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County EMS officials warn of mounting reimbursement gaps and recommend options including JPAs or an exclusive operating area
Summary
Local EMS presenters told supervisors the county has no single contracted ambulance provider, faces reimbursement pressure from pending state and federal changes, and is considering options including JPAs, an EOA, audits of Measure P allocations, and further mapping of coverage and tax boundaries.
Tammy Bartleme, acting program administrator for Public Health emergency preparedness and EMS, and Jen Banks, Emergency Medical Services Coordinator for Coastal Valleys EMS Agency, presented a systematic review of emergency medical services in Mendocino County and cautioned about looming financial pressures.
Banks told the board there currently is no single contracted 9‑1‑1 ambulance provider to guarantee a dedicated resource; services are provided by a patchwork of ALS and BLS providers, fire departments and one private ambulance (MedStar). She said 2024 saw about 17,000 EMS calls countywide and highlighted long transport times in remote areas where alternate receiving…
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