REMSA Health: New EMS agreement in Washoe County emphasizes patient outcomes and public oversight
Congratulations to AIMHI member agency REMSA Health on this agreement.
It epitomizes the mission and vision of AIMHI and High-Performance / High-Value EMS delivery!
High-Performance systems like REMSA demonstrate that high-value, innovation, transparency and public accountability – while at the same time, achieving a high level of financial efficiency – is possible, and should be a model for other EMS systems!
New EMS agreement in Washoe County emphasizes patient outcomes and public oversight
January 25, 2026
The District Board of Health on Thursday approved a modernized franchise agreement with REMSA Health, marking the first significant update to the contract governing emergency medical services in Washoe County in decades.
Board members said the revised agreement is designed to strengthen patient care, improve transparency, and provide long-term stability for emergency medical services, while ensuring uninterrupted EMS coverage for the community.
The previous agreement had not been substantially updated for many years. Under the new framework, the board placed increased emphasis on patient outcomes, responsible cost controls, improved access to data, and stronger public oversight. Officials said these changes are intended to better align the EMS system with current standards and community expectations.
The agreement also establishes a structure for ongoing evaluation and accountability. It includes regular five-year reviews, annual performance assessments, and timelines to further examine emergency dispatch practices. The board also committed to reconvening within six months to consider additional improvements to the system.
REMSA Health has provided ambulance services in the region for approximately 40 years and has operated without reliance on local tax dollars. The updated agreement maintains that model while expanding accountability measures and preserving the ability to study alternatives and implement changes if needed.
Public input played a key role in the discussion leading up to the vote. Board members acknowledged community feedback and said the questions raised helped shape the final agreement and reinforce the focus on patient protection and system stability.
The updated franchise agreement is intended to provide a more flexible and responsive framework for emergency medical services as Washoe County continues to grow.
