To sum up – any extra mils need voter approval.  The RHCD currently has no debt.  Any further debt that might be acquired by issuing bonds, needs voter approval.  And if the USDA application is approved to build a new hospital, the USDA will not allow any further debt to be accrued.

The simple answer is no it can't. Although state statute allows for up to 6 mill levies, the Special Hospital District is prohibited by state law from obtaining an increase without voter approval. According to state law, any future mill levy increases must be first approved by the Sublette County Commissioners to be placed on the ballot and then must be passed by a majority of voters in the county.

A Special Hospital District is the only option that allows the Sublette Center to merge as an equal partner.

We received the draft Eide Bailly statement on Oct. 15, 2020. The final version is expected to be released in November.

A critical access hospital would be able to provide a broad range of vital healthcare services, including inpatient and outpatient care that Sublette County residents previously had to travel over 60 miles to receive.

Even with telemedicine, Sublette County residents will need access to a hospital for blood tests, diagnostic tests, blood transfusions inpatient care and intravenous fluids. Those are the services that a critical access hospital can provide.

Voting for the trustees for both the Rural Health Care District and Special Hospital District is necessary, even with the Special Hospital District's passage. The Special Hospital District is not eligible for the 3 mills until July 2021. Until then, the Rural Health Care District and Special Hospital District would work together to maintain the operation of the county's health care system.

This land was patented to the Town of Pinedale in 1925 as a means to provide additional public lands at the disposition of an incorporated municipality to grow and develop. The use of this land for a hospital intending to serve our residents entirely conforms with the intentions of the Act of 1890 and the Patent of 1925

On average, around $1,000 per ambulance trip is transferred to a patient’s out-of-pocket expense for patients who do not have an insurance plan that covers transports to a physician's office. Whereas, under a critical access hospital, the patient’s out-of-pocket expense holds the possibility to lower considerably.

Adding jobs, increasing services, and keeping more medical revenue here would have an overall benefit to Sublette County. The estimated economic impact is 176 total jobs and an $11.84 million in wages, salaries and benefits.

We have had many providers reach out that are interested in moving to our area, and the board has not had to pay recruitment fees for years. We have found providers that want to stay in the county and love the Sublette County lifestyle.

The Marbleton/Big Piney Clinic is a priority. The goal is to reinstate comprehensive after hour care, and possibly expand other services as well.

Moving the ball fields was necessary in order to make use of the existing $10 million Pinedale clinic and EMS buildings. Using the 15,000 square feet of existing Pinedale Clinic is estimated to have saved nearly $8 million in new construction. Utilizing what we already have is being fiscally responsible.

With the formation of a Special Hospital District, the project will have access to one additional mill levy. The additional mill would equal roughly $2 million in tax revenue to help fund and operate the critical access hospital with an attached long-term care facility