Sparks Mayor Ed Lawson is urging the city to request outside proposals for emergency medical services, challenging REMSA Health’s long-standing exclusive franchise in Washoe County. The agreement, extended earlier this year by the Northern Nevada Public Health board, has allowed REMSA to be the sole provider of ground ambulance transports in the region for over 40 years.
Lawson criticizes the current system for not recouping costs when Sparks Fire Department paramedics provide initial care on-scene, but REMSA ultimately bills for transports. “In essence, we’re supporting REMSA’s profitability,” Lawson said in an interview with KRNV, noting the city’s test program placing SFD ambulances on calls has been cost-neutral and sometimes faster.
REMSA Health responded, calling Lawson’s comments “an inaccurate representation” and emphasizing their nonprofit model, quick response times, and continued commitment to Sparks residents.
The mayor says his goal is to explore whether a city-run or alternative EMS provider could provide better service or financial benefits, including potential federal funding or franchise fees.
The push faces potential legal hurdles, including a possible lawsuit from REMSA and concerns from regional officials about maintaining stability in Washoe County’s emergency medical system. NNPH board chair Devon Reese cautioned, “Stability in emergency medical services is not something we can compromise or renegotiate based on shifting local priorities or budgets.”
City staff is drafting a request for proposals for the Sparks City Council to review within the next two to three months.
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