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Greenlee County outlines budget priorities: health-insurance costs, ambulance pre-funding and PSPRS contribution
Summary
County staff told the board the county faces rising health-insurance costs driven by specialty drugs, proposed pre-funding ambulance purchases to avoid supply delays, and recommended an additional PSPRS contribution (around $300,000) to stabilize actuarial funded status; staff also proposed shifting most SRS funds to schools pending confirmation of PILT funding.
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County Administrator Derek Rapier led a budget work session March 17 that reviewed wages, insurance costs, capital priorities and retirement-fund funding, and requested board direction on several fronts ahead of formal budget decisions.
Rapier said health-insurance costs are rising, driven in part by specialty biologic drugs, and described a change in the county’s prescription strategy and provider that reduced a projected rate spike. “We switched drug benefit providers. That alone knocked out most of that high cost,” Rapier said, while noting some high-dollar claims remain drivers of premium increases.
On emergency medical services, Rapier recommended prefunding ambulance replacement so the county is not constrained by long supplier lead times. He said the county typically rotates ambulances every other year to keep fleet age under control and suggested putting cash aside in the current fiscal year so an acquisition is not delayed.
Rapier also briefed the board about Secure Rural Schools (SRS) and Payment in Lieu of Taxes (PILT). He said staff’s initial recommendation would be to retain a nominal county SRS amount (example cited: $1,000) and pass most SRS distributions to schools, contingent on confirming PILT funding timing and prospects.
On PSPRS (public-safety pension) actuarial funding, Rapier explained a recent jump in measured unfunded liability stemmed partly from wage increases that exceeded actuarial assumptions. He proposed a targeted cash contribution "probably in the neighborhood of $300,000" to help restore a previously high funded ratio and avoid larger future liabilities.
Rapier asked the board for direction; members expressed support for continuing a shared approach to insurance-cost increases and for planning ambulance funding and PSPRS work as staff develops concrete proposals.

