Troy Council debates three paths for emergency medical services as current contract nears expiration

Troy City officials on March 10 reviewed options for the city’s emergency medical services as the current contract with its private ambulance provider expires Dec. 31, 2025, and staff warned the 90‑day notice window for renewal approaches.

City Manager Frank Nastasi opened the discussion, saying, "Our current EMS contract expires at the end of this year," and asked staff to present possible pathways. Deputy City Manager Bob Bruner told council the city had paid directly for ambulance services only since Jan. 1, 2024, after an earlier amendment of the Alliance contract following a company consolidation, and added, "we're coming to you now to talk about options because the renewal or extension of the contract depends upon mutual agreement of the fee."

The presentation — led by Bruner with Fire Chief Pete Hollinger and city finance staff — summarized three primary options: (1) continue subsidizing a private ambulance provider (the current model), (2) a co‑provision model where the city staffs medical first responders while contracting transport to a private company, or (3) convert EMS into a full municipal service operated by the city.

Staff…