County leaders discuss EMS funding challenges and potential legislative solutions

In a recent San Juan County Commission Work Session held on May 6, 2025, officials engaged in a critical discussion regarding the financial burdens associated with emergency medical services (EMS) and the implications for local municipalities. The meeting highlighted concerns over perceived double taxation and the need for collaborative solutions among the county, cities, and healthcare providers.

A key point of contention arose around the financial responsibilities of cities in relation to EMS costs. Officials expressed frustration over the increasing financial demands placed on municipalities, particularly in light of existing taxes such as the San Juan health care tax. One commissioner articulated the challenge of justifying additional costs to constituents, emphasizing that the current system feels more like a bill than a tax. This sentiment reflects a broader concern about the sustainability of funding for essential services like EMS, especially as costs continue to rise.

The discussion also touched on the complexities of patient transport and billing practices. Commissioners noted that while EMS is classified as an essential service in Utah, the financial realities of transporting patients—especially to facilities outside the county—pose significant challenges. One commissioner recounted past experiences with long-distance transfers, revealing that the costs incurred often outweighed the revenue collected, leading to a reevaluation of transport practices.

The need for a unified approach was a recurring theme, with several officials advocating for a meeting with the local hospital district to address these financial issues collaboratively. They stressed the importance of including all stakeholders in the conversation to develop a comprehensive solution that addresses the needs of both the county and its cities.

Additionally, the commissioners discussed the classification of counties based solely on population, arguing that this method does not adequately reflect the economic realities faced by smaller counties like San Juan. They proposed engaging with legislative representatives to explore potential reforms that consider both population and economic factors, which could lead to more equitable funding solutions.

In conclusion, the San Juan County Commission's work session underscored the pressing need for a collaborative approach to address the financial challenges facing EMS and local governments. As discussions continue, officials are hopeful that by working together with healthcare providers and state legislators, they can find sustainable solutions that benefit the entire community.