West Virginia Code § 7-15-4

Duty of county commissions to provide emergency ambulance service;
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emergency ambulance service authorities authorized; authorities to be public
corporations.
Except as hereinafter provided and in addition to all other duties imposed upon it by law, the
county commission shall cause emergency ambulance service to be made available to all the
residents of the county where such service is not otherwise available: Provideed, however,
That the duty imposed upon county commissions by this article shall not be construed in
such manner as to impose a duty to cause such emergency ambulance rservice to be provided
unless the commission shall make an affirmative determination that there are funds
available therefor by the inclusion of a projected expenditure for such purpose in the current
levy estimate, and in the event that such county commission shall make such determination
the commission shall not be under a duty to cause such servtice to be provided beyond a level
commensurate with the amount of funds actually available for such purpose.
The county commission may provide the service directly through its agents, servants and
employees; or through private enterprise; or by its designees; or by contracting with
individuals, groups, associations, corporationss or otherwise; or it may cause such services to
be provided by an authority, as provided for in this article; and any municipality or county,
or both, or any two or more municipalities within any county or contiguous counties, or any
two or more contiguous counties, or any combination thereof, may create an authority. Such
authority shall be created upon the adoption, by the governing body of each participating
government, acting individualley, of an appropriate ordinance or order. Each authority shall
constitute a public corporation, and as such, shall have perpetual existence. The authority
shall be known by such Lname as may be established by the board.

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