The Karamea region falls under the jurisdiction of the Buller District Council as well as the wider West Coast Regional Council.

Karamea is currently represented by Rosalie Sampson and Fred Ratahi who are elected from voters in the northern 'Seddon Ward'. Rosalie lives in Karamea and Fred lives in Granity.

A New Zealand Police Station exists within Karamea and the local Constable is Alan Kees.

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