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Commission approves Parkview affiliation for EMS, retains medical director and adopts medical-records fee ordinance
Summary
Commissioners approved affiliating Cass County EMS with Parkview Health after EMS reported a 70% pharmacy price increase under the prior sponsor; they also approved a medical director agreement (malpractice coverage up to $7,500) and adopted ordinance 2025-13 to set EMS medical-record fees consistent with Indiana law.
The Cass County Commissioners voted to affiliate the county’s EMS with Parkview Health and approved the Cass County EMS medical director agreement during a regular meeting.
Brady, speaking for Cass County EMS, said the county’s prior sponsoring hospital (IU Health–Arnett of Lafayette) imposed pharmacy price increases that have ‘‘basically put a huge strain on us and increased our medication prices by about 70%.’’ He said the EMS board recommended aligning with Parkview Health; Parkview’s "Friends of Parkview" program would allow the county to procure supplies at Parkview cost, which Brady said could substantially reduce equipment and medication expenses (he gave a quoted example of a cardiac monitor quoted at $58,000 being approximately $38,000 under Parkview pricing).
Commissioners also discussed and approved a medical director agreement to retain Dr. Marcinkowski as the county’s independent medical director; Brady said the contract provides for the county to pay malpractice insurance up to $7,500. "You can call him doctor Nate," Brady said when introducing the physician.
Separately, the commission adopted ordinance 2025-13, which the presenter described as adopting Indiana statutory and administrative-code provisions that set how much EMS and medical providers may charge for medical records (the presenter clarified this is distinct from public-records requests).
The measures passed on motions moved and seconded and recorded as carried with aye votes; the transcript does not include a roll-call tally. County staff will complete the contract paperwork and process related administrative steps.
Next steps: finalize affiliation and medical-director contract signatures and publish the ordinance and updated fee schedule.
