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York County approves amended ambulance cost‑sharing agreement with City of York
Summary
The board approved an amended agreement with the City of York that ties the county’s payment to the proportion of rural ambulance calls and net program costs; commissioners said the new formula will be used in the 2026–27 budget and noted the county will budget the higher estimate.
York County commissioners voted to approve an amended cost‑sharing agreement with the City of York that calculates the county’s annual payment based on the percentage of ambulance calls that are outside the city limits and the program’s net costs.
County staff described the formula and said the change reflects actual call distribution and revenue. The amendment removes prior language that routed transfers through the county and clarifies that interfacility transfer procedures will follow the city’s protocol; the updated agreement uses prior‑year call activity and program revenue to allocate net costs.
Why it matters: The agreement defines how York County helps fund ambulance service for rural areas that do not belong to a municipal ambulance district. Commissioners said staff will use the revised formula to set the county’s 2026–27 budgeted amount and will monitor year‑to‑year fluctuations in call share.
Board action: The board approved the amended agreement by roll call. Commissioners noted the county’s share may increase or decrease in future years as call distribution changes and that the formula is transparent and subject to review with city records.
Implementation: County and city staff will apply the formula for next year’s budget work and share call‑data reports for accounting and oversight.
