Legislation Details

File #: 26-1181    Version: 1 Name:
Type: Consent Agenda Status: Agenda Ready
File created: 9/10/2026 In control: City Commission Regular Meeting
On agenda: 9/22/2026 Final action:
Title: Approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and Between the City of North Port on Behalf of North Port Fire Rescue EMS and the State of Florida, Agency for Healthcare Administration (AHCA) in the Amount of $316,864.71.
Attachments: 1. Letter of Agreement
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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TO: Honorable Mayor & Members of the North Port Commission

FROM: A. Jerome Fletcher II, ICMA-CM, MPA, City Manager

TITLE: Approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and Between the City of North Port on Behalf of North Port Fire Rescue EMS and the State of Florida, Agency for Healthcare Administration (AHCA) in the Amount of $316,864.71.


Recommended Action

Option 1: Approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and between the City of North Port on behalf of North Port Fire Rescue EMS and the State of Florida, Agency for Healthcare Administration (AHCA) in the amount of $316,864.71.

Commission Options

Option 1: Approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and between the City of North Port on behalf of North Port Fire Rescue EMS and the State of Florida, Agency for Healthcare Administration (AHCA) in the amount of $316,864.71.

Pros:
Enables the City to leverage federal matching funds through the PEMT Program.
Provides additional net new revenue of $394,072.49 for the City’s Emergency Medical Services (EMS) operations.
Supports continuation of the statewide PEMT Program that benefits EMS providers.
Cons:
Requires upfront intergovernmental transfer (IGT) of $316,864.71 by the City before reimbursement.

Option 2: Move to deny the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and Between the City of North Port on Behalf of North Port Fire Rescue EMS and the State of Florida, Agency for Healthcare Administration (AHCA) in the amount of $316,864.71.

Pros:
Avoids the need for the City to IGT funds to the State.
Cons:
City forfeits $394,072.49 in net new federal funding.
City would not participate in the Fiscal Year 2027 PEMT Program, losing access to total revenues of $710,937.20.

Background Information

Beginning in 2016, the Medicaid Fee for Service (FFS) PEMT Program has generated millions in additional federal dollars to...

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