Title
Consider a memorandum/resolution approving an Emergency Medical Services Interlocal Agreement between Bell County and Killeen Fire Department.
Body
DATE: October 8, 2026
TO: Kent Cagle, Interim City Manager
FROM: Jim Kubinski, Fire Chief
SUBJECT: Bell County and Killeen Fire Department EMS ILA
BACKGROUND AND FINDINGS:
An Interlocal Agreement for Emergency Medical Services (EMS) establishes a formal partnership between the City of Killeen and Bell County that authorizes Killeen Fire Department EMS to provide emergency ambulance services in the unincorporated areas of Bell County. The agreement is intended to define each party’s responsibilities and provide a clear framework for EMS response, billing, reimbursement and accountability. The findings are that Killeen Fire Department has the personnel and equipment necessary to provide EMS outside the city under ordinary circumstances, while Bell County has identified a public health and safety need for emergency ambulance services in the county that requires assistance from the Killeen Fire Department. Under the agreement, Bell County will pay a base surcharge of $750 for each transported patient response, 50% of the base cost for qualifying no-transport calls, and no surcharge for false alarms, cancellations before arrival on scene, or calls with no patient contact. The base cost may increase annually based on the CMS Ambulance Inflation Factor, capped at 3%. The agreement also allows the City of Killeen to bill patients and insurers for allowable EMS services, while maintaining the fire department’s priority to respond to emergencies within the city limits
A previous MOU with Bell County for Emergency Medical Services that was presented more than twenty years ago has not been addressed or updated since initial presentation of the item. This Interlocal Agreement will be put in place for a five-year period and auto-renew annually.
THE ALTERNATIVES CONSIDERED:
N/A
Which alternative is recomme...
Click here for full text