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Commission renews REACH air‑medical franchise; membership program and treat‑no‑transport fee updated

Elko County Board of Commissioners · July 1, 2026
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Summary

The board approved a two‑year franchise renewal with REACH Air Medical Services to continue emergency air coverage in Elko County. REACH's representative highlighted rotor and fixed‑wing assets and a household membership priced at $99 per year; staff noted a treat‑no‑transport rate adjustment that offsets response costs.

The commission approved renewal of the county's franchise agreement with REACH Air Medical Services, extending the arrangement for two years with the option to renew further. County staff said the agreement has supported coordinated training and responses between REACH and local ambulance services.

Riley Little, representing REACH, told commissioners the company operates both rotor and fixed‑wing crews and offers a household membership that "covers the entire household for all out of pocket expenses should they be transported by REACH and costs only $99 a year." Staff also noted an updated treat‑no‑transport reimbursement (intended to offset supplies and response costs) that has risen from $340 to $440 and that interfacility transports remain primarily handled by the hospital's contracted provider. Commissioners approved the franchise renewal by voice vote.