Millerton, Amenia and Dover face ‘EMS crisis’ as costs rise statewide

MILLERTON — Northern Dutchess Paramedics’ (NDP) five-year contract with the Town of North East, Dover and Amenia is coming to an end in December.

The new proposed contract between the Town of North East and NDP increased by 71.5%. Over the past five years NDP increased its payments by two percent annually, making the new proposal a significant increase.

“With its population of around 3,000 people, the Town of North East has less than one call per day for ambulance service,” Chris Kennan, the town supervisor, said, “Which makes it very expensive for us and a big piece of the Town’s annual budget.”

NDP shared its contract with the Towns of North East, Amenia and Dover. Under the contract, an ALS (Advanced Life Support) ambulance must be stationed in each of the three towns.

A possible 70% increase in service pricing would impose expenses on residents, Kennan said, increasing property taxes at an “unacceptable” rate. According to Kennan, every municipality in Dutchess County is dealing with similar EMS problems. This calendar year the Town is spending $376,858 on EMS services, which is about 10.5% of the Town’s budget. NDP has requested $646,300 for their services next year.

“I’ve been in the rescue service for 37 years now as a fireman. We need that and it is the cost of doing business,” Richard Yeno, the Town of Dover’s Supervisor, said. “The problem is it’s a substantial hit, a 70 plus percent increase is a major hit to the budget. And it will make taxes go up but my people will have an ambulance service in place Jan. 1, 2025.”

Both Kennan and Yeno have expressed the importance of a future meeting with NDP to discuss logistics and as an attempt to lower their previous approach.

“We’re going to do our due diligence, shop it where we can shop it, negotiate where we can negotiate, such as NDP,” Yeno said. “We do have a future meeting planned with them. We are back on the table and both parties agreed that this needs to come to another serious discussion. So hopefully it’ll get better.”

According to Kennan, the emergency medical services (EMS) crisis is not unique to North East, Amenia and Dover. “It is a problem for smaller, less-populated towns across New York State and around the country,” Kennan said. “Put very simply, the larger the population, the more customers the EMS providers have to spread the costs around. We have to remember that we are paying for a fully-staffed ambulance sitting in our town around the clock.”

Last year, the Town of North East had 256 calls for EMS services, which is less than one call a day, leaving the ambulance sitting without callsfor long stretches. The town of Dover has roughly 8,400 residents and is dealing with a similar, over 70%, increase in its EMS service budget.

“The problem is in five years, the prices of everything has gone up. The cost of wages has gone up to be competitive. They need to increase their worker’s wages,” Yeno said. “I understand that, and that’s where we’re at.

“My people deserve this service. They need this service,” Yeno said. “And I will find a way to provide this service. I won’t go backward. I will maintain what we were receiving in service, and nothing but up.”

As of Sunday, Oct. 13, NDP has not responded to requests for comment from the Millerton News.