During the Iowa County regular meeting on September 19, 2025, officials discussed significant financial challenges facing the county's emergency medical services (EMS) and the potential for future funding through public hearings. The meeting highlighted a concerning budget variance, with actual expenses exceeding revenues by $257,331, compared to a budgeted difference of $200,797. This shortfall is attributed to a decrease in service volume and increased payroll costs, including overtime.

The EMS department reported an average transport charge of $1,521, while the average revenue collected was only $912, indicating a pressing need for financial adjustments. The department is also facing equipment needs, such as four new EKG machines, which are currently unfunded.

A key topic of discussion was the proposal to initiate public hearings regarding a resolution that could open the door for additional funding for EMS services. This resolution has been under consideration since 2021 but was not previously pursued due to adequate funding levels. However, as costs rise and funding becomes more uncertain, officials emphasized the importance of preparing for potential future needs.

Board members expressed mixed feelings about moving forward with the resolution. Some argued for a cautious approach, suggesting that the county should first assess its budget and explore creative funding solutions before committing to a public hearing process. Others highlighted the necessity of demonstrating support for EMS services and the potential benefits of having the resolution ready should funding become critical.

Ultimately, the board voted to approve the resolution for public notice, marking the first step in a lengthy process that could lead to a ballot measure for additional funding. This decision reflects a growing recognition of the essential role that EMS plays in the community and the need for sustainable financial support to ensure its continued operation.

As the county navigates these financial challenges, officials will continue to monitor budget developments and engage with the community to address the pressing needs of emergency services. The next steps will involve public hearings and further discussions to determine the best path forward for funding EMS in Iowa County.