New Castle County advisory board debates ambulance billing, collection shortfalls and centralization options

May 28, 2026

At a New Castle County Fire and Ambulance Advisory Board meeting, members and fire company representatives debated whether to include EMS billing in an operational study, raised concerns about low collection rates (some as low as 29–35%), and discussed voluntary county RFPs and vendor penalties. The committee asked procurement to research vendor options.

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The New Castle County Fire and Ambulance Advisory Board spent much of its meeting Wednesday weighing how ambulance billing affects volunteer and paid companies and whether billing should be folded into a county operational study or handled separately.

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