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Commission renews MedStar EMS contract and approves notice of intent for up to $22M in bonds
Summary
The commission approved a renewal of the MedStar ambulance service contract for 2025–2030, and voted to publish a notice of intent under Section 517 of Act 34 seeking authority for up to $22 million in capital improvement bonds; publication is an initial procedural step, not an authorization to issue bonds.
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The Mount Clemens City Commission on Oct. 6 approved a revised contract renewal with MedStar Ambulance Service covering 2025 through 2030 and also approved publishing a notice of intent to issue capital improvement bonds of up to $22 million.
Fire and EMS staff told the commission the MedStar renewal aligns with the Fire Department’s response and deployment plan and that the agreement includes regular quality assurance and quality improvement reviews. Commissioners asked whether there had been complaints; the fire chief said he had investigated one complaint in the past two years and found it meritless and said overall the service meets state EMS standards.
Commissioners also asked about billing. Staff replied that EMS billing is governed by Medicare, Medicaid and private insurers, and that local providers receive reimbursements according to federal/insurer schedules rather than unilaterally set local rates.
On capital finance, the commission approved a notice‑of‑intent resolution under Section 517 of Act 34 that would allow the city to publish notice of proposed capital improvement bonds not to exceed $22 million. Bond advisor Jeff Arnoff told commissioners publication is the first procedural step and that the city would later choose whether to actually issue bonds. Staff said the proposed list includes building projects and water/sewer separation work; they emphasized the published maximum can be reduced at the time of issuance but cannot later be raised without republishing notice.
Why it matters: The MedStar contract renewal governs local EMS service levels and QA processes for the next five years. The bond notice begins a public process that could lead to a substantial capital finance package if the city chooses to proceed and voters do not refer the issue.
What’s next: MedStar will continue under the renewed terms; the notice of intent will be published and, if the city moves forward later, issuance would require a separate approval and compliance with Act 34 procedures.

