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N.J. township votes to disband paid EMS, switch to county service

Wall Township’s Committee voted to dissolve the police department’s EMS division and rely on Monmouth County’s MedStar roaming ambulances

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Monmouth County Sheriff’s Office MedStar EMS vehicles.

Monmouth County Sheriff’s Office/Facebook

WALL, N.J. — Two days before Thanksgiving, a packed Wall Township meeting ended with a 4-0 vote to disband the municipality’s professional EMS and transition to Monmouth County’s MedStar program.

The decision drew sharp criticism from residents, EMS personnel and even the township’s police chief, who questioned the transparency of the process, the Asbury Park Press reported.

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The move dissolves the Wall Township Police Department’s EMS division, created in 1999, but leaves the township’s two volunteer squads, Community and Wall, unchanged, according to the Asbury Park Press.

Under the new plan, Monmouth County MedStar will provide roaming ambulances rather than units based at a fixed station, and Township Administrator John W. Tobia told residents the county will keep at least two ambulances in Wall Township at all times.

Tobia cast the move as a financial necessity, saying the free county service will prevent a growing EMS deficit from forcing cuts in other departments, including police. He said municipal EMS cost $1.9 million in 2024 and ran an $822,000 loss last year, with losses projected to top $1 million in 2025.

Do you think moving from a municipal EMS model to a county-run system improves or hurts patient care? Why?



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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.