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Board reviews EMS district structure, funding and oversight; no vote taken

5842536 · September 23, 2025
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Summary

Trustees reviewed a staff-commissioned report on the Cross Plains area EMS district that outlined governance, funding shares and options including continued membership, a standalone village district, subcontracting and a referendum. No final action was taken; staff will continue discussions with neighboring jurisdictions.

Village trustees heard a detailed presentation of an EMS district review that examined the current intergovernmental agreement, financial trends and governance shortcomings. The presentation summarized that the EMS service has transitioned from primarily volunteer to a largely paid-staff operation and that the district’s annual operating costs and governance structure have changed substantially since the existing agreement was drafted.

Staff and trustees discussed three main issues: the district’s financial impact on the village levy, the district board’s decision authority (including the potential for major expansions such as a second staffed ambulance/crew) and the need for improved transparency and records management. Village staff said the district’s current cost allocation by population results in the village bearing about 60% of operating burden while smaller towns pay a much smaller percentage; staff proposed adjustments in governance and checks on large financial decisions.

Village staff said they have requested that the district and all member jurisdictions agree to extend the deadline for any notice of withdrawal so the village can negotiate rather than be forced into an immediate exit. Trustees also discussed alternative models briefly presented in a consultant report: forming a standalone municipal EMS agency, consolidating with another district, or contracting services to a private provider. Staff and trustees noted that contracting is typically cost‑effective only at larger service-population scales and that it would not be an immediate or simple fix.

Trustees did not vote on any change to EMS governance or membership. Board members asked staff to continue discussions with neighboring towns and with the district board, and to return to the trustees with recommended governance language, proposed transparency requirements and the financial consequences of potential structural changes. The board then discussed dates and next steps and entered closed session for further negotiation discussion.