Council expands health authority agreement to support physician recruitment

Enterprise City Council · February 4, 2026

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Summary

City council approved an amendment to the Enterprise Health Care Authority memorandum of agreement to allow reimbursable funds to be used for physician recruitment and retention; staff also said a $3 million congressional request had been submitted to purchase a surgical robot for Medical Center Enterprise.

On Feb. 3 the Enterprise City Council authorized an amendment (Amendment No. 1) to the memorandum of agreement with the Enterprise Health Care Authority to broaden the allowable reimbursable uses from obstetrics locum coverage to include physician recruitment and retention across specialties.

City staff explained the change will allow the health authority to submit qualified expenses for reimbursement to the city for activities such as recruiting physicians, physician assistants and nurse practitioners to the Enterprise community. The staff presentation emphasized the funds are reimbursable — not a general operating grant — and that recipients must document qualified expenses before receiving city reimbursement.

During the discussion staff noted local physician shortages identified in a prior healthcare study (staff cited approximately 40 physician shortfall previously, projected to grow), and listed specialties of concern including OB/GYN, family practice, emergency medicine and general surgery. Staff also said the effort would coordinate existing recruitment efforts by the Medical Center Enterprise and foundations including the E. L. Gibson Foundation.

In answer to a council question about federal support, staff said a $3,000,000 congressional delegated spending request submitted by "Senator Bridal" would fund procurement and installation of a surgical robot at Medical Center Enterprise; staff described the robot as a recruitment and clinical-capability tool especially for minimally invasive GYN and general surgery procedures.

The council voted to authorize the mayor to execute the amendment; the motion carried by voice vote. Council requested staff provide additional detail on expenditure controls, reporting requirements and the projected recruitment timeline.

Next steps: staff will provide a written summary of eligible reimbursable costs, a process for expense review and an updated timeline for recruitment milestones and any expected partnership agreements with Medical Center Enterprise.