Joint City Council & County Supervisor Meeting - 03/24/26 5:30 pm

The City of Marshalltown held a joint meeting with the Marshall County Board of Supervisors on March 24, 2026, to discuss the future of emergency medical services (EMS) in the county. The meeting focused on the potential transition from the current EMS provider, UnityPoint Health, to a new unified EMS system managed through a joint city-county 28E agreement and funded by a voter-approved EMS levy. Key procurement-related topics included the financial sustainability of the proposed EMS district, levy revenue projections of approximately $1.65 to $1.7 million, and additional EMS revenue estimated at $3.8 million. The discussion also covered operational control, support for local volunteer first responder agencies, and the need for public education before placing the levy on a future ballot, with consensus leaning toward a later election date to allow adequate outreach. UnityPoint Health representatives confirmed their willingness to continue service during the transition period. No formal motions were made at this meeting; instead, the governing bodies planned to take the matter back to their respective councils for further action and voting.