OUR STORY

Milam County Emergency Services District No. 1 was created by the citizens in November 2023 and began

operations in January 2024 to provide a stable and long term funding solution for emergency medical services in

Milam County.

The District oversees and funds emergency medical services operations with the authority to levy a property tax of

up to $0.10 per $100 valuation as allowed by the Texas Constitution and, if approved by voters, a local sales tax. It

is empowered to contract for services, own and operate emergency medical services equipment and facilities, and

expand services based on community needs.

WHY WE EXIST

Before the District’s creation, emergency medical services were funded by collaborative efforts between city and

county budgets, a system that became unsustainable due to rising costs and aging infrastructure.

The District provides a dedicated funding stream that cannot be diverted to nonemergency purposes, ensures

services are managed locally, and enables long term planning for improved coverage, facilities, and updated

equipment. District funds are legally restricted to emergency services. The District undergoes annual independent

audits filed with the Milam County Commissioners Court ensuring transparency, fiscal responsibility, and

accountability.

OUR VISION

Milam County Emergency Services District No. 1 is committed to building a reliable and community focused

emergency medical services system. In partnership with Allegiance Mobile Health, the District is enhancing

service delivery through strategic planning and infrastructure investment. Future goals include gradually acquiring

emergency medical services assets and expanding operational capacity to strengthen local control and long term

sustainability while avoiding sudden financial impacts on taxpayers.

Through careful planning, conservative budgeting, and responsible leadership, Milam County Emergency Services

District No. 1 will continue providing residents with the timely, life saving care they deserve today and for

generations to come.