Trending Topics

Iowa county voters to decide EMS levy amid rising costs, budget questions

The proposed levy would let Iowa County supervisors collect up to $1.50 per $1,000 of assessed value for 15 years, as one supervisor questions the need given flat call volume despite EMS expenses rising more than 30% since 2022

Iowa county voters to decide EMS levy amid rising costs, budget questions.jpg

Iowa County EMS ambulances.

Iowa County EMS | Facebook

IOWA COUNTY, Iowa — Questions are mounting over a proposed EMS tax levy in Iowa County that would impact both emergency response funding and property tax bills.

Under the proposal, county supervisors could collect up to $1.50 per $1,000 of assessed property value for as long as 15 years, KCRG reported.

| NEW RESOURCE: Medication management: Pre-shift checklist

Supervisor Abigail Maas argued the county should first explore ways to cut costs before turning to residents for additional funds.

“Before we go to the taxpayers for another levy, I think we need to fix our current budget,” Maas said

Maas pointed to county records showing dispatched calls dipped slightly over the last two years, even as EMS expenses rose more than 30% from 2022 to 2025. She said she supports EMS but questioned whether the data justifies another tax, arguing the numbers don’t support adding a third ambulance or another $1.50 levy.

Maas said that if voters approve the levy, she will push to use as little of it as possible.

At the town hall, first responders advocated for the levy, saying it could boost their funding, the Hometown Current reported. Iowa County currently does not provide financial support to quick response teams, which are part of EMS but separate from the county ambulance department. However, according to Iowa County EMS & Safety Rabe, the ambulance service does provide some disposable supplies, continuing education and shared software.

Maas said she ran for supervisor on fiscal responsibility and transparency. She said she understands people have an emotional reaction when it comes to emergency services, but that isn’t fiscally responsible, adding, “We can’t always justify emotional responses.”

Iowa County contracted with several companies before partnering with Marengo Memorial Hospital in 1981, which ran the ambulance service while the county covered equipment and subsidized costs, according to the Williamsburg Journal Tribune. The hospital’s operating expense totaled $939,489 in 2012, with the county’s subsidy averaging $279,537 a year.

The Iowa County EMS Association, formed in 1988, is governed by a 12-member board representing first responders, rescue and ambulance teams, and has received state and grant funding for training and equipment. Maas said the county now pays $900,000 a year for ambulance service.

According to Rabe, 53% of the ambulance budget comes from service charges and 47% from property taxes, with total expenses for fiscal year 2026 reaching $2.3 million.

The groundwork for the ballot measure was laid in September 2025, when supervisors passed a resolution designating EMS as an essential service, a required step before an EMS levy could be brought to voters.

Voters will decide the measure on the Nov. 3 ballot.

Trending
North Oakland County Fire Authority, Oxford, Holly and Groveland Township will use the regional grant to replace 15 aging cardiac monitors
San Luis Ambulance, the county’s exclusive provider since 1945, will compete against a Paso Robles-led public-private partnership proposal as county supervisors prepare a Request for Proposal update
A new audit found the city lacks basic oversight of its behavioral crisis response program, which has cost more than $25 million since 2021, as a council vote to keep current vendor Canopy Roots instead of a new contractor faces a mayoral veto
Walter Gera, 34, is accused of repeatedly kicking an EMT and damaging a Schuylkill EMS ambulance during a voluntary mental health transport, with troopers executing an arrest warrant after his psychiatric discharge

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.