FAQ How will San Joses first responder fee work?

San Jose's City Council has unanimously approved a “First Responder Fee Program,” introducing a $427 charge for emergency medical service trips starting January 1, 2026, to enhance fire department funding. Fire Chief Robert Sapien estimates that this program could generate over $4 million annually based on insurance reimbursement rates. The fee will primarily be billed to residents' insurance, ensuring that those covered will not face financial burdens for uncovered amounts. For uninsured residents, the city is developing a compassionate billing policy, allowing for fee reductions or waivers based on hardship criteria. Tasha Dean, a spokesperson for Mayor Matt Mahan, emphasized that the goal is to avoid placing additional burdens on residents.

However, concerns have been raised about whether uninsured individuals will be aware of these options. Councilmember Pamela Campos highlighted the importance of reaching low-income communities to ensure they can access the compassionate billing program. As the program rolls out, ongoing discussions about its implications and effectiveness in serving all residents will be crucial.