The Governing Board of Kootenai County Emergency Medical Services (KCEMSS) is called "The Joint Powers Board" and is comprised of elected officials from Kootenai County, the City of Coeur d'Alene, Kootenai County Fire & Rescue, Northern Lakes Fire Protection District and Spirit Lake Fire Protection District. 

The current Joint Powers Board Commissioners are as follows:

COMMISSIONER WOODY MCEVERS, CHAIRMAN - Representing the City of Coeur d'Alene

COMMISSIONER JOE DOELLEFELD - Representing Kootenai Fire

COMMISSIONER CHRIS FILLIOS - Representing the Board of County Commissioners

COMMISSIONER DAVID HALPIN - Representing Northern Lakes Fire

COMMISSIONER MIKE SEXSMITH - Representing all BLS agencies in the system