I'm saying that the AACo talk groups used to communicate with hospitals via EMRC are totally independent of the similarly names UHF med channels.
When a unit calls into EMRC's region 3 operator on Call-1 (whether it's on that county's trunked system, or UHF Call-1 AKA Med-9), the operator directs that unit to switch to the appropriate med channel (UHF) OR talk group. EMRC maintains base stations for each of the Region 3 county's med talk groups. If the unit call in will be completing their consult on a TRS talk group, the EMRC operator patches that talk group via wireline or microwave to the remote desk set at the receiving hospital. If the unit is using UHF, the EMRC operator patches the appropriate UHF med channel to the hospital's remote desk set using wireline or microwave. The UHF and TRS talk paths are completely independent of one another, and can be used simultaneously, by different EMS units, to complete consults to different hospitals.
It is POSSIBLE that, since AACo has only recently (not sure exact timeline) begun to use the TRS for EMRC communications, the the region 3 operator may simply patch the TRS talk group and the UHF channel together with the hospital's desk set to avoid confusion, but this is NOT the standard NOR permanent.
If every county's EMRC talk groups (which mirror Med-4 and Med-8) were reliant on the UHF Med-4 and Med-8 infrastructure to complete consults, that would mean that there could only ever be two consults occurring in region 3 at any one moment, which is obviously not viable.