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City staff says AP Pathways telehealth contract canceled after community concerns; $50k in preliminary costs reported

Garland City — District 3 briefing · March 26, 2026
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Summary

City staff told District 3 residents the AP Pathways telehealth contract approved earlier was terminated after community feedback and legal review; staff said about $43,000 in CIS software work, roughly $6,000 in billing-cert costs and about $1,000 in miscellaneous billing expenses were incurred before cancellation.

City staff announced that the AP Pathways telehealth contract approved for inclusion as a utility-bill option will not move forward after community concern and internal legal review. A staff presenter said the contract included an exit clause and staff, the city manager and the city attorney elected to terminate the agreement before it was implemented. "That contract has it's been canceled. It's not moving forward," the presenter said.

Staff provided a preliminary accounting of costs incurred while preparing the program: about $43,000 in CIS software work, approximately $6,000 related to billing certificates and about $1,000 in other billing tasks. The presenter said because the contract was cancelled there will be no telehealth item on the May 2 ballot and no election-related cost for this program. Staff said further financial details are being collected in response to a council request, and no new telehealth implementation will be carried out without additional public review.