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Lee County board directs staff to prepare first-reading ordinance naming MedEx as EMS vendor after contested public hearing

Lee County Board of Commissioners · October 21, 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

After a contested public hearing with competing proposals from MedEx and First Health, the Lee County Board of Commissioners voted by voice to direct staff to prepare a first-reading ordinance identifying MedEx as the county's EMS franchise vendor; the board held the public hearing and closed it before making the direction. Public commenters and provider representatives raised staffing, cost, transfer practices and patient-billing concerns.

The Lee County Board of Commissioners on Oct. 20 closed a public hearing on the county's emergency medical services (EMS) franchise and voted by voice to ask staff to prepare a first-reading ordinance naming MedEx (also styled Medex/MedX in material presented) as the vendor to provide county EMS services.

MedEx CEO Dylan Lowe told the commissioners that his company's proposal includes two options that would meet the RFP requirements for five ALS units distributed across the county, with a second base location, modern fleet and AI-enabled dispatch software. Lowe said MedEx's bid relies on billing revenue from transports and nonemergency work and asserted that the company could operate at a lower subsidy than the incumbent. He told the board MedEx would hire displaced…

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