City Council Work Session - September 15, 2026

The City Council Work Session for the City of San Marcos held on September 15, 2026, focused primarily on establishing policies for the municipal Emergency Medical Services (EMS) billing and financial assistance framework. Key procurement-related discussions included defining residency for billing purposes, setting income thresholds for charity care, and determining procedures for delinquent account collections. Council members deliberated between two charity care threshold options—a full forgiveness at 400% of the federal poverty level versus a sliding scale approach—and considered residency verification methods using GIS mapping and various documents. The council also discussed the administrative workload related to residency verification and the potential use of collection agencies for unpaid EMS bills. No formal votes were recorded in the transcript, but council members expressed preferences and agreed to revisit the policy after six months based on initial financial and utilization data. The session concluded with acknowledgments of progress toward launching the municipal EMS system and a brief mention of upcoming executive session topics unrelated to procurement.