Grand County Emergency Medical Services
Reports and Transparency
Grand County EMS District Board
To access all board meeting agendas, minutes, audio recordings, and agendas please click here**
Annual budgets are published in meeting minutes for the Public Hearings in November or December of each year.
**The above link will take you to Utah's Public Notice Website. Scroll down and select:
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Government Type: Special Service District
Entity: Grand County Emergency Medical Services Special Service District
Public Body: Administrative Control Board
Proposition 13 – Rural Healthcare Sales Tax
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On November 4, 2025, Grand County voters passed a measure to increase the existing Rural Healthcare Sales Tax from 0.5% to 1.0%. The intent of the proposal is that the additional revenue would be shared between three local public safety and healthcare providers:
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Grand County EMS (GCEMS)
Moab Valley Fire Department (MVFD)
Canyonlands Healthcare Special Service District (CHCSSD)
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In accordance with Utah state law, as of July 2024, entities that are eligible to receive the Rural Healthcare Sales Tax are rural healthcare facilities, emergency medical services, solid waste disposal, search and rescue activities, law enforcement activities, fire protection services, and avalanche forecasting.
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Full Text of the Utah state law may be found here:
https://le.utah.gov/xcode/Title59/Chapter12/59-12-S802.html
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County Commission Meeting November 18, 2025
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Commissioners will vote on the 2026 Rural Healthcare Sales Tax Split