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Greenville council approves TNT EMS fee amid one dissent; several administrative resolutions pass
Summary
The Greenville City Council on April 27 adopted a Treatment No Transport (TNT) EMS billing policy that sets a $250 charge billed to insurance when patients refuse transport; the measure passed 5–1. The council also approved agreements for debt collection, surplus property sale, insurance payment and a maintenance pact with the Sasanqua Garden Club.
The Greenville City Council on April 27 approved a package of administrative resolutions, including a new Treatment No Transport (TNT) billing policy that sets a $250 charge for EMS calls where treatment is rendered but the patient refuses transport.
Mayor Jae’Ques Brown presented Resolution 2026‑28 to establish a uniform TNT billing policy intended to recover costs when emergency medical services are provided but transport does not occur. "Under the policy, a fee of Two Hundred Fifty Dollars ($250.00) shall be charged and billed to insurance companies for Treatment No Transport services when applicable," the resolution states. Councilmember Bryan Reynolds moved adoption and Councilmember Joseph West seconded. Councilmember Brandon Smith Sr. opposed the motion; Mayor Brown announced the motion carried with five ayes and one opposed.
The council also voted unanimously to authorize an agreement with Lifeline Billing Systems, LLC for EMS debt collection (Resolution 2026‑29), declare city property at 540 W. Commerce Street surplus and authorize its sale (Resolution 2026‑30), and authorize payment for municipal insurance coverage for April 20, 2026–April 19, 2027 (Resolution 2026‑31). Each of those resolutions passed after a motion and second and recorded unanimous approval.
The TNT policy drew the only recorded dissent at the meeting; Councilmember Smith objected to charging patients in treatment‑no‑transport situations, while the council majority said the fee is intended to standardize billing and recover costs for the city’s EMS responses. The minutes do not record additional public testimony or an administrative cost analysis tied to the fee.
The meeting also included approval of routine expenditures, including a $4,068.00 payment to Middleton Oil Co. for budgeted diesel fuel, and adjourned at 6:00 p.m.
Actions and next steps: Resolution 2026‑28 becomes a city billing policy once administrative implementation steps are completed; the meeting record does not specify an effective date beyond adoption. The Lifeline Billing Systems agreement, surplus property authorization and insurance payment were approved and the city will proceed with contract execution and any next steps required by departmental procedures.
