From left, Chris Klingner, first lieutenant of the Rescue Squad, Dawn Marie Klingner, Rescue Squad captain, and Zachary Klingner, second lieutenant, and Chris and Marie’s son. The 100%-volunteer EMT squad operates within the Amenia Fire Company.
Story reprinted courtesy of The New Pine Plains Herald
POUGHKEEPSIE — “Over 400 times last year, an ambulance never got to the patient’s side; the patient had to get to the hospital another way,” said Dana Smith, commissioner of Dutchess County Department of Emergency Response (DCER). “What’s happening is unacceptable, and we need to do something about it.”
The critical state of Emergency Medical Services (EMS) in Dutchess County is sounding alarms among local and state officials. On March 7, Smith presented an eye-opening report before the county’s Public Safety Committee that indicated the crisis is part of a broader statewide issue. He reported that across New York, only half of the 70,000 certified EMS personnel are regularly available to answer calls, and that 30% of them plan to leave the force over the next three years due to the strenuous nature of the work and insufficient compensation.
County Legislator Chris Drago, who represents District 19 (Stanford, Pine Plains, Milan, Red Hook, North East and Millerton), is one of 12 members of the Public Safety Committee. Elected to his first term in November, he campaigned on EMS reform.
“Our EMS volunteers are doing incredible work; they’re asking for help, and that is hard for them to do,” said Drago. “We owe it to them to find solutions.”
A well-documented crisis
In his March 7 presentation titled “The EMS Crisis in Dutchess County,” Smith referred to three studies that analyzed EMS operations, documented failures and proposed fixes. “All the recommendations that we’re talking about, that we’ve done to date and our plans moving forward, come from these reports,” he said.
The 2017 Dutchess County EMS Task Forces, spearheaded by then-County Executive Marc Molinaro and a panel of 28 experts, produced a data-intensive report that established five benchmarks for the system: It must be “patient-centered, consistent, reliable, affordable and sustainable.” The task force recommended the formation of the Citizens Advisory Committee (CAC) on EMS to aid collaboration between towns and emergency service providers. The CAC, established in 2018, works closely with Smith, who said, “These are competent, capable people advising us; they know what they’re talking about.”
The 2021 Profile of Dutchess County EMS and Options for the Future is also rich with data, like 911 calls enumerated by town, season, month, week, day and hour. The study proposed incentives like tax credits and subsidized training to attract and keep EMS workers. It also advocated a regional approach to EMS in which towns would share costs of equipment and personnel, and the county — after obtaining a state-approved county Certificate of Need— would provide extra ambulances to fill in gaps.
The New York State 2023 Evidence Based EMS Agenda for Future made more than 20 key recommendations, including declaring EMS an essential service to assure dedicated state funding; adding 10,000 certified EMS providers in New York by 2025; and implementing measurable performance metrics that would be transparent to the public and standardized across the state.
“With the results of these studies and advice from the CAC, our plans are being made for the future,” Smith told the legislators. “The county has to come up with stopgap money right now. We’re looking at how to do that.”
Smith believes that the answer to fixing the county’s troubled EMS system lies in regional management. “It will help the taxpayer without putting small ambulance companies out of work and standardize the system so every town is doing the same thing,” Smith said. “It will give us time to figure out long-term funding.”
Two months ago, Smith distributed surveys to ambulance service providers in Dutchess County, seeking input about supplementing existing EMS coverage. “This way we’ll know where to place stopgap ambulances,” he said. Survey responses, due this month, will shape a formal proposal for extra ambulance service units under the direction of DCER.
“We’ve looked at Greene, Columbia and Montgomery counties,” said Smith, who is investigating different EMS models around New York. “We’ve seen Nassau County’s EMS: They spent a lot of money and they have a very fragmented system, I wouldn’t recommend it.”
Lawmakers beginning to act
With EMS stretched to its limits, elected officials, both at the county and state levels, are taking steps to help. The Public Safety Committee, DCER and Dutchess County Executive Sue Serino are working together on long-range regional EMS planning that would address each community’s needs.
Drago told the Herald, “In the short term, I’m advocating for county-staffed ambulances to be placed to supplement existing service, with one ideally placed in District 19. This will help alleviate the struggle that exists town by town and ensure we have a way of getting people to care faster.”
The 2024 Dutchess County budget includes a sales tax increase from 3.75% to 4%, in part to subsidize EMS. It has yet to be approved by the state.
Gov. Kathy Hochul signed legislation last year to make it easier for ambulance services to get paid: Reimbursement will go directly from the health insurance company to the EMS provider. Mark Browne, president and chief operating officer of Northern Dutchess Paramedics, said: “It used to be that payment went to the patient, making it more difficult for ambulance companies to get their money. It took a lot longer than it should have. Unfortunately, this change won’t even take effect until January of 2025.”
Hochul’s 2024-2025 proposed executive budget sets aside $8 million to revitalize the state’s EMS and $36 million toward improved Medicaid reimbursement for ambulance transport. It also grants Certificates of Need for county ambulance service, as recommended by the 2021 Dutchess County EMS study.
On Jan. 30, the New York state Legislature, in cooperation with EMS professionals and the New York State Association of Counties, released a package of bills called Rescue EMS, which contains seven proposals to revamp the system. “We are all aware that we need to help the emergency service [workers]” said Didi Barrett, assemblymember for New York’s 106th District, which includes parts of Dutchess and Columbia counties. “They put themselves in harm’s way every day. Finally, there’s enough critical mass in the legislature to get something done.”
Rescue EMS covers a wide variety of needs. The proposals are described by Barrett as “game changers.” One bill, if passed, would recognize EMS as an essential service, securing state and federal funding. It would also allow the creation of special tax districts to subsidize EMS services.
Barrett’s proposed legislation would allow volunteer firefighters and EMS workers to claim both state income and local property tax credits. “It will incentivize volunteer firefighter and EMS recruitment and retention,” Barrett said.
State Sen. Michelle Hinchey, who represents New York’s 41st District (which includes Northern Dutchess and Columbia counties, and portions of Ulster and Greene), is sponsoring a bill that provides Medicaid reimbursement for on-the-scene emergency care and ambulance transportation to non-hospital destinations, like urgent care centers and mental health facilities. It also would provide funding for telemedicine.
“Currently, EMS can only be reimbursed for treating Medicaid enrollees if they transport patients to a hospital ER, even if EMS has already provided the necessary care,” Hinchey told the Herald. “We cannot allow this status quo to continue.”
The remaining bills focus on funding and increasing the emergency workforce. Proposals include removing EMS from the property tax cap so towns can raise taxes more than 2% annually; increasing personal income tax credits for volunteer firefighters and ambulance workers from $200 to $800 for individuals and $400 to $1,600 for joint filers; creating a way to increase the amount of Medicaid ambulance reimbursements paid; and dispensing with tolls for emergency transport on New York thruways.
Lawmakers on both sides of the aisle are pushing for the Rescue EMS package to be included in the state budget, which is due April 1.
DCER supports the legislative package. “The bills address the major roadblocks faced by EMS; it’s a good start,” Smith said. “We still have a lot of asks, so we’ll just keep advocating. EMS needs recognition and support. We need to develop solutions that are patient-centered, consistent, reliable, affordable and sustainable for Dutchess County residents. It’s neighbors helping neighbors.”
This is the second article in The New Pine Plains Herald’s two-part exploration of the challenges facing local EMS systems, reprinted with permission of The New Pine Plains Herald. To see the first part in the series, visit www.newpineplainsherald.org
POUGHKEEPSIE — New mental health care access is coming to Northern Dutchess County as the demand for mental health services has been increasing.
Family Services Inc., an outpatient mental health clinic, has outgrown their facility, which was located at Northern Dutchess Hospital in Rhinebeck. Now, the incorporation is upgrading to a much larger location in Rhinebeck that is expected to open late this year.
“They’ll be working on being able to accommodate seeing children there as well. It’ll be basically like individual therapy or counseling sessions for youth and adults.” said Mental Health Commissioner Jean-Marie Niebuhr. “It will also be group therapy. There’ll be some opportunities for medication management, psychotropic medication management for mental health conditions.”
Family Services currently has eight locations, five of which are within Dutchess County and can be found in Millbrook, Rhinebeck, Beacon, Eastern Dutchess and Poughkeepsie.
The new facility will bring more resources and expand access to adults, and will now house the new children’s behavioral health program. This program will provide children up to the age of 17 with services that could include: comprehensive evaluation, crisis intervention, individual or family therapy, psychiatric evaluation and medication management, according to the Dutchess County website.
As well as this, Family Services can provide group or individual therapy with integrated needs for adults over the age of 18.
Therapy, individual and group, at Family Services is provided through licensed therapists and counselors, who have been trained in how to approach each individualistic situation. They also have a team of experienced psychiatrists, psychiatric nurse practitioners and nurses, if someone is seeking medication or medical needs.
“There’s five, and those are public mental health clinics, which means that they should be able to accommodate people with any type of insurance, or no insurance,” said Niebuhr. “They also take, of course, Medicaid and Medicare.”
Regardless of a person’s income or insurance coverage, Family Services works hard to provide for anyone in need. Their goal is to ensure the community can have access to quality behavioral health support, without any sort of stigma attached to it.
Dutchess County’s Department of Mental Health has provided $205,000 in funding to support Family Services’ new location and bringing mental health services to the northern part of the county. According to the Dutchess County’s government website, this funding was part of a contract amendment, redirecting previous funds that Family Services received and to repurpose the funding in order to establish the much needed children’s behavioral health services in their new Northern Dutchess location.
If Dutchess County residents are unable to access any of their local facilities, there is an option to get services online. Telehealth amenities can be obtained through Zoom, based on the individual’s needs and an assessment done by the clinical team.
Currently, the insurances that Family Services accepts are: Medicaid, Medicare, Aetna, Beacon Health Options, Blue Cross Blue Shield, CDPHP, Empire Plan, Fidelis, MVP, UBH Optum and Wellcare. However, the insurance being accepted can be subject to change at any time, and should be checked prior to any appointment.
“I envision the clinics being sort of the backbone of our mental health system. And accessing that type of care is really important because if you’re getting care, you’re much less likely to end up in a crisis,” said Niebuhr. “And of course, we want to do everything we can to avoid a crisis. So if people can easily get the help they need when things aren’t as bad, then hopefully we would prevent them from ever being in a mental health crisis.”
To schedule an intake appointment, call 845-276-4600 or the non-urgent email: intake@familyservicesny.org.
Cumberland Farms gas station on Route 343 in downtown Amenia.
AMENIA — Expanding the capacity for wastewater handling at the Cumberland Farms site along Route 343, the Planning Board at its regular meeting on Wednesday, Feb. 12, discussed the plans and referred the project on to Dutchess County officials for decision.
Representing Cumberland Farms was Caryn Mlodzianowski, project engineer for Bohler Engineering of Albany, specialists in engineering challenging sites.
Mlodzianowski described plans to replace the current inadequate septic system at the site with a larger capacity system installing four tanks that would collect, settle, pump and process, all on-site. A two-foot retaining wall on the western side is included in the plan. She was seeking site plan approval.
“The project is for construction of a new wastewater treatment facility,” explained John Andrews, Planning Board engineer, noting that the project is classed as a “minor improvement,” and therefore not subject to a public hearing.
“The site is subject to flooding and located in a floodway,” Andrews noted. “When you seek to fill in a floodway, the site needs to be examined by county officials.
Although bog turtles were said to be absent from the site, Planning Board member Ken Topolsky asked for documentation of the possible effects of any disturbance within the site’s wetlands.
Agreeing that there is a substantive flood potential on the site, Planning Board member Nina Peek also noted the absence of promised landscaping along the Route 343 frontage between the current parking lot and the road.
An application to allow for a private driveway to one of the lots that are part of the Tower Hill Subdivision was detailed by Rich Rennia of Rennia Engineering.
Terming it a “slight change in the map,” Rennia said that the plans were originally approved in June 2023, revised in January 2024, and re-approved the following month.
“One of the lots is now looking for a private driveway,” Rennia said.
The new proposal only adjusts a lot line, Andrews noted, but a public hearing on the change would be needed.
The Planning Board agreed to schedule a public hearing on the lot line change for their regular meeting on Wednesday, March 12.
MILLERTON — The Town of North East held a board meeting on Thursday, Feb. 13, to create a “memorandum of understanding” contract between the Village of Millerton and the town, explaining how the town will assist the village after its Highway and Water Department building caught fire on Feb. 3.
“The resolution authorizes the town superintendent of highways to assist the Village of Millerton and its highway department with plowing, repair and maintenance of the village highways,” supervisor Chris Kennan said. “Pursuant to provisions of section 142e of the Highway Law, during the period of the Village’s state of emergency.”
Village mayor Jenn Najdek was in attendance to share updates on the status of the investigation and village needs after the fire. “Everyone did a really good job, under extremely stressful circumstances, to figure out a path moving forward,” Najdek said, explaining the support from the town, county, state and surrounding communities has been beneficial and remains appreciated.
“We’re pretty fortunate. It makes you realize what a special place this is to live in,” Najdek said. “When all those resources all of a sudden show up at your door when you need them, that’s pretty cool.”
The town has unanimously accepted a bid for the installation of the Highway garage’s fencing, working with the company Fesco Fence.
For this project, the town received eight different bids from potential contractors with the ranging costs of $166,000 to $328,676. Fesco Fence was the lowest bid submitted, which included the company’s 10% contingency allowance of $15,090.91.
During the meeting Kennan spoke briefly about a new cell tower slated to be built in Ancram. He is receptive to feedback on the topic which has elicited a mixed response from residents. “It’s not in our town, but it’s right on our border and we are familiar with things like the Transfer Station that was placed in the Town of Salisbury,” Kennan said. “I think it’s important that we at least note this so we have an opportunity to talk about it.”
As of Thursday night, the town had collected 37% of taxes, and paid off the Fire District’s budget, according to Tilly Strauss. Along with taxes, the board created a flyer to send out with every receipt to show the community where their money will be going.
Amenia has now been certified as a pro-housing community and has completed the proper paperwork to show its updated zoning and/or building permits, councilwoman Meg Winkler said. “We will be getting into that next year, maybe the end of this year,” Winkler said.
The new Town Hall is now taking its first baby steps, Kennan said, he spent most of Thursday morning at the new building where he was working with a HVAC company to get the system up and running.
“It has been out of service for several years, so there are a couple pieces of equipment in those units that are not working,” Kennan said. “It’s really a first step in our process of getting the work underway, is to get that system working properly.”
Village of Millerton offices on Route 22
MILLERTON — On Monday, Feb. 10, a board meeting was held, largely centered on the impact of the Feb. 3 fire that destroyed the Village Water and Highway building located on Route 22. In addition to the loss of the building, vehicles, equipment and tools were also destroyed.
“If we go back to the cause, it is still undetermined,” said mayor Jenn Najdek, who stated foul play had been ruled out. She also confirmed the garage remained off-limits as the investigation is still ongoing.
Alongside the Mayor, village trustees expressed their concern regarding rumors as to the cause of the fire. According to trustee David Sherman, transparency with the public is key to distinguishing fact from fiction. “I think we should, through whatever releases we can make, make it abundantly clear what that status is so we can squelch these kinds of rumors that are oozing up in the community,” said Sherman.
The Village is working with Nordic Environment Finance Corporation, an independent cause and origin investigation company, to determine the cause of the blaze. According to Najdek, once the investigation is complete, investigators will greenlight the premises for entrance. Najdek also emphasized while investigators are working toward determining a cause, one may or may not be found, contingent on what the investigation yields.
According to Najdek, the Town of East Fishkill sent their engineer the morning of the fire to assist Village’s water operators in setting up a system to ensure drinking water would continue to flow. The village’s supply of drinking water has been continuously evaluated by the New York State Department of Environmental Conservation as well as the Board of health to ensure fitness for human consumption.
With one of the wells being destroyed in the fire, the Village’s water will be conditioned as required and pumped from well no. 1, known as the “doghouse,” to a holding tank as a temporary solution.
“Well no. 2 that was in the building, we can selectively demo around it, secure it, get a semi permanent structure,” Najdek said. “We don’t know what that’s going to be. There’s one hundred different solutions for that, and we will know more after this week.”
The Village trustees showed interest in an acting structure which resembles a “plug and play” system, where all water operating equipment will be housed. “We will be meeting with the engineer, the water operator and Pete [Dellaghelfa, Village’s Superintendent of Public Works], this week on-site and we will start looking for the immediate, short-term solution,” said Najdek.
Previously, the Millerton Water Department housed two 10-inch diameter wells in an unconsolidated aquifer that allowed filtration through 50 feet of sand and gravel. The water then gets pumped into an elevated holding tank, where it is treated and chlorinated before being distributed to residents.
Currently, well no. 1 is being operated by a generator while the power lines to the building are in the midst of being fixed. The intent of these lines, according to Najdek, is to potentially serve electricity to both of the wells and the baseball field lighting.
With the loss of vehicles and equipment, the village is hoping to be indemnified once insurance claims are settled. “We’ve incurred a lot of expenses so far,” Najdek said, explaining her confidence in village insurer New York Municipal Insurance Reciprocal. “I feel pretty good about them being able to handle our needs in a timely manner.”
The Village will have a three-month window to borrow vehicles or equipment as needed from the town, county or the state. “God forbid the county’s truck hits the bed, we can ask the state ‘Do you have any trucks that you could loan us?’” Najdek said.
The mayor requested the Highway and Police department compile a wish list of vehicles and equipment for immediate needs. The village hopes to avoid buying used trucks and equipment, hopefully avoiding any problems that come with them, said public works superintendent Dellaghelfa. “It’s not that I’m against used. I just want to see that the village is getting their money’s worth.”
Once Najdek has confirmation from the insurance company, the village will start moving forward with the “wish-lists” from both the Highway and Police Departments. At this time, patience is what’s needed most, explained Najdek. “For those who have never been through a fire, this is a marathon. It’s not a sprint,” she said. “Sometimes answers don’t come into the third mile or fourth mile. It’s not something where information comes quickly from insurance companies everyday, so there will potentially be no updates.”
The village’s state of emergency declaration, which went into effect the morning of the fire, remains in place.
During the meeting, trustee Sherman provided updates on where the village stands for the Community Development Block Grant. The village is planning to use this grant to replace a few sections of sidewalks which need improvement.
“Some things are going to require some engineering input to see how we can rebuild this area,” Sherman said. “The aim is to put some estimates together and have the board’s consideration for our next meeting to approve making a CDBG application for this 2025 year and keeping it with a total cost under the $200,000 level, which is the max.”
According to Sherman, the focus will be on the sidewalks near John Street, also known as Smith Court and North Center Street. The Village needs to submit its request for the grant by Monday, March 3, to be considered.
