Municipal Emergency Services Authority of Lancaster County
The Municipal Emergency Services Authority of Lancaster County (MESA) is a publicly funded municipal authority based in Elizabethtown, PA, that provides 911 emergency medical services to member municipalities in northwest Lancaster County. Formed to address the insolvency issues of the former Northwest EMS, MESA ensures sustainable and accessible emergency medical service readiness around the clock.
Operating under a model that charges property owners a mandatory annual fee, MESA delivers essential public services while eliminating residual ambulance bills for residents whose insurance covers EMS charges. With a commitment to equitability and community funding, MESA maintains a stable operational budget, having approved its 2025 annual fees with no increase.
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