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County awarded $400,000 to shore up ambulance services; local leaders warn Medicare shortfalls leave a gap
Summary
Fire/EMS staff told the council County Health awarded $400,000 to support ambulance services over two years, but said the actual cost per transport exceeds $3,000 while Medicare pays under $1,000 — creating a structural funding shortfall for local ambulance operations.
Scott reported that County Health has agreed to a two‑year support award for local ambulance service: "the county did, County Health did award us, $400,000 to help support the ambulance service over 2 years." He said the agency’s completed cost study shows the average cost per transport exceeds $3,000 while Medicare reimbursement for a typical call is often less than $1,000, leaving agencies to cover the balance from other revenues.
Council members and staff noted the $400,000 award is a short‑term "band‑aid" and that longer‑term state action or dedicated revenue is likely required to sustain ambulance service. Scott and others said they will pursue additional funding conversations at the county and state level and continue strategic planning for ambulance procurement and operations.
