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Mayor Wu and BPHC announce new contract with Boston EMS union covering EMTs and paramedics

New collective bargaining agreement increases EMT wages and expands options for Mobile Integrated Healt

Mayor Wu, the Boston Public Health Commission (BPHC), and Boston Emergency Medical Services (EMS) announced the appropriation approval of the new collective bargaining agreement for the Boston Police Patrolman Association’s EMS Division, which represents 355 current emergency medical technicians (EMTs), Paramedics, Lieutenants and Captains of Boston EMS. The Boston City Council approved the budget appropriation for the ratified contract yesterday. 

“I am so grateful to all members of Boston EMS for their service and proud that this contract was settled through our shared commitment to delivering on reforms that will enhance the care we provide our residents, particularly the most vulnerable,” said Mayor Michelle Wu

Boston EMS hopes the new contract will help retain current members and entice state certified EMTs to come work for the department. Starting pay for new hires is now $33 per hour, with opportunities for overtime after six months, as well as annual step increases, raises, and longevity bonuses. As a critical City service facing staffing challenges, the contract also includes a 3-year temporary suspension of the residency requirement. 

In addition to cost-of-living wage increases, the agreement includes a Mobile Integrated Health Care (MIH) adjustment. As a public safety and healthcare profession, EMS is an evolving field. 

“The men and women of Boston EMS have adapted to new clinical standards, expectations, and innovations, over the years, through a commitment to doing what is in the best interest of our residents and our patients. MIH has been no exception,” said Chief of Department James Hooley

MIH includes the option of 9-1-1 call transfers to behavioral health clinicians, treatment on scene, and transport to non-hospital destinations. 

“This contract is about change,” said Matt Anderson, president of the BPPA-EMS Division. “We are writing history, redefining what it means to provide emergency medical services in Boston.” 

MIH is intended to increase access to care, decrease avoidable emergency department visits, prioritize EMS resources for patients in more critical condition, and improve patient care coordination. 

“We are proud that Boston EMS was the first EMS in the Commonwealth to be approved for Mobile Integrated Health Care Emergency Department Avoidance. The department works tirelessly to serve patients across all neighborhoods, with compassion and dignity, and the best possible care,” said Dr. Bisola Ojikutu, Commissioner of Public Health for the City of Boston and Executive Director of the Boston Public Health Commission

For those not certified as EMTs, Boston EMS has secured funding through the City’s Office of Workforce Development to offer hundreds of EMT course scholarships through their City Academy program. EMTs interested in a rewarding career at Boston EMS are encouraged to go to to learn more and apply.


Boston EMS is the primary provider of emergency medical services for the City of Boston and is a nationally recognized leader in the field of pre-hospital emergency medicine. The department leverages the latest advances in both medicine and technology to bring high-quality, compassionate care to the people of Boston. Boston EMS also plays a key role in the City's emergency preparedness efforts and provides community programming designed to educate the public about important health and safety topics. 


The Boston Public Health Commission, one of the country's oldest health departments, is an independent public agency providing a wide range of health services and programs. It is governed by a seven-member board of health appointed by the Mayor of Boston. Public service and access to quality health care are the cornerstones of our mission - to protect, preserve and promote the health and well-being of all Boston residents, particularly those who are most vulnerable. The Commission's more than 40 programs are grouped into six bureaus: Emergency Medical Services; Child Adolescent & Family Health; Community Health Initiatives; Homeless Services; Infectious Disease; and Recovery Services.

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