04/18/2026
Columbia EMS has received a number of questions regarding a recent staffing announcement from our partners at Grant County Fire District #3. We deeply value our relationship with our fire district partners and the community we are proud to serve together. In the spirit of transparency, we would like to share our perspective regarding the District’s announcement to hire paramedics.
District 3 is currently licensed at the BLS level, which means any paramedic they hire can only operate at the BLS level (i.e., no intubations or other advanced/invasive skills). Licensing and system oversight are regulated by the Washington State Department of Health in coordination with county and regional EMS leadership and are implemented on a county-by-county basis.
Currently, Grant County is operating at its approved ALS capacity and is undergoing what’s known as a “min/max” review to evaluate whether additional ALS resources are needed. This process can take up to a year, beginning at the local level, progressing through the regional EMS council, and ultimately requiring state approval.
If—and that’s a big IF—the state determines that additional ALS capacity is warranted, those resources are not simply available to any agency or location. Approval is tied to specific service areas and overall system need. Placement decisions are made based on objective data such as call volume, response times, geographic coverage, and population trends. For example, Mattawa has experienced significant population growth, which would be a factor in that analysis.
A few years ago, Columbia EMS stationed crews in George through a paid lease agreement with the District. We were later given short notice to vacate the space so it could be repurposed for residential use. To our knowledge at that time, those residents were not EMTs.
We believe it is important for the community to understand all sides of this issue. If EMS coverage in the George area is truly deficient, Columbia EMS is in a position to help address that need more quickly than the District’s current plan to hire paramedics—particularly given the existing system limitations around ALS authorization and deployment, as outlined above.
In summary, District 3 does not currently have authorization to provide ALS services. Even if paramedics are hired, they would not be able to practice paramedic-level skills in the field under the current system. The process to expand ALS capacity is lengthy, and there is no guarantee that District 3 will ultimately be approved to provide ALS service.