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Greene County supervisors outline phased plan to convert Green EMS into county-run system
Summary
Town supervisors and county legislators described a multi-year plan to make EMS a county-operated service, beginning with hiring an EMS coordinator in 2026 and a phased system rollout in 2027. Officials emphasized staffing, funding and asset-transfer questions remain to be resolved.
Greene County legislators and town supervisors discussed a multi-year proposal on Tuesday to transition local emergency medical services into a county-run system, beginning with a 2026 planning phase and a proposed 2027 operational rollout.
The outline — presented by Patrick, town of Casco supervisor — calls for Greene County to hire an EMS coordinator in 2026 to oversee planning and standardize purchasing, training and dispatch integration. The document proposes absorbing the existing Green EMS paramedic organization into a county agency, shifting billing and payroll to the county and phasing operational changes in 2027.
The supervisors framed the change as a way to standardize service levels across municipalities and relieve towns of operating costs. “We have unanimous unanimous agreement from the towns, that this is a direction in which we wanna go,” Patrick said.
Under the high-level timeline presented, 2026 is the planning and infrastructure year: hire an EMS coordinator, implement centralized county purchasing and a new recruitment system, and assist municipal and private EMS…
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