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MedAct proposes fee increase to 2× Medicare and hires to expand impact‑ambulance hours
Summary
County Emergency Services proposed increasing MEDAC user fees to twice the Medicare allowable rate, hiring nine EMTs/paramedics and expanding an impact ambulance schedule to 12 hours a day, seven days a week, funded initially by a $1.2 million draw from general‑fund reserves for FY2026.
Johnson County Emergency Services and MedAct leadership presented a proposal to expand impact ambulance coverage and adjust user fees to stabilize operations amid sharply rising call volumes and workforce pressures.
Paul Davis, Director of Emergency Services, said MedAct call volume has risen roughly 67% since 2010 while county population grew about 13.5%. In 2025 MedAct averaged 156 calls per day with peaks to 236; the system is designed for about 130 calls per day. Unit availability and response performance have declined, and the county…
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