(Portland, OR) -- Multnomah County and AMR have reached agreement on a program to improve ambulance staffing levels. The agreement was reached through mediation. AMR will staff 20 ambulances a day with two paramedics. A new hybrid program will allow AMR to staff some ambulances with one paramedic and one EMT, which is what Clackamas and Washington counties do. AMR faces over seven million dollars in fines. If response times are met, 60 percent of the fines will be waived, and AMR can reduce the other 40 percent by adding more two paramedic ambulances. The County Commission must still approve the staffing changes.