The Wythe County Board of Supervisors approved authorization for Jancare (branded in discussion as GenCare/Jancare) to operate as a patient-transport agency in Wythe County at its Oct. 28 meeting. Staff recommended authorization after reviewing the applicant's operating history in West Virginia and confirming the company intends to obtain required Virginia licensure and an operational medical director.

What was requested and approved: Deputy County Administrator Haggins told the board Jancare primarily conducts non-911 patient transports (hospital-to-home, hospital-to-rehab) and would operate under Virginia licensure once approved by the Virginia Office of EMS. The company had identified County Community Hospital as a temporary base for operations while it seeks a permanent site and is evaluating local zoning and fire-code requirements.

Board action: The board entertained a motion to approve the agency's request; Mr. Cook moved, a second was made by Mr. Morgan, and a roll-call vote approved the authorization. The motion directs staff to work with the applicant on licensing, site requirements and any necessary conditions for operating in Wythe County.

Operational limits explained: Staff and the applicant said Jancare would not be a primary 911 responder in Wythe County; it would be dispatched for non-emergency transports and could be used as backup to 911 only when local ambulances are unavailable.

What remains: Jancare must obtain Virginia licensure through the Office of EMS, finalize a permanent base of operations that satisfies local fire/zoning requirements, and secure any required state approvals before expanding services. County staff said existing DERA (designated emergency response agency) provisions allow the county to address future performance concerns if they arise.

Source: Staff presentation and applicant representatives at Wythe County Board of Supervisors meeting, Oct. 28, 2025 (transcript).