Addressing the number of ambulance squads needed per affected population in every county

HB 3009 requires West Virginia counties to provide emergency ambulance services at a ratio of one ambulance for every 20,000 residents, specifically where such service is not already available. This applies to county commissions, which must first confirm funds are available in their budget before being obligated to provide service at that level. Counties may deliver the service directly, through private contractors, or by forming public ambulance authorities with participating municipalities or counties. The bill establishes a clear service standard while allowing flexibility in how counties meet the requirement, without mandating new funding beyond existing budget commitments.