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Colo. FD eyes community paramedics to ease non-emergency 911 load

Grand Junction would add three fire department posts for advanced-practice paramedics, redirecting lower-acuity and chronic calls under physician oversight

GRAND JUNCTION, Colo. — Grand Junction’s 2026 proposed budget includes a Community Paramedic Program to tackle rising non-emergency 911 calls, which the city says account for about 30% of requests.

Instead of routinely sending both an ambulance and a fire engine, the plan would add three fire department positions focused on lower-acuity and chronic conditions; paramedics would likely be reassigned from existing staff, according to KKCO.

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“This is an advanced practice paramedic, so it still requires you to be a paramedic, and then they can actually do a few different things,” interim Public Safety Chief Matt Smith said. “These will be paramedics who can actually practice medicine and work under the supervision of a doctor.”

The program remains in development, but officials say it’s designed to boost fire department efficiency and generate future savings without reducing service levels.

The goal is to steer patients to the right part of the city’s EMS ecosystem: emergency departments, primary care, EMTs, paramedics and fire department resources, so lower-acuity calls are handled more appropriately.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.