Authorize negotiation and execution of the fourth amendment to the Travis County Emergency Medical Services Fiscal Year 2025-2026 interlocal agreement to provide emergency medical services in areas of Travis County outside the City’s corporate limits and dispatch support services to Travis County’s STAR Flight program, in exchange for a payment from Travis County in an amount not to exceed $18,884,963. Funding: This amendment will ensure reimbursement to the City in the amount of $18,884,963 in Fiscal Year 2025-2026 from Travis County for emergency services provided.

The City Council is set to authorize the negotiation and execution of the fourth amendment to the interlocal agreement with Travis County for Emergency Medical Services (EMS). This amendment extends the agreement for the Fiscal Year 2025-2026, covering services in areas of Travis County outside the City's limits and dispatch support for Travis County's STAR Flight program. Travis County will pay the City up to $18,884,963 for these services, representing a 3.26% increase over the previous fiscal year's fee. This agreement has been in place for over thirty years, with the City retaining patient billing revenue from services provided outside Austin's corporate limits since October 1, 2018.

This agreement ensures continued emergency medical services for residents in Travis County outside Austin's city limits and for the STAR Flight program, funded by a payment from Travis County to the City.

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