HomeMy WebLinkAbout063581-A1 - General - Contract - Metropolitan Area EMS Authority dba MedStar Mobile HealthcareFirst Amendment to Fort Worth City Secretary Contract No. 63581 Page 1 of 3
FIRST AMENDMENT TO
FORT WORTH CITY SECRETARY CONTRACT NO. 63581
This First Amendment to Fort Worth City Secretary Contract No. 63581 (“First
Amendment”) is made between the City of Fort Worth (“Fort Worth”), a municipal corporation
and the Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare, an interlocal
administrative agency (“MedStar”). Fort Worth and MedStar may collectively be referred to herein
as the “Parties” or individually as a “Party.”
WHEREAS, Fort Worth and other local jurisdictions (“Member Cities”) were parties to a
Restated and Amended Interlocal Cooperative Agreement, effective July 23, 2020 (the “ILA”), for
the provision of out of hospital emergency medical services (“EMS”), non-emergency medical
services, unscheduled medical transportation and ambulance service, mobile integrated healthcare
(“MIH”)(collectively the “EMS System”), and scheduled interfacility medical transportation
(“IFT”);
WHEREAS, Fort Worth and the Member Cities executed a memorandum of
understanding and agreement (the “MOUA”) and individual EMS Interlocal Agreements to jointly
withdraw from the ILA, dissolve MedStar, and designate Fort Worth as the exclusive provider of
EMS System Services;
WHEREAS, the MOUA authorizes MedStar to continue to operate and exist in a
transitional capacity and under the authority of Fort Worth until such time as EMS System services
may fully transition to Fort Worth;
WHEREAS, Fort Worth is a political subdivision of the State of Texas and participates in
the delivery of high-quality pre-hospital emergency medical services (“EMS”) for the public
within its jurisdiction and the Member Cities’ jurisdictions;
WHEREAS, MedStar is a licensed provider of high-quality EMS and holds a State of
Texas EMS Provider license and appropriate federal registrations;
WHEREAS, to facilitate the transition of EMS System services from MedStar to Fort
Worth, Fort Worth has obtained its own EMS Provider license and is actively adopting necessary
policies, hiring and training staff, acquiring property, contracting with necessary vendors, and
registering with necessary agencies to become the exclusive EMS System provider for Fort Worth
and the Member Cities;
WHEREAS, to ensure there is no lapse in service as EMS System services transition to
Fort Worth, and to protect the public health and safety of the people of Fort Worth and the Member
Cities’ jurisdictions, Fort Worth and MedStar executed City Secretary Contract No. 63581 (the
“Agreement”) to authorize Fort Worth to subcontract with MedStar to temporarily provide EMS
during the transition period, using MedStar’s licensing and registration number;
WHEREAS, the Agreement is set to expire on October 1, 2025;
First Amendment to Fort Worth City Secretary Contract No. 63581 Page 2 of 3
WHEREAS, through no fault of either Party, Fort Worth has not received its final
registration numbers with the Centers for Medicare & Medicaid Services and, as a result, there is
a necessity to amend the Agreement to extend the term through the end of the current calendar
year; and
WHEREAS, pursuant to MedStar Board Resolution No. BC-1624, Fort Worth Resolution
No. 6037-12-2024, and the Member City MOUA, identified as City Secretary Contract No. 62555,
a Fort Worth Assistant City Manager is authorized to sign on behalf of MedStar.
NOW THEREFORE, known by all these present, Fort Worth and Vendor, acting herein
by the through their duly authorized representatives, agree to the following terms, which amend
the Agreement as follows:
1.The Agreement is hereby amended by replacing Section 5.1 under “Section 5:
TERM AND TERMINATION” in its entirety with the following:
5.1 This Agreement will be effective beginning July 1, 2025 and will continue for a
term of six months, unless earlier terminated in accordance with the terms of this
Agreement, and expire on December 31, 2025.
2.All other terms, provisions, conditions, covenants and recitals of the Agreement not
expressly amended herein shall remain in full force and effect.
[Signature Page Follows]
First Amendment to Fort Worth City Secretary Contract No. 63581 Page 3 of 3
Executed effective as of the date signed by the Assistant City Manager below.
City of Fort Worth:
By: ___________________________
Name: William Johnson
Title: Assistant City Manager
Date: ___________________
Metropolitan Area EMS Authority d/b/a
MedStar Mobile Healthcare
By: ___________________________
Name:Valerie Washington
Title: Assistant City Manager
Date: ___________________
Authorization: Resolution No. 6037-12-2024;
and BC-1624
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approved as to Form and Legality:
By: ______________________________
Name: Taylor C. Paris
Title: Assistant City Attorney
Contract Authorization:
Resolution No. 6037-12-2024; M&C 25-
0571
City Secretary:
By: ______________________________
Name: Jannette S. Goodall
Title: City Secretary
; M&C 25-0917
11 /5/25, 9:17 AM
CITY COUNCIL AGENDA
Create New From This M8�C
DATE: 9/30/2025 REFERENCE
N O..
M&C Review
**M&C 25- LOG NAME:
0917
F�RT�'�ORTI�
-�~-
13AMEND EMERGENCY
MEDICAL SERVICE ILA
CODE: G TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (ALL) Authorize Execution of Amendment No. 1 to the Emergency Medical
Service Interlocal Agreement with the Metropolitan Area EMS Authority d/b/a MedStar
Mobile Healthcare to Extend the AgreemenYs End Date from September 30, 2025 to
December 31, 2025
RECOMMENDATION:
It is recommended that the City Council authorize the execution of Amendment No. 1 to the
Emergency Medical Service Interlocal Agreement with the Metropolitan Area EMS Authority d/b/a
MedStar Mobile Healthcare to extend the agreement's end date from September 30, 2025 to
December 31, 2025.
DISCUSSION:
On June 24, 2025, via Mayor and Council Communication (M&C) 25-0571, the City Council
authorized execution of an Emergency Medical Service (EMS) Interlocal Agreement (ILA) with
Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare (MedStar) (City
Secretary Contract No. 62555). The ILA formalized a temporary transitional arrangement under
which MedStar, as the licensed EMS provider, continued EMS operations from July 1, 2025 to
September 30, 2025. Under this arrangement, MedStar provides EMS system operations utilizing its
state EMS Provider license and credentials, while the City of Fort Worth supplies personnel and
equipment under City operational management and oversight to ensure uninterrupted EMS service
delivery during the City's transition to becoming a fully licensed EMS provider.
The purpose of this M&C is to authorize the execution of Amendment No. 1 to the ILA that
extends the agreemenYs end date from September 30, 2025 to December 31, 2025 allowing the City
to complete the final stages of the transition to a fully licensed EMS provider status.
The term of the agreement will be effective July 1, 2025 and with this amendment will now expire on
December 31, 2025, unless otherwise extended by the parties.
The agreement does not obligate Fort Worth to pay funds to MedStar and specifies that any
payments required for governmental functions or services under the agreement will be made from
current revenues available to each party, as required by Chapter 791 of the Texas Government Code.
Chapter 791 of the Texas Government Code authorizes Fort Worth and MedStar to execute an
interlocal agreement for the provision of governmental functions and services, including EMS, and is
exempt from competitive procurement requirements.
All other terms, provisions, conditions, covenants and recitals of the Agreement not expressly
amended herein shall remain in full force and effect.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendation and execution of
the amendment to the agreement, funds will be deposited into the Emergency Medical Services
Fund. The Fire Department (and Financial Management Services) is responsible for the collection
and deposit of funds due to the City.
apps.cfwnet.org/council_packet/mc_review.asp?ID=33777&councildate=9/30/2025 1 /2
11 /5/25, 9:17 AM
TO
Fund Department Account Project
ID ID
M&C Review
Program I Activity I Budget Reference # Amount
Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
Submitted for City Manager's Office by_
Originating Department Head:
Additional Information Contact:
ATTACHMENTS
Reginald Zeno (8517)
Reginald Zeno (8517)
Anthony Rousseau (8338)
FirstAmendment - CSC No. 63581 (tp)_(9.12.25) draft.pdf (CFW Internal)
apps.cfwnet.org/council_packet/mc_review.asp?ID=33777&councildate=9/30/2025 2/2
A Resolution
NO. 6Q37-12-20z4
DELEGATYNG MANAGERIAL CONTROL OF THE METROPOL�TAN AREA EMS
AUTHORITY TO THE F�RT WORTH CITY MANAGER'� OFFYCE AND
REQUZRING THE METROPOLITAN AREA EMS AUTHOR�TY TO FOLLOW
CERTAiN CITY OF FORT WORTH PROCUREMENT STANDARDS AND
POLTCIES
WHEREAS, in 1988, the City of Fort Worth (the "City") and certain other Tarrant
County municipalities came together to create a regional ambulance and emergency medicaI
services ("EMS") agency known as the Area Metropolitan Ambulance Authority, d/bla
Medstar, (the "Authority") through the adoption of a uniform EMS ordinance and interlocai
cooperative agreement under the provisions of Section 773.051 o�the Texas Health and Safety
Cade and pursuant to Ordinance Number 10094;
WHEREAS, now known as the Metropolitan Area EMS Autl�ority and operating under
the trade name MedStar Mobile Healthcare, the Authority operates under the Restated and
Amended Interlocal Cooperative Agreem�nt executed in 2020 (Fort Worth City Secretary
Contract No. 54348; hereinafter, the "Agreament") and an updated uniform EMS ordinance;
WHEREAS, the Agreement provides for the creation of a Board of Directors (the
"Baard") that adnnznisters alI operations of the Authority;
WHEREAS, the Board is advised by two advisory boards, the First Responder
Advisory Board (the "FRAB") and the Emergency Physicians Advisory Board (the "EPAB"),
which were created by the updated uniform EMS ordinance and receive their directives from
the Agreement;
WHEREAS, the Agreenr�ent �urther provides that the Authority shalI continue in
existence until all units of governments that are party to the Agreement (the "Member Cities")
withdraw from the Agreement;
WHEREAS, the Member Cities have, pursuant to the Memorandurn of Understanding
and Agreement ("MOUA") executed by each Member City agreed to: withdraw from and
terminate the Agreement; dissolve the Authority; and designate the City as th� licensed
EMS Provider for the Member Cities' jurisdictions;
WI3EREAS, the MOUA further provides for the transition of alI EMS related services,
operations, assets, and responsibilities to the City, to be administered by the City ofFort
Worth Fire Department with independent medical direc�ion provided by a Medical Director
through the new City of Fort Worth Department Office of the MedicaI Director;
WHER�AS, the MOUA requires the City to create two new City advisory boards,
the Emergency Services Advisary Board (the "EAB") and the Medical Control Advisory
Board (the "MCAB"), composed of relevant stakeholders and medicaI experts to ensure
medical best practices; robust Member City representation, and to facilitate community
engagerr�ent;
WHEREAS, pursuant to t�e MOUA, the Autharity will continue to exist, operate
and serve as the EMS Provider for the Member C1tTES in a transitionaI capacity until at
Ieast July I, 2025 (the "Transition Period"} under the management and control of the City;
WHEREAS, by withdrawing from and terminating the Agreement, the Member Cities
also dissolved the Board;
WHEREAS, prior to its dissolution, by and through Resolution No. BC-1624, the
Board authorized: the Authority to continue its operations under the management of the City;
the City to act as the Authority to talce all actions it deems prudent and necessary to
manage alI day-to-day operations of the Authority and faciIitate the transition of EMS to
the City; the transfer and conveyance of all Authority assets to the City; and the Interim
Chief Executive Of�cer of the Authority to execute any documents and take any further
actions necessary to implement the provisions of the resolution during the Transition Period;
WHEREAS, the Fort Worth City CounciI (the "Council") believes it is prudent to
delegate the responsibility ofmanaging the operations of the Authority during the Transition
Period to the Fort Worth City Manager's Office ("CMO");
WHEREA5, the Council also believes it is prudent to reqnire the Authority to follow
certain policies and procurement standards typical of Texas governrnental entities during the
Transztion �eriod for transactians in.itiated by the Authority while under the management and
control of ihe City;
WHEREAS, the CMO will be required to report directly �io the Emergency Services
Committee concerning its management of the Authority durirrg the Transition Period;
WHEREAS, during the Transition Period, the EAB and MCAB will advise the City
in pIace of th�e FRAB and the EPAB; and
WHEREAS, this Resolution shall be effective as of the date of its adoptian by the
Counci�.
NOW, THEREFORE, BE IT RE50LVED BY THE CITY COUNCIL OF THE
CITY OF FORT W�RTH, TEXAS, THAT:
1. The CMO is hereby granted the responsibility to manage the day-to-day operations
of the Authority during the Transition Period and to make necessary decisions,
including directing the interim Chief Executive Of�cer o£ the Authority, to
facilitate the transition of services from the Authority to the City as reflected in
th� MOUA;
2. The CMO shaIl: (1) require the Authority to follow certain procurement
standards reqUired of Texas units of local government; and (2) implement a
procurement policy promulgated by the Purchasing Division ofthe City's Financial
Management Services Department during the Transitian Period. The procurement
policy must comply with Texas Law and ba substantially similar to ihe City's
existing Purchasing Administrative Regulation;
3. The CMO shall approve alI new contracts or amendments to existing contracts that
exceed $100,000.00 and the Council specif�cally waives any requirement, ii any,
for those contracts to be presented to or approved by the Council;
4. The EAB and MCAB wilI advise the City concerning the operations ofthe Authority
during the Transition Period in place of tY�e �RAB and EPAB;
5. The CMO shall report to, and provide periodic and regular updates to, the
Emergency Services Committee concerning its management of the Authority and
other matters related to EMS and the Authority that the CMO deems appropriate
and necessary.
Adopted this 10�' day of December 2024.
ATTEST:
; _ ...
By: U
Jannette S. GoodaIl, City Secretary
A Resolution
NO. BC-1624
AUTHORIZING ALL NECESSARY ACTIONS ASSOCIATED WITH THE
TRANSFER OF OPERATIONS AND ASSETS TO THE CITY OF FORT
WORTH
WHEREAS , in 1988, the City of Fort Worth (the “City”) and certain other
local municipalities came together to create a regional ambulance and emergency
medical services (“EMS”) agency known as the Area Metropolitan Ambulance
Authority, d/b/a Medstar, (the “Authority”) through the adoption of a uniform EMS
ordinance and interlocal cooperative agreement under the provisions of Section
773.051 of the Texas Health and Safety Code and pursuant to Ordinance Number
10094;
WHEREAS , now known as the Metropolitan Area EMS Authority and
operating under the trade name MedStar Mobile Healthcare, the Authority operates
under the Restated and Amended Interlocal Cooperative Agreement executed in
2020 (Fort Worth City Secretary Contract No. 54348; hereinafter, the “Agreement”)
and an updated uniform EMS ordinance;
WHEREAS , the Agreement provides for the creation of a Board of Directors
(the “Board”) that administer all operations of the Authority;
WHEREAS , the Agreement further provides that the Authority shall continue
in existence until all local governments that are party to the Agreement (the
“Member Cities”) withdraw from the Agreement;
WHEREAS , all Member Cities have expressed their intent to terminate and
withdraw from the Agreement, as documented in the Memorandum of Understanding
and Agreement (the "MOUA");
WHEREAS , the MOUA further provides for the dissolution of the Authority
and the transition of all EMS services, operations, assets, and responsibilities to the
City, to be administered by the City of Fort Worth Fire Department;
WHEREAS , during the transition period and pursuant to the MOUA, the City
is authorized to manage the Authority's operations in a temporary capacity until the
Authority is fully dissolved;
WHEREAS , acknowledging the likely termination of the Agreement and
dissolution of the Authority, the Board of Directors deems it necessary and
appropriate to authorize all actions required (i) to continue operation of Medstar
assets by the City to the extent required during the transition period to ensure
continued provision of emergency medical services and (ii) to effect the conveyance
of the Authority’s assets and liabilities to the City and the transition of services to
the City in accordance with the MOUA.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF
DIRECTORS OF THE METROPOLITAN AREA EMS AUTHORITY:
1. Authorization for Interim Operations: The Board authorizes the Authority to
continue its operations on a temporary basis during the transition period, under the
management of the City as provided in the MOUA.
2. Designation of Transition Authority: The Board authorizes the City to act ‘as’ the
Authority and take all actions as it deems prudent and necessary to manage all day-to-
day operations, make necessary decisions, and facilitate the transition of services, as
set forth in the MOUA.
3. Asset Transfer Authorization: The Board approves the transfer and conveyance of all
Authority assets, including but not limited to property, equipment, and land, to the
City as part of the dissolution process.
4. Administrative Formalities: The Board authorizes the Interim Chief Executive Officer,
Frank Gresh, to execute any documents and take any further actions necessary to
implement the provisions of this resolution.
5. Effectiveness: This resolution shall take effect immediately upon its adoption and
remain in force until the final dissolution of the Authority and termination of the
Agreement, as provided in the MOUA.
Adopted this 23 day of October 2024.
ATTEST:
By:
Carlos Flores, MAEMSA Board Chairman