AGENDA CAPTION:
Title
Receive a report on the San Marcos Emergency Medical Services (EMS) Feasibility Study, and provide direction to the City Manager.
Body
Meeting date: January 20, 2026
Department: City Manager's Office
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Background Information:
The City initiated an Emergency Medical Services (EMS) Feasibility Study to identify a cost-effective and financially sustainable approach to providing Advanced Life Support (ALS) emergency medical transport services while maintaining service reliability, public accountability, and operational control. This evaluation was undertaken in response to increasing medical call volumes, sustained population growth, and recent changes in regional EMS participation that have shifted greater financial responsibility to the City.
Emergency medical services represent one of the most significant and rapidly growing cost drivers within the City's public safety operations. Medical calls comprise the majority of emergency responses and are projected to continue increasing steadily over the next 15 years...
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