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Alamo approves multiyear Lone Star Ambulance contract with MICU coverage; staff cites roughly $396,000 annual cost
Summary
After executive session the commission approved a multiyear emergency medical services contract with Lone Star Ambulance Service that staff described as a 3‑year option with a negotiated discount and an annual cost cited in the presentation as $396,000. The agreement includes a 24/7 MICU unit with whole‑blood capability and other advanced prehospital services.
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The commission voted to approve a new multiyear contract with Lone Star Ambulance Service to provide emergency medical services in Alamo. Staff described options for a 3‑year agreement (staff later reported a negotiated 12% discount) and outlined equipment and operational coverage included in the proposal.
Staff described the proposal as providing a continuous 24/7 MICU unit with backup coverage, and noted the unit would carry advanced capabilities including whole‑blood infusion and point‑of‑care ultrasound. During the packet presentation staff stated an "annual cost of $396,000." The presentation also included a garbled higher figure in the record; commissioners approved the contract after returning from executive session. "We were able to do a proposal of 3 years with a 12% discount," staff said in open session when summarizing the agreement.
Commissioners moved, seconded and approved the contract by voice vote in open session following executive session. The contract as presented covers operations costs including staffing, equipment, supplies and clinical oversight; staff told the commission no additional city capital expenditures would be required.

