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Council approves $1M medical-debt purchase contract amid questions on administrative fees; adds six-month review

3522324 · May 27, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Lexington’s council approved a $1 million agreement to purchase unpaid medical debt through Undue Medical Debt, a three-year contract expected to relieve an estimated $90 million in debt, after debate about administrative costs; an amendment requires a six‑month review presented to council by the CAO at a work session.

The Lexington City Council approved a $1,000,000 contract with Undue Medical Debt to purchase unpaid medical debt for qualifying Fayette County residents, following extensive council discussion about administrative fees, sole-source procurement, safeguards and reporting.

Vice Mayor Wu and other supporters described the program as a one-time investment from last year’s fund balance that could purchase roughly $90,000,000 in unpaid medical debt for Fayette County residents and potentially affect up to 32,000 residents. Councilmembers and staff reported the contract is for three years, is terminable at will or for cause, and includes…

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