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Dirks: ambulance bills come from private providers, not the city; state fixes are being pursued
Summary
City Manager Greg Dirks explained ambulance transport bills are issued by private providers (e.g., AMR) overseen by the county; he said those fees do not go to the city and that the city is working with state legislators to fix gaps between fire, county and ambulance systems.
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Dirks clarified how ambulance and 9-1-1 funding interact with city services. He said when fire responds and an ambulance transports a patient the ambulance bill is issued by a private company and does not flow to the city or the fire department. "That money doesn't go to the city. That money doesn't go to the fire department," Dirks told the audience, citing AMR as an example of a contracted ambulance provider.
He added that the interconnection between fire, the county and ambulance providers creates gaps and that the city is working with state legislators to address those issues, but he said the ambulance/transport billing system is largely outside the city's authority.

