Prompted by concerns that Rapid City could reduce ambulance coverage in parts of Pennington County, the commission on Feb. 17 opened a multi-jurisdiction discussion about options to assure ambulance response for unincorporated areas and small municipalities.
Staff and fire-administration representatives described several approaches: (1) municipalities or local fire districts could form ambulance taxing districts (which generally require petitioning, boundary decisions and a voter question or county resolution, each with statutory timelines); (2) districts can fund services through an ad valorem levy or a special assessment (both have distinct statutory limits and procedural steps); or (3) the county or local jurisdictions could negotiate intergovernmental contracts with ambulance providers to cover gaps.
County staff cautioned that even with an expedited process, statutory deadlines likely prevent a newly formed district from generating an ad valorem levy payable in 2027 if it was placed on the 2026 primary ballot; therefore, commissioners directed staff to convene a special meeting with affected players (Box Elder, New Underwood, Wall, Mead and Custer County contacts, fire districts and ambulance providers) to map response areas, avoid donor holes and identify short-term contracting or mutual-aid options.
Attendees stressed the need to coordinate boundaries across county lines (several speakers noted cross-county service areas) and to educate affected property owners about potential assessment or levy methods and how exemptions (for agricultural land, etc.) can change per-property impacts. No formal district was created; staff and county fire administration will schedule follow-up regional meetings and report back with a recommended path forward and timeline.