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The Joint City/County Emergency Medical Services Commission shall be responsible for establishing standards and contracting for emergency medical services in La Crosse County, reviewing provider performance, and reporting on performance to the county and other municipal governmental entities. Decisions which may impact budgets of county or municipal governmental entities, or current EMS system providers, must have advance approval by the appropriate agency governing board(s). At a minimum, the standards established by the EMS Commission shall be in compliance with the current performance standards achieved by the EMS system and enjoyed by the County of La Crosse The Joint City/County Emergency Medical Services Commission (hereinafter the “EMS Commission”) is composed of the following members: La Crosse County Board Chair or their designee, who shall be a County Board Supervisor; La Crosse County Board First Vice Chair or their designee, who shall be a County Board Supervisor; Mayor of the City of La Crosse or their designee, who shall be a City of La Crosse Common Council Member; City of La Crosse Common Council Member, who is appointed by the Mayor subject to Common Council approval; Citizen member from the City of La Crosse, who is appointed by the Mayor subject to Common Council approval; Mayor of the City of Onalaska or their designee, who shall be a City of Onalaska Common Council Member; The La Crosse County Unit Chair of the Wisconsin Towns Association; Member who shall be a village president or their designee as determined by the villages located in La Crosse County and shall be an elected official; Representative from and appointed by Gundersen Lutheran Medical Center; Representative from and appointed by Franciscan Skemp Medical Center; Physician from and appointed by Gundersen Lutheran Medical Center; and Physician from and appointed by Franciscan Skemp Medical Center. Citizen members of the Commission shall not be employees or previous employees of La Crosse County, the City of La Crosse, the City of Onalaska, Franciscan Skemp, Gundersen Lutheran, or Tri-State Ambulance. For more information, see La Crosse County Code of Ordinances Chapter 1.29 (https://apps.lacrossecounty.org/DisplayDocuments/default?ID=7). Meeting information can be found on the La Crosse County website: https://www.lacrossecounty.org/countyboard/committees/special-committees-boards-and-commissions/joint-commission-on-emergency-medical-services