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EMS proposes fee increases and warns House bill compliance will raise personnel costs

Cole County Commission · December 4, 2025
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Summary

EMS leadership proposed a 6–7% increase in base service fees and a $0.50 per-mile increase to offset rising personnel, insurance and supply costs. They said compliance with House Bill 567 (raising entry-level EMT pay to $15/hour) will likely raise personnel services by about $160,000 in 2026.

County EMS leaders presented proposed fee schedule changes for 2026 and described a staffing and pay restructuring required by state legislation, asking the commission to consider fee and revenue adjustments to preserve service levels.

EMS proposed raising base service fees by roughly 6–7% and increasing the transport mileage fee by 50¢, citing…

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