On behalf of the West Virginia EMS Coalition, which represents over 80% of all emergency ambulance responses in the state, I would like to express our support for HB 4121 regarding the reporting duties of county commissions on ambulance services.
This bill was developed in response to legislative requests for information on how counties are delivery and funding EMS. Counties are increasingly passing levies, adopting ambulance fees, or making direct budget appropriations to support EMS within their counties yet there is no centralized system for collecting and reporting this information.
In working with the bill’s sponsor, we carefully crafted the legislation to ensure there were no unfunded mandates created for county commissions. We recognize a bill that imposes additional costs on counties would be difficult to pass.
The bill does require every county to make EMS service available without any requirement for funding it. Every county is already in compliance with the requirement.
Each county's 911 center has designated one or more emergency ambulance agencies for response, ensuring compliance with the proposed requirements.
Line 11 of the bill and current law says, "The county commission may provide the service directly through its agents, servants and employees; or through private enterprise; or by its designees; or by contracting with individuals, groups, associations, corporations or otherwise; or it may cause such services to be provided by an authority, as provided for in this article…” This existing law provides significant flexibility to counties in balancing emergency care and financial responsibility.
The current method of ensuring access to EMS in counties would remain unchanged. Approximately, half of West Virginia’s counties have established a county ambulance authority or a similar structure for the delivering of EMS. The rest designate or contract with a non-profit/private agency to provide the response.
For instance, Raleigh County, which designates agencies such as Jan-Care, Ghent VFD EMS, Best Ambulance, and Bradley-Prosperity VFD for EMS, will continue operating as they currently do without any additional funding requirements.
The bill does not impose any mandates that would result in increased costs for counties, including no provisions regarding the manner of emergency ambulance service delivery, the required number of ambulances per county, or specified response times.
The proposed deletion concerns outdated language from 1975 when the EMS Act was initially drafted. At that time, the modern EMS system in West Virginia was still developing, and not all counties had established centralized 911 systems or well-organized and regulated EMS agencies. Today, however, all counties provide EMS services in some manner. There is a consensus that EMS is an essential service, and no exemptions should be allowed for failing to provide life-saving response capabilities.
What HB 4121 does:
The WV EMS Coalition believes this legislation is an important step towards provide legislators with the information needed to support future decisions about the funding and structure of EMS in West Virginia. We hope the Legislature continues to advance this bill towards passage.