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HomeMy WebLinkAbout063581-A2 - General - Contract - Metropolitan Area EMS Authority dba MedStar Mobile HeathcareCSC No. 63581-A2 SECOND AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NO. 63581 This Second 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; OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Second Amendment to Fort Worth City Secretary Contract No. 63581 Page 1 of 3 WHEREAS, the Agreement was originally set to expire on October 1, 2025 but was extended to December 31, 2025 pursuant to Amendment No. 1; 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 a second time; WHEREAS, on December 9, 2025 the Fort Worth City Council, by and through M&C 25- 1121, authorized a second amendment to extend the expiration date of the Agreement to March 31, 2026; 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 nine months, unless earlier terminated in accordance with the terms of this Agreement, and expire on March 31, 2026. 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] Second Amendment to Fort Worth City Secretary Contract No. 63581 Page 2 of 3 Executed effective as of the date signed by the Assistant City Manager below. City of Fort Worth: By: ZJ-&— 4 Name: William Johnson Title: Assistant City Manager Date: Dec 12, 2025 •opolitan Area EMS Authority Star Mobile Healthcare ALw419--A y. Valerie Washington (Dec 12, 202508:49:28 CST) ame: Valerie Washington itle: Assistant City Manager ate: Dec 12, 2025 uthorization: Resolution No. 6037-12-202 id 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; M&C 25-1121 City Secretary: 4,d4U4Unn� ° j FURr.t'% By: pro o�o Name: Jannette S. Goodall %3% o iA Title: City Secretary ooa 44 4�nEn, OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Second Amendment to Fort Worth City Secretary Contract No. 63581 Page 3 of 3 City of Fort Worth, Texas Mayor and Council Communication DATE: 12/09/25 M&C FILE NUMBER: M&C 25-1121 LOG NAME: 13AMEND 2 EMERGENCY MEDICAL SERVICE ILA SUBJECT (ALL) Authorize Execution of Amendment No. 2 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 December 31, 2025 to March 31, 2026 RECOMMENDATION: It is recommended that the City Council authorize the execution of Amendment No. 2 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 December 31, 2025 to March 31, 2026. 11 R1411;*1 [Q'! F 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 the Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare (MedStar) (City Secretary Contract No. 63581). The ILA formalized a temporary transitional arrangement under which MedStar, as the licensed EMS provider, continued EMS operations from July 1, 2025 to October 1, 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 control, with MedStar providing operational management and oversight to ensure uninterrupted EMS service delivery during the City's transition to becoming a fully licensed EMS provider. The ILA was amended, as authorized by M&C 25-0917, to extend the expiration date to December 31, 2025 due to ongoing delays in the City's attempts to becoming fully licensed for the provision of EMS with Medicare and Medicaid. The City anticipates needing additional time to complete this process. Therefore, the purpose of this M&C is to authorize the execution of Amendment No. 2 to the ILA that extends the agreement's end date from December 31, 2025 to March 31, 2026 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 March 31, 2026, 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. This transitional arrangement is further authorized by the Memorandum of Understanding and Agreement executed by the City and each MedStar member city, City Resolution No. 6037-12-2024, and the final resolution of the MedStar board before its dissolution, No. BC-1624. All other terms, provisions, conditions, covenants and recitals of the Agreement not expressly amended herein shall remain in full force and effect A Form 1295 is not required because: This M&C does not request approval of a contract with a business entity. 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. Submitted for City Manager's Office by. Reginald Zeno 8517 Originating Business Unit Head: Reginald Zeno 8517 Additional Information Contact: Anthony Rousseau 8338 City of Fort Worth, Texas Mayor and Council Communication DATE: 06/24/25 M&C FILE NUMBER: M&C 25-0571 LOG NAME: 13EMERGENCY MEDICAL SERVICE INTERLOCAL AGREEMENT SUBJECT (ALL) Authorize Execution of an Emergency Medical Service Interlocal Agreement with the Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare for the Temporary Provision of Emergency Medical Services Using City of Fort Worth Staff and Equipment RECOMMENDATION: It is recommended that the City Council authorize the execution of an Emergency Medical Service Interlocal Agreement with the Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare for the temporary provision of Emergency Medical Services using City of Fort Worth staff and equipment. 11R10111*1IQZ,F In accordance with the directives of the Fort Worth City Council, and the recommendations of the Emergency Services Ad Hoc Committee, the City of Fort Worth (Fort Worth) executed a Memorandum of Understanding and Agreement (MOUA), identified as City Secretary Contract No. 62555, with the Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare (MedStar) member cities (the Member Cities). Fort Worth and the Member Cities anticipated that during the period between execution of the MOUA, the transition of EMS System services to Fort Worth as the licensed emergency medical services (EMS) Provider, and the complete dissolution of MedStar there may be some operational and practical complications for the EMS System. Therefore, Fort Worth and the Member Cities agreed that MedStar would maintain its legal status as a governmental administrative agency and continue to operate under the direct management and oversight of Fort Worth during a transition period. During this transition period, the MOUA authorized MedStar to operate certain temporary functions under the management of Fort Worth to ensure continuity in billing, collections, and other operational areas as needed, and further authorized Fort Worth to take all necessary actions to ensure the continued operation and administration of the EMS System services to all parties, such as maintaining or renewing any required licenses, permits, or registrations for the EMS System services. The purpose of this Mayor and Council Communication (M&C) is to authorize the execution of an EMS Interlocal Agreement (ILA) that formalizes a temporary transitional arrangement in which MedStar, as the licensed EMS provider, will continue EMS operations from July 1, 2025 through September 30, 2025, using personnel and equipment leased from Fort Worth and under Fort Worth's operational management and oversight, in order to ensure uninterrupted EMS services during Fort Worth's transition to full licensed EMS Provider status. The ILA authorizes MedStar to operate the EMS System, with Fort Worth providing operational management, staffing, and equipment support, using MedStar's state EMS Provider license and credentials and leased Fort Worth assets and personnel while completing the final stages of transitioning to Fort Worth's own EMS Provider license and associated registration numbers. Agreement Overview: Structure: o- MedStar remains the licensed EMS provider for the term of the agreement. o- Fort Worth provides and leases personnel, ambulances, and equipment to MedStar for EMS System operation. o- Fort Worth manages daily EMS operations, dispatch, and staffing. o- MedStar authorizes Fort Worth to bill for services and oversee all operational functions. Medicare/Medicaid Administration: a MedStar will update federal registrations to reflect Fort Worth's managing control, billing agent, and leased assets. o- Upon termination, MedStar will remove Fort Worth from federal records and return full responsibility to Fort Worth's permanent EMS license. Operational Expectations: • EMS responses must meet strict performance standards: Q High -acuity incidents: <_ 8 minutes (90% of the time) 4 Low -acuity incidents: <_ 11 minutes (90% of the time) • MedStar must provide 24/7 ALS/BLS services, consistent with Fort Worth protocols and medical oversight. • EMS operations will be directed by the Fort Worth Fire Chief and Medical Director, who will also oversee clinical standards. • Fort Worth maintains vehicles, insurance, medical equipment, and third -party billing operations. Financial and Compliance Provisions: • Payments: All patient and third -party reimbursements are deposited into MedStar's account; MedStar remits full amounts to Fort Worth for services provided. • No additional compensation is owed by Fort Worth to MedStar. HIPAA Compliance: Fort Worth is designated as a Business Associate under federal regulations and must safeguard all patient information. Audit & Records: Both parties retain audit rights for three years post -agreement and must comply with federal and state access requirements. Indemnification & Liability: Each party is liable for its own staff and actions; Fort Worth agrees to defend and indemnify MedStar during the transition. The term of the Agreement will be effective July 1, 2025 and expire September 30, 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. A Form 1295 is not required because: This M&C does not request approval of a contract with a business entity. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendation and execution of the agreement, funds will be deposited into the Emergeny Medical Services Fund. The Fire Department (and Financial Management Services) is responsible for the collection and deposit of funds due to the City. Submitted for City Manager's Office by. Reginald Zeno 8517 Originating Business Unit Head: Reginald Zeno 8517 Additional Information Contact: Anthony Rousseau 8338 A Resolution NO. 6037-12-2024 DELEGATING MANAGERIAL CONTROL OF THE METROPOLITAN AREA EMS AUTHORITY TO THE FORT WORTH CITY MANAGER'S OFFICE AND REQUIRING THE METROPOLITAN AREA EMS AUTHORITY TO FOLLOW CERTAIN CITY OF FORT WORTH PROCUREMENT STANDARDS AND POLICIES 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 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 administers all 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 Agreement further provides that the Authority shall 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 Memorandum 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 the licensed EMS Provider for the Member Cities' jurisdictions; WHEREAS, the MOUA further provides for the transition of all EMS related services, operations, assets, and responsibilities to the City, to be administered by the City of Fort Worth Fire Department with independent medical direction provided by a Medical Director through the new City of Fort Worth Department Office of the Medical Director; WHEREAS, the MOUA requires the City to create two new City advisory boards, the Emergency Services Advisory Board (the "EAB") and the Medical Control Advisory Board (the "MCAB"), composed of relevant stakeholders and medical experts to ensure medical best practices; robust Member City representation, and to facilitate community engagement; WHEREAS, pursuant to the MOUA, the Authority will continue to exist, operate and serve as the EMS Provider for the Member Cities in a transitional 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 take all actions it deems prudent and necessary to manage all day-to-day operations of the Authority and facilitate the transition of EMS to the City; the transfer and conveyance of all Authority assets to the City; and the Interim Chief Executive Officer 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 Council (the "Council") believes it is prudent to delegate the responsibility of managing the operations of the Authority during the Transition Period to the Fort Worth City Manager's Office ("CMO"); WHEREAS, the Council also believes it is prudent to require the Authority to follow certain policies and procurement standards typical of Texas governmental entities during the Transition Period for transactions initiated by the Authority while under the management and control of the City; WHEREAS, the CMO will be required to report directly to the Emergency Services Committee concerning its management of the Authority during the Transition Period; WHEREAS, during the Transition Period, the EAB and MCAB will advise the City in place of the FRAB and the EPAB; and WHEREAS, this Resolution shall be effective as of the date of its adoption by the Council. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH, 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 Officer of the Authority, to facilitate the transition of services from the Authority to the City as reflected in the MOUA; 2. The CMO shall: (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 of the City's Financial Management Services Department during the Transition Period. The procurement policy must comply with Texas Law and be substantially similar to the City's existing Purchasing Administrative Regulation; 3. The CMO shall approve all new contracts or amendments to existing contracts that exceed $100,000.00 and the Council specifically waives any requirement, if any, for those contracts to be presented to or approved by the Council; 4. The EAB and MCAB will advise the City concerning the operations of the Authority during the Transition Period in place of the FRAB 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 101' day of December 2024. ATTEST: By: U Jannette S. GoodaIl, City Secretary Docusign Envelope ID: BD6EBD97-7179-4AD2-8F67-29CAODED36D1 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. Docusign Envelope ID: BD6EBD97-7179-4AD2-8F67-29CAODED36D1 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: s�ya.a er: By: Carlos Flores, MAEMSA Board Chairman FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare Subject of the Agreement: Service ILA with the City for operation of EMS using MedStar's license M&C Approved by the Council? * Yes ❑■ No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑■ No ❑ 63581 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No ❑■ If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No ❑■ If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: J u ly 1, 2025 If different from the approval date. Expiration Date: March 31, 2026 If applicable. Is a 1295 Form required? * Yes ❑ No ❑■ *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes ❑■ No ❑ Contracts need to be routed for CSO processing in the followin order:. 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.