Counties could raise taxes to fund ambulances

Before this month, some rural Iowans were facing the prospect of calling for an ambulance and having no one show up, emergency services officials said.

That may change now that counties can ask voters to increase property taxes to support their emergency medical services departments.

Gov. Kim Reynolds signed Senate File 615, which allows counties to designate emergency medical service (EMS) departments as an essential county service, placing it on an equal level with law enforcement and fire departments in the state.

The designation opens more funding opportunities to departments across Iowa’s 99 counties. A county’s board of supervisors can put up a tax for voters’ approval to benefit EMS departments. The vote must receive 60% approval from the community to pass.

Winnebago County paramedic and president of Lake Mills Ambulance Service Beth Aschenbrenner said she’s been advocating for increased funding to EMS departments for years after watching her department lose volunteers and medical professionals.

“We’re short staffed,” she said. “It’s like that across the state. And the community is starting to notice. In Lake Mills, EMS wasn’t getting out into the community as much as they should have, so we’re letting people know that we do need help.”

However, Aschenbrenner said support for her department ebbs and flows over time, so she’s unsure if residents in her county would want to increase their property tax. To find support, she said she wants to educate her community on what an ambulance does and what the tax could do for her county.

“These funds mean training dollars, maybe being able to compensate our people for the long hours they’re putting in, and gives us additional resources to get better equipment,” she said. “It’s going to help our community and the possibilities are limitless if we get our taxpayers to vote for this.”

Iowa lawmakers attempted to pass a similar bill last year before the COVID-19 pandemic. Eleven states and the District of Columbia classified EMS departments as essential services as of 2019.

Rural benefits

Iowa has several “EMS deserts,” leading to longer ambulance response times in rural areas, said Jamie Cashman, government relations manager at the Iowa State Association of Counties. He said more rural counties in the state are looking to use this legislation soon.

“We’re getting more questions from rural counties where these desert areas are,” he said. “There are counties that are very interested in using this legislation and now that it’s gone into effect, I assume the interest will only increase moving forward.”

Due to the newness of the legislation, he said some counties are still trying to understand their options and the best way to take action.

Rural counties, however, might have a hard time informing their constituents of the new law, Cashman said. There is a “lack of awareness” of the legislation, he said, that requires added time for county supervisors to explain the tax to their voters before it goes on a ballot.

“It’s going to be on the supervisors to go out to their communities and sell it,” he said. “Counties need to go out and educate their communities, especially the rural ones, on the delays and pickup times. I’m confident counties’ board of supervisors can make that sell to the people.”

Aschenbrenner said the pandemic has exacerbated the need for more funding to EMS departments, with a drop in volunteers, leading to low staff numbers over the past 16 months. The lack of volunteers and staff increases delays and the chance that an ambulance won’t respond to a call at all, she said.

In Winnebago County, one paramedic left the job because of uncertainty and the short staffing, she said.

“There was more stress because of COVID,” Aschenbrenner said. “There was a fear of the unknown, and it was hard.”