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Buchanan County EMS Advisory Council
EMS Advisory Council Recommendations
Below is a list of recommendations proposed to the Board of Supervisors and approved at their regular Board meeting on July 14th, 2025

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Tax levy of UP TO $0.75 per $1,000 of taxable valuations
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No income surtax
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Tax levy sunset of 15 years
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Funds generated from taxable valuations within the Jesup Ambulance district shall be used to support the Jesup Ambulance Service
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Funds generated from taxable valuations within the Fairbank Ambulance district shall be used to support the Fairbank Ambulance Service
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Funds generated from all taxable valuations outside of the Jesup Ambulance and Fairbank Ambulance districts shall be used to support a county-owned ambulance service and all First Responder services
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A 28E agreement shall be put in place which outlines the previous three recommendations and is agreed upon by Fairbank, Jesup, and Buchanan County
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Tax funds shall not be dispersed from the Emergency Medical Services Trust Fund unless pursuant to the 28E agreement
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In accordance with Iowa Code 422D, the Advisory Council shall annually review and assess the EMS needs of the county and file a report with the Board of Supervisors
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All requests for funding from the Emergency Medical Services Trust Fund shall be submitted to the Advisory Council for recommendation prior to being brought in front of the Board of Supervisors for approval.



