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By Staff Reports

Escambia County Healthcare Authority (ECHCA) officials are calling on community leaders, healthcare advocates and residents across Escambia County to support a proposed 4-mill property tax.

The tax will provide funding for healthcare needs throughout the county, according to a release.

ECHCA officials said in June 2024 they asked the county commission for financial support for its hospitals, and expressed the ongoing lack of sufficient reimbursement to support rising operational costs. The ECHCA board identified a solution with a 4-mill tax available through legislation approved some time ago. At present, the ECHCA receives 4 mills, however the legislation allows up to 8 mills. A mill is one-tenth of one cent, according to the Alabama Department of Revenue.

According to a release, the attorney general has confirmed the Escambia County Commission may hold an election. The commission has not called an election to date, so ECHCA is acting on the next steps by seeking signatures of support on a petition to ensure that this proposed tax is put on a ballot for the voters to have a voice.

The proposed measure aims to generate sustainable funding to preserve healthcare access, maintain essential services at local hospitals and ensure quality care for all county residents, ECHCA officials said.

“This is about keeping access to healthcare close to home,” said Debbie Rowell, chairwoman of the ECHCA. “Our hospitals are stretched beyond thin. This investment will help stabilize services, support ongoing efforts to provide quality care to the community, and ensure access to local healthcare for future generations.”

According to the Alabama Hospital Association and data on Medicare Cost Reports, Alabama hospitals provide more than $655 million in uncompensated care each year. Currently, 71 percent of all Alabama hospitals operate at a loss and 83 percent of Alabama rural hospitals operate at a loss.
For a property assessed at $100,000 (after exemptions), the estimated cost would be approximately $40 annually—or

$3.33 per month—to ensure every resident has access to reliable and timely care. All funds generated would go directly to supporting the health system in Escambia County, officials said.

“Our healthcare system is the safety net for our communities,” said Keith Horton, board member of the ECHCA. “This measure is a vital step toward protecting our hospitals and ensuring we are prepared to meet today’s challenges and tomorrow’s emergencies.”

Escambia County Health Care Authority Board members are encouraging Escambia County citizens to support the tax by signing the petition.

Supporters urge all residents to learn more and vote yes for a healthier Escambia County. The current ECHCA board members are Debbie Rowell, Sharon Davidson, Nancy Lowrey, Tony Sanks, Keith Horton, Al Holley, Jim Johnson and Justin Stabler.