Townships and boroughs are working together to form the proposed countywide municipal emergency services authority to provide EMS on a sustainable basis. The municipalities are organized into eight districts.
District 1
- East Mahoning Township
- Marion Center Borough
- North Mahoning Township
- Plumville Borough
- Smicksburg Borough
- South Mahoning Township
- West Mahoning Township
District 2
- Banks Township
- Canoe Township
- Glen Campbell Borough
- Grant Township
- Montgomery Township
District 3
- Armstrong Township
- Creekside Borough
- Ernest Borough
- Rayne Township
District 4
- Cherry Tree Borough
- Cherryhill Township
- Clymer Borough
- Green Township
- Pine Township
District 5
- Conemaugh Township
District 6
- Black Lick Township
- Blairsville Borough
- Burrell Township
- Center Township
District 7
- Armagh Borough
- Brush Valley Township
- East Wheatfield Township
- West Wheatfield Township
District 8
- Indiana Borough