UPDATE San Jose officials approve charging first responder fee - San Jos Spotlight

The San Jose City Council has unanimously approved a new first responder fee program, allowing the Fire Department to charge $427 for emergency medical services starting January 1, 2026. Fire Chief Robert Sapien pointed out that this fee is essential for aligning San Jose with 23 other California fire agencies that already employ such financial measures. This decision comes as a response to the significant increase in demand for emergency medical care, with 911 incidents reaching record highs since the pandemic. Despite these efforts to enhance the department's budget—where emergency medical services represent about 16% of total operating costs—there are concerns about uninsured residents facing unexpected expenses. Sapien noted that the Fire Department will attempt to collect fees through medical insurance, similar to how automobile insurance covers medical costs.

Mayor Matt Mahan characterized the program as a community-focused initiative, aiming to avoid undue financial burdens on residents. The approval reflects a broader trend in California where fire agencies are adapting to the evolving role of emergency services in healthcare. As the city prepares for the implementation, the potential impact on residents' financial well-being remains a critical consideration.