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Town Board of the Town of Hamburg August 24, 2026 Meeting 4.2. Public Hearing-Ambulance District In the Matter of the Establishment of the Town of Hamburg Ambulance District in Town of Hamburg, County of Erie, New York ORDER CALLING PUBLIC HEARING WHEREAS, the Town Board of the Town of Hamburg, New York, County of Erie (Town) has determined that the availability of reliable, adequately staffed, and properly equipped emergency medical and ambulance services and vehicles within the Town is critical to maintaining the health, safety and welfare of those within the Town; and WHEREAS, prehospital emergency medical services and general ambulance services (Ambulance Services) within the Town are currently provided through contracts with (i) the Hamburg Volunteer Ambulance Company, Inc., a not-for-profit corporation; (ii) AMR, a private for-profit corporation; and (iii) multiple Volunteer Fire Companies that serve the Town (collectively Ambulance Service Providers); and WHEREAS, under the current model, the recipient of Ambulance Services is responsible for Ambulance Service Provider costs, which are paid either through health insurance reimbursement (including Medicare and Medicaid) and/or direct payment (which is not always collected from such recipients); and WHEREAS, the Ambulance Service Providers receive insufficient revenue from insurance reimbursements and direct payments to sustain their operations within the Town, and this revenue shortfall is expected to increase due to rising call volumes, increased staffing and equipment needs, and declining volunteer capacity for the Volunteer Fire Companies; and WHEREAS, the continuation of the current patient-pay Ambulance Services framework within the Town is not financially feasible, and is therefore not sustainable; and WHEREAS, for these reasons, Town Board of the Town, pursuant to Article 12-a of the New York Town Law, desires to establish the Town of Hamburg Ambulance District (Ambulance District or District) to provide adequate funding, and a stable and sustainable funding mechanism, to meet the Ambulance Services needs within the Town, including the continued availability of reliable, adequately staffed, and properly equipped emergency medical and ambulance services and vehicles for those within the Town; and WHEREAS, the Town has prepared a Map, Plan and Report for, and to support the potential formation of, an Ambulance District (Report), in such detail as required by Section 209-c of the Town Law; and WHEREAS, the Report has been filed with the Town Clerks Office and is available for public inspection; and WHEREAS, it is in the best interest of the Town that the Ambulance District includes all properties within the boundaries of the Town, including all properties located within the Villages of Blasdell and Hamburg (the Villages); and WHEREAS, pursuant to Article 12-a of the Town Law, the Villages may be included in the proposed 25