Nathan (EMS staff) and Frank (EMS staff) told the Butler County Commission that higher call volume and expanded training requirements have stretched the department’s existing training staff. "This is an additional training officer," an EMS representative said, describing an estimated annual salary of about $66,000 for the new position.
Why it matters: Staff told the commission that training for volunteer first responders across numerous fire districts and small departments is time-consuming but critical to maintaining emergency coverage in rural areas. Staff said the county’s EMS revenue is up this year and could partially offset personnel costs: early-year projections show roughly $250,000 more in transport revenue compared with prior periods.
What was discussed: EMS staff described duties for the proposed position, including outreach to evening volunteer trainings, coordinating with first-responder agencies and supporting mass-casualty command presence. "This person would be dedicated to supplementing the current full-time staff," an EMS speaker said. Staff estimated the position’s base compensation at the range-24 level used in county pay scales and noted the role would be a promotion/career ladder step within the department.
Commissioner response and budget context: Commissioners generally voiced support, noting better training can improve volunteer retention and response quality in parts of the county without near-term ambulance coverage. Staff said the EMS division projected increased revenue in the first half of the year but cautioned federal and state reimbursement rules (Medicare/Medicaid modifiers) are subject to change and could affect long-term payer mix and revenue.
Next steps: Staff said they will integrate the position into the proposed budget and consider smoothing any start-up costs with one-time funds if necessary. No formal vote on adding the position was taken at the meeting; commissioners asked staff to return with precise budget numbers and timing.