The Lincoln Parish Police Jury is moving forward with negotiations that will likely lead to a contract with Pafford Medical Services to provide emergency medical ambulance service to residents outside the city limits of Ruston, it was said at last night’s meeting of the jury.
Several sources with knowledge of the matter told LPNO that if that deal is made, about 40% of the revenues from insurance billings would go to Pafford instead of Ruston EMS. That number is the approximate percentage of emergency calls that are outside the city limits of Ruston, and will no longer be handled by Ruston EMS after January 1, 2023.
According to the latest figures we have available from the city’s buget, Slightly over $1 million was collected by Ruston EMS from various insurance carriers (Medicare, Medicaid, private insurance) on behalf of emergency patients handled by the agency.
Forty percent of that figure would amount to about $400 thousand.
Ruston Mayor Ronny Walker had demanded that the police jury pay almost $650 thousand/year to continue rural emergency ambulance service outside Ruston’s city limits. That proposal was voted down at last month’s jury meeting.
Lincoln Parish Ambulance Committee Chair Charlie Edwards told the jury that negotiations with Pafford are ongoing and should be ready to present to the jury’s legal advisor within a short time.
Said Edwards, “I expect to see a contract by the end of this week, give it to the committee at the next meeting, and possibly also have it to Mr. (Assistant DA Lewis) Jones for his review.”
“If somebody on January 1 needs 911 and an ambulance, they will get it, one way or another,” he added.
Edwards said the cost of the subsidy to Pafford is $360 thousand, and would provide for Advanced Life Support (ALS) units staffed with a paramedic. He also addressed the issue of standards, saying that Pafford operates under state law and standards set by the Louisiana Bureau of Emergency Medical Services.
Edwards is a retired engineer with Claiborne Electric and now operates a company that provides communications equipment for public agencies and utilities. He also serves on the Ruston/Lincoln Fire and Police Civil Service Board.
Also addressing the jury on the issue was Pafford Chief Operating Officer Shane Davidson.
Davidson noted that since their company operated all over North Louisiana, response times in outlying areas of Lincoln Parish could be quicker than that presently provided by Ruston EMS, as they have units stationed in towns close to the parish border, like Arcadia, Bernice, or Famerville.
He also said that if Pafford had the ambulance service for the city, no subsidy would be needed, as the insurance billings from those calls would provide enough additional income to cover the costs.
Said Davidson, “If we were running this entire parish, and Ruston city decided ‘hey, we’re not going to run ambulances any more, we’re going to let you do it, Pafford,’ we wouldn’t charge a subsidy. Because we would be picking up all the volume for the city calls, and we wouldn’t need a subsidy.”
Several area taxpayers spoke during the public comment period, including local restaurateur Chris Garriga.
Garrida questioned why no action was taken by the police jury when over a year ago the city offered the jury a long term contract for $120 thousand, and that last month the jury should have followed the recommendation of the ambulance committee and taken the city’s $650 thousand offer.
Bill May questioned why all of a sudden the city is short of money for ambulance operations.
Said May, “I don’t understand why suddenly all of this needs to be addressed, and all of this extra money needs to be provided. It doesn’t really pass the smell test to me.”