Legal discussion aside, Columbia County Fire Dispatch uses POCSAG as a preamble to voice calls.
Yamhill County Fire also use to be shared with POCSAG traffic. I think it was a hospital? Was driving 99W and was a bit surprised by the noise and voice calls. Nobody I know still has any Commercial VHF or UHF paging equipment still operating. As for Ham, I know of a couple of repeaters setup with 2-tone, but not POCSAG.
There are a bunch of encoder programs that can be used on Ham IF you can get the pager to tune that low.
Most of the Ham stuff is done on 439MHz.
After years of pager intermod, POCSAG on VHF might be an unwelcome sound. If they're Apollo pager hold on to them, if they're Motorola/Metrocall/USA Mobility they're a pain to find the exact software for. Not impossible, just a pain. A lot of the old POCSAG pagers are crystal units, not programmable. The FLEX pagers are what most everyone uses on 900, but with the spectrum reduction and other tech the days are limited for the open market.