director Swenson and Deputy Director L'Allier met with ACDC staff on November 27, 2019. ACDC staff explained the role of ACDC regarding dispatching of medicals throughout Anoka County and the role of Emergency Medical Dispatch Centers as secondary dispatch center. In Anoka County all medical calls for service throughout the County are answered at the ACDC to get emergency responders dispatched; this call is then transferred to a secondary dispatch center that are trained and certified to provide "pre -arrival" information as well as gather more detailed information that can be shared with the ambulance that is responding. In Anoka County all ambulance providers operate a secondary dispatch center / emergency medical dispatch center. Because ACDC staff are not trained or certified as Emergency Medical Dispatchers, nor is the Anoka County Dispatch Center staff to perforn this function, all ambulance providers in Anoka County must operate a secondary dispatch center / emergency medical dispatch center. At this time ACDC staff, nor do we know, if MHealth Fairview Ambulance Service meets this requirement. During the December 2, 2019 Council Work Session, Staff provided Council with potential options available to the City to work toward improving the current level of ambulance service and ensuring ambulance service after June 1, 2020 meets community standards.