1. État, peuple, "Authorities" 10. Constitution and Other Fundamental Acts

**This Agreement Governs the Effects of the Transfer of the Municipal Commune of Moutier (hereinafter: "the Commune of Moutier") to the Republic and Canton of Jura (hereinafter: "the Canton of Jura") in the Field of Rescue**

This agreement specifically governs the services of the emergency medical dispatch center (hereinafter: "the EMDC 144"), the services of the mobile emergency and resuscitation unit (hereinafter: "the MERU"), and the services of the rescue service serving the town of Moutier (hereinafter: "the rescue service").

**1. Definitions**

By "first responder," we mean the "First Responder," "First Responder Plus," as well as the "Rapid Responder" as defined by the terminology of the Interassociation for Rescue Services (hereinafter: "the IAS").

By "rescue service," we mean any professional organization or institution active in the field of rescue and emergency medical care, whose management and alert are given by a CASU 144 in accordance with the terminology of the IAS.

Considered as rescue services are interventions of types P1 and P2 as per the IAS terminology.

The Canton of Bern enters into a service contract with ARB SA regarding ambulance services in the Biel region (hereinafter referred to as "CASU 144 Bienne") for the period from January 1, 2026, to December 31, 2027.

The service contract contains the following clauses

a) CASU 144 Bienne is responsible for handling urgent health-related calls originating from the territory of the municipality of Moutier;

b) it issues orders to the competent rescue services for the territory of the municipality of Moutier and may engage the first responders active within the territory of the municipality of Moutier;

c) it collaborates with the Fribourg hospital (hereinafter referred to as "CASU 144 Fribourg-Jura"), particularly for the deployment of the Mobile Emergency Service (SMUR);

d) in the event of a major health incident on the territory of Moutier, CASU 144 Fribourg-Jura is responsible for coordinating the intervention, including the initiation of the case in the Information and Intervention System (hereinafter referred to as "SII").

The Canton of Jura contributes 52,380 francs per year to the Canton of Bern as participation in the service contract mentioned in paragraph 1.

The Canton of Jura enters into a service agreement with CASU 144 Fribourg-Jura containing the following clauses

a) CASU 144 Fribourg-Jura and CASU 144 Biel shall collaborate, particularly in the deployment of the SMUR;

b) In the event of a major health incident within the territory of Moutier, CASU 144 Fribourg-Jura shall be responsible for coordinating the response, notably for opening the case in the SII and implementing the Jura cantonal disaster plan.

The Public Health Office of the Canton of Bern is responsible for the oversight of CASU 144 Bienne.

Upon request, it provides all necessary information to the Public Health Service of the Canton of Jura.

The Cantons of Bern and Jura coordinate for the drafting of the service agreement with CASU 144 Bienne and CASU 144 Fribourg-Jura.

The Canton of Jura enters into a service contract with the Jura Hospital. This contract specifically provides that the Mobile Emergency and Resuscitation Service (SMUR) collaborates with the Emergency Medical Communication Center (CASU) 144 Fribourg-Jura, CASU 144 Bienne, and the ambulance service responsible for the territory of the municipality of Moutier.

Each canton shall separately enter into a service agreement with the corporation with which the Canton of Bern is bound by a service agreement for the rescue operations in Moutier for the year 2025. This agreement is concluded for a duration of two years commencing on January 1, 2026.

The Cantons of Bern and Jura shall collaborate and coordinate in the drafting of the service agreements provided for in paragraph 1.

Each canton participates in financing the ambulance service operations departing from the commune of Moutier according to the following terms

a) The canton of Jura acknowledges the amount of the standard operating costs for an ambulance crew as determined by Bernese legislation at the time this agreement comes into effect, namely 1,759,301 francs. This amount is fixed for the duration of this agreement;

b) The canton of Jura is responsible for covering 38% of the standard operating costs. The canton of Bern is responsible for covering 62% of the standard operating costs;

c) An extension of the intervention area as outlined in the annex is possible upon agreement between the cantons. In such a case, the distribution key for the standard operating costs will be adjusted accordingly.

Each canton shall provide in its service contract with the ambulance service the following clauses

a) The applicable rate in the canton of Jura applies to interventions carried out within the territory of the commune of Moutier;

b) The revenues from interventions as per letter a are deducted from the portion of the normative cost borne by the canton of Jura;

c) The applicable rate in the canton of Bern applies in the rest of the intervention area specified in the annex;

d) The revenues from interventions as per letter c are deducted from the portion of the normative cost borne by the canton of Bern;

e) The ambulance service shall annually prepare a statement for each canton.

The annual statement corresponds to the share of the amount of the normative operating cost borne by that canton, reduced by the revenues resulting from interventions on its territory.

The ambulance service is subject to the supervision of the competent authority of the canton of Bern. In the event of proceedings opened for an incident that occurred on the territory of the municipality of Moutier, the competent authority of the canton of Jura is automatically informed and involved.

The canton of Bern undertakes to provide, as soon as possible, all the information requested by the canton of Jura and necessary for supervisory activities.

The vehicles in question are equipped with the Jura Polycom communication system.

Patients taken care of by the ambulance on the territory of the municipality of Moutier are transported to the nearest facility that has the appropriate technical resources and is listed on the hospital list of the canton of Jura.

The patient's free choice is guaranteed according to the Federal Law of March 18, 1994, on Health Insurance (LAMal).

This agreement enters into force on January 1, 2026.