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Schertz EMS faces revenue shortfalls after billing and supplemental‑payment changes
Summary
City staff and EMS leaders told council the ambulance enterprise fund faces growing operating deficits after state and federal changes reduced reimbursements and a local decision to raise pay to retain staff.
Schertz EMS leaders told the council at a Feb. 7 strategic planning session that the ambulance enterprise fund has sustained revenue losses and faces a trajectory that may be unsustainable without changes to rates, service levels or cost structure.
City staff said three major factors have reduced EMS revenue: state balance‑billing restrictions (Senate Bill 2476), reductions in the Texas Ambulance Supplemental Payment (TASP) reimbursements and the city's own…
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