The San Diego City Council Tuesday approved increasing the cost of ambulance services for private insurers over the next three years, starting July 1.

The action is only possible because the city began using an "alliance model" for emergency ground ambulance services in Fiscal Year 2024, which allowed the city to charge and collect fees to recoup some costs. The alliance model is a public-private partnership where a local public agency contracts with private ambulance companies to provide emergency ambulance services.

Tuesday's action will increase what the city will charge private insurers for emergency services by 7% for Fiscal Year 2026, a 5% increase beginning on July 1, 2026 for Fiscal Year 2027, and a 5% increase beginning on July 1, 2027 for Fiscal Year 2028. The cost increases wi

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