The director of Washington County’s Ambulance Service says there needs to be some changes in certain laws, or many counties could find themselves doing without. Richard Young says they are mandated to do a lot of different things by the state and federal government, but are rarely given enough financial help. Young says this, combined with a lot of out of work people without insurance has created some hardships for the ambulance service. Right now counties in Iowa are not required to provide an ambulance. Young says if they were, it might take some of the burden off of individual counties, as the state might be more apt to help.