Lyon County approved a $4,289,351 grant from the Nevada Health Authority’s Rural Health Transformation Program to fund ambulances, quick-response vehicles, single-role EMT/paramedic positions, dispatch software and billing assessments through Aug. 30, 2027. The board voted 5-0 to accept and authorize the emergency manager to sign.

Community paramedicine (CP) and mobile integrated health (MIH) are healthcare delivery models designed to fill gaps in the outpatient setting. CP and MIH support the current infrastructure by bringing...

Lawrence Douglas County Fire Medical officials asked commissioners to fund a team lead, a third MIH paramedic and equipment to create two MIH teams for a pilot alternative-response program intended to reduce repeated EMS use and gather data on diversion from ambulance transports.

Commissioners approved updated fire contracts developed with local chiefs and voted to approve several budget amendments; staff described a $300,000 MIH/community paramedic grant (about $70,000 of which covers a vehicle) and said recruitment and program setup are underway.

Randolph County EMS reported a multi-year Grow Indiana grant to launch a community paramedic program focused on reducing hospital readmissions; the board was told year‑1 funding is roughly $138,000 and staff will return with details before committing to the grant agreement.

Miami Township trustees and Yellow Springs officials described a transition to a largely paid fire/EMS model, faster response times and a community paramedic program, and reported they will seek an additional 0.8-mill levy to fund equipment replacement and a capital plan.

Douglas County commissioners heard Lawrence-Douglas County Fire Medical leaders explain supplemental budget requests to add an MIH team lead, a third MIH paramedic and an EMS billing specialist, and discussed pilot dispatching, vehicle and training needs, expected revenue impacts and partnership roles.

County presenters described a community paramedic program that has completed about 200 patient encounters in six months and produced roughly 81 clinical interventions; the county is negotiating a vendor contract that would seek reimbursement (about $120/hour billed to Medicaid/Healthy Blue) to sustain the service without upfront county cost.

Chief Miller briefed the board on a CORE initiative using opioid settlement dollars to expand community paramedics; the county was earmarked $775,000 in year one, asked to allocate about $467,000 to five full‑time positions, and commissioners gave consensus to proceed pending finalized contracts and a written sustainability plan.

Staff told commissioners Buncombe has obligated $50.7M in SLFRF (ARPA) funds, with about $3.8M available for reallocation (including ~$3.5M from a delayed Cox Avenue project); staff plans to propose reallocations for emergency response and community paramedics and will ask the board to ratify two line‑item transfers and consider reallocations on June 2.