AGENDA CAPTION:
Title
Receive a Staff presentation regarding the City of San Marcos' Emergency Medical Services billing practice set-up; and provide direction to Staff.
Body
Meeting date: August 18, 2026
Department: City Manager's Office/EMS
Amount & Source of Funding
Funds Required: Click or tap here to enter text.
Account or Project Number (C = CIP funds): Click or tap here to enter text.
Funds Available: Click or tap here to enter text.
Account Name: Click or tap here to enter text.
Fiscal Note:
Prior Council Action: Click or tap here to enter text.
City Council Strategic Initiative: [Please select from the dropdown menu below]
Choose an item.
Choose an item.
Choose an item.
Comprehensive Plan Element (s): [Please select the Plan element(s) and Goal # from dropdown menu below]
N/A Arts and Culture - Choose an item.
N/A Economic Development - Choose an item.
N/A Environment & Resource Protection - Choose an item.
N/A Housing + Neighborhoods - Choose an item.
N/A Land Use + Community Design and Character - Choose an item.
N/A Parks & Public Spaces + Health, Safety & Wellness - Choose an item.
N/A Transportation - Choose an item.
N/A Core Services
N/A Not Applicable
Master Plan: [Please select the corresponding Master Plan from the dropdown menu below (if applicable)]
Choose an item.
Background Information:
As the City of San Marcos prepares to launch its municipally operated Emergency Medical Services (EMS) system, establishing a comprehensive billing framework is a critical operational milestone. This agenda item requests City Council approval of the City's initial ambulance fee schedule and the associated billing policies necessary to support compliant, transparent, and financially responsible EMS operations.
The proposed fee schedule is designed to align with current Texas reimbursement standards while recognizing that the amount billed is often different from the amount ultimately reimbursed. Federal programs such as Medicare and Medicai...
Click here for full text