Utah EMS leaders discuss rural healthcare funding and operational challenges

The San Juan County Commission held a work session on May 6, 2025, focusing on the challenges and solutions related to emergency medical services (EMS) in the region. The meeting addressed the disparity in paramedic availability between urban and rural areas, emphasizing the need for highly skilled personnel in rural communities due to longer response times and patient care durations.

One key discussion point highlighted the significant difference in survival rates between Utah and Washington, despite Utah having a higher number of paramedics in similar-sized systems. Participants noted that rural areas require more specialized training and resources to manage emergencies effectively, given the extended time paramedics spend with patients.

The commission also discussed the implications of the recent $8.5 million TRT grant, which aims to support rural EMS services. The Rural EMS Directors Association of Utah has secured a position on the grant board, raising hopes for equitable distribution of funds among the 43 rural EMS agencies in the state.

Concerns were raised about the financial sustainability of EMS services, particularly regarding billing practices and the impact of Medicaid and Medicare reimbursements. The discussion included potential solutions, such as establishing a special service district to manage EMS funding more effectively. This would allow for a more flexible tax structure that could adapt to changing financial needs.

Commissioners expressed the importance of collaboration between cities and the county to address these challenges. They acknowledged the need for a comprehensive approach to ensure that EMS services remain viable and effective for both residents and visitors.

The meeting concluded with a commitment to explore further discussions with the health service district and other stakeholders to identify viable solutions for improving EMS operations and funding in San Juan County. The commission plans to reconvene in the coming months to review progress and continue addressing these critical issues.