Commissioners moved to approve county claims totaling $486,099.09 and discussed a major line item supporting ambulance operations in the county.

An unnamed commissioner noted the large item: "That was the amount that we approved ... they requested their $300,000 to operate the ambulance service," referencing a $300,000 payment to Central Fire; the transcript also recalled a prior $319,000 payment to the city of Idaho Falls, which together represent roughly $619,000 in recent county ambulance-related payments for the area.

Unidentified Speaker 2 moved to approve claims from 'November 44 to 11/22/2024' for the total amount stated; the motion was seconded and the roll call returned "Aye." The transcript does not record a full roll-call breakdown by name, though several commissioners said "Aye" on the record. Board discussion noted many election-worker claims on the list and that recruitment for election volunteers is getting harder.

The motion to approve claims carried; the board proceeded to approve meeting minutes and continued with other agenda business. No modifications to claim amounts were recorded in the transcript.