# 11.5.26 Regular Meeting

At its November 6, 2026 regular meeting, the Multnomah County Board adopted an updated ambulance service plan and related code changes after extended discussion of emergency response standards, workforce capacity, reimbursement rates, and service equity. The board rejected an amendment that would have placed Troutdale, Fairview, Wood Village, and Maywood Park under an eight-minute urban response standard without a county general-fund subsidy. The adopted plan establishes response-time frameworks and operational flexibility; staff said a future provider solicitation will follow state review of the plan. Board members and city representatives debated whether the revised standards could leave East County communities with longer response times, and how the county could ensure a willing provider amid current funding and staffing constraints.

The board also considered and adopted a procurement policy resolution directing that the upcoming ambulance-service solicitation give preference to proposals that can provide an eight-minute response standard for the named cities, while avoiding a general-fund subsidy or cuts to other county programs. The resolution frames the RFP as an opportunity to pursue higher service standards through the user-pay model. Separately, the board approved a $350,000 settlement to resolve a lawsuit against the county and a residential-care provider. The consent calendar was approved; its individual items were not detailed in the transcript.

**Jurisdictions:** sled
**Industries:** Public Safety, Healthcare
**Topics:** Emergency Response, Contracting Vehicles
**Published:** November 06, 2026

### Sources
- [11.5.26 Regular Meeting](https://www.youtube.com/watch?v=iejoH-QR9rE) - MultCoBoard