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Committee approves RFP after EMS providers warn of millions in unpaid costs and structural shortfalls
Summary
EMS providers told the Emergency Response Services Committee that reimbursement shortfalls and unpaid patient bills are creating structural deficits; the panel authorized an RFP to study operational needs and funding options and asked staff to include delinquent billing and uncompensated care models.
Ambulance services told the Emergency Response Services Committee that shortfalls in reimbursement and rising bad-debt write-offs threaten operations and force local taxpayers to cover gaps.
Corey Johnson of the North Dakota EMS Association described recent cost and bad-debt data: Lake Region Ambulance carried $433,466 in bad debt for 2024 billable transports, and the Williston service wrote off about $141,919 in uncollected debt. Johnson cited newly available federal Medicare collection data showing a…
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