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FDNY commissioner marks 30 years since controversial EMS merger

Commissioner Lillian Bonsignore, the first former EMT to lead the FDNY, reflects on the department’s uneasy 1996 merger with EMS

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FDNY Commissioner Lillian Bonsignore speaking during her “swearing-in ceremony” at the FDNY headquarters in Brooklyn, Tuesday, January 6, 2026.

Shawn Inglima/TNS

By Thomas Tracy
New York Daily News

NEW YORK — The FDNY’s new commissioner, who rose through the ranks as an EMT, will this week mark the 30th anniversary of the department’s controversial-at-the-time merger with EMS.

Lillian Bonsignore, the first former EMS responder ever picked to run the fire department, will join past and present firefighters and EMS members at Fort Totten in Queens to commemorate the shotgun wedding’s pearl anniversary on Monday.

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“The initial pairing was uncomfortable,” Bonsignore told the Daily News. “But that would happen any time you try to merge two histories and entities together. There were some tough times, but now looking back 30 years it really has been pretty wonderful. There were lots of things that happened that were great and continue to be.”

“Uncomfortable” is a bit of an understatement. When Mayor Giuliani forced the two agencies together on St. Patrick’s Day 1996, in an effort to reduce response times and improve working conditions for both busy agencies, few thought it would last.

EMS members, who were working under the city’s Health and Hospitals Corp. at the time, saw the merger as a hostile takeover. Firefighters also decried the move, complaining that they would be asked to respond to medical calls, which they didn’t sign up to do.

Tony Bernardo, president of the union representing the EMTs at the time, opposed the merger.

“EMS is one of the most efficient services in the city,” he remarked at the time. “How is that going to fit in the Fire Department, which has never been credited with good management and efficiency?”

“Painting all the ambulances red doesn’t do it,” he added.

The merger made the FDNY the largest fire department-based provider of emergency medical care in the country. It also gave Bonsignore, who was working as an EMT in the Bronx when the merger was finalized, an instant boost in recognition with the public she served

Once City Hall signed off on the merger, EMS members had to trade in their uniforms — green pants and white shirts — for FDNY blue uniforms, she remembered.

“They gave us a light blue shirt and dark blue pants,” she recalled. “So I was sitting in my ambulance in the South Bronx and someone came up to us and said, ‘Thank God you guys are here!’”

“We love the fire department!” that grateful woman said to the two EMTs.

“I thought, well, you’re in good hands anyway,” Bonsignore said. “We’re all the same people even if we were wearing different colors. But the world saw a brand they respected and recognized.”

After a few years, Bonsignore saw the new partnership with FDNY “less of a merger and more of a fold in.”

“We got to know the [firefighters], and we eventually taught them first responder medicine and they started responding to medical calls,” she said. “We were always both optimistic and cautious. We didn’t see it as a terrible thing, but a necessary thing.”

EMS benefitted from the merger by having their ambulances and facilities upgraded. They were also given the opportunity to create new lifesaving programs.

Yet EMS always felt secondary to the city’s firefighting force, especially when it came to pay. EMTs and paramedics make far less than their FDNY counterparts.

A push to return EMS back to its own agency is gaining momentum amid response times, pay parity demands and warnings from FDNY leadership that a breakup could add cost and complexity

Currently, an EMT coming out of the EMS Academy starts at a salary of $39,386, union officials said. After about five years, their salary increases to $59,000. By comparison, an FDNY firefighter earns $45,196 right out of the FDNY Academy and can earn around $110,000 after five years.

Bosnignore hopes the pay gap’s days are numbered.

“We’ve spent 30 years investing in equipment, in vehicles, stations and technology and now we should invest in the people,” said Bonsignore, who is a strong advocate of pay parity even though she has no say in increasing EMS salaries.

EMS unions told City Hall on Friday that a third of their members plan to leave by the end of the year if they don’t see a boost to their salaries.

But Bonsignore believes the best is yet to come. As part of the ceremony Monday, she will help plant a tree she hopes will grow in years to come — as FDNY and EMS members continue their path to the future together.

“Just sitting in the commissioner chair proves things have gone full circle and these pathways are now open for EMS,” Bonsignore said. “That speaks to the cohesion and the cooperation of one department.”

Should EMS be part of the fire department, or operate as a separate agency? What model do you think works best and why?



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