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Commissioners approve ambulance and hospital district resolutions and accept audit letter noting ARPA overexpenditure

Madison County Board of Commissioners · June 2, 2026
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Summary

The Madison County Board approved a resolution reestablishing the Madison and Ruby Valley Rural Ambulance District and a resolution creating the Big Sky Hospital District (one commissioner abstained), authorized staff training attendance, and accepted a required governor letter and audit review that noted one ARPA fund overexpenditure from 2024–25.

The Madison County Board of Commissioners approved several procedural resolutions and routine items. The board approved resolution 26‑2026 to reestablish the Madison and Ruby Valley Rural Ambulance District and approved resolution 27‑2026 to create the Big Sky Hospital District; one commissioner announced an abstention on the hospital‑district resolution.

The board also authorized the planning director to attend an energy economics and rural Montana workshop and accepted a required governor letter and audit review. Commissioners said the audit contained one issue: an ARPA fund number for 2024–25 had been overexpended and was recorded as the lone red flag in the audit report.

All motions were approved following standard motions and seconds recorded on the record.