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Council directs phased plan to build city‑run ambulance service; staff estimates $5.5–6 million annual operations
Summary
After a presentation by the fire department, council unanimously directed staff to begin a phased implementation of an in‑house ground emergency medical transport program that would add ambulances and staff and aim to fund operations primarily through transport billing and public payer reimbursements.
The council voted to begin phased implementation of a city‑operated ground emergency medical transport program following a presentation by Battalion Chief Jeremy Day of the National City Fire Department.
Day said National City averages about 8,500–8,800 ambulance responses annually and presented a system design that would deploy three 24‑hour frontline ambulances (one at each of the city's three stations) and two reserve units for surge capacity. To staff that model under the department's three‑platoon system would require approximately 18 new frontline FTEs (two per ambulance per shift across platoons) plus supervisory…
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