Proposal to raise Door County’s ambulance fees and to add additional ones, starting on July 1, 2025
A listing of existing and potential future fees, dated March 3, 2025, is listed at https://www.co.door.wi.gov/AgendaCenter/ViewFile/Agenda/_05132025-1869#page=42, with the draft resolution on the preceding page. The draft resolution was written for consideration at the 9:00 a.m., May 27, 2025 Board of Supervisors meeting.
The agenda document does not describe any decisions, changes, or recommendations the Judiciary & Public Safety Committee made during their meeting, which was held on May 13, 2025.
The agenda omits a discussion of how small the Medicaid and Medicaid reimbursement rates are in comparison to the amount billed by the county, but a comparison of reimbursement rates with the list of fees can be made with the help of the following two links:
Topics, either directly or indirectly related to the ambulance billing controversy, can be gathered from these four articles:
March 6, 2025: Emergency responders can’t find a place to live close to where they save lives [begins with an interview of Aaron LeClair, who submitted the list of fee increases to the Judiciary & Public Safety Committee]
https://www.badgerinstitute.org/emergency-responders-cant-find-a-place-to-live-close-to-where-they-save-lives
April 25, 2025: Wisconsin EMS providers are ‘in crisis.’ Lawmakers have ideas [not about Door County specifically]
https://captimes.com/news/government/wisconsin-ems-providers-are-in-crisis-lawmakers-have-ideas/article_5684b2de-2817-4bc6-bcd6-1a85810c4f2f.html
July 31, 2018: Door County Board approves ambulance fees increase
https://www.greenbaypressgazette.com/story/news/local/door-co/2018/07/31/door-county-board-approves-ambulance-fees-increase/871191002
July 27, 2018: County Board Sends New Ambulance Fee Back to Committee
https://doorcountypulse.com/county-board-sends-new-ambulance-fee-back-to-committee
A 2023 survey reported:
EMS providers reported experiencing housing insecurity (23.0%), food insecurity (27.4%), struggles with substance use (20.9%), mental health concerns (41.5%), domestic violence (18.5%), and healthcare affordability concerns (30.8%) during their EMS career. Almost 90% of study participants screened positive for burnout.
https://www.jems.com/ems-management/prevalence-social-needs-social-risks-ems-providers
Medical related posts
https://doorcounty.substack.com/t/medical-related