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MedStar/EMS Transition

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In 2023, the City recognized the rising costs and increased response times of EMS delivery and the stagnant revenues affecting the MedStar EMS delivery model. The City began an examination into solutions to ensure the long-term viability, stability, efficiency, and success of the EMS system that serves Fort Worth and other member cities. In May 2024, the Fort Worth City Council approved the EMS Ad Hoc Committees recommendations, which included establishing an EMS system within the Fort Worth Fire Department. This will ensure that the EMS system for residents and visitors is financially sustainable, responsive, timely and focused on high-quality

In 2023, the City recognized the rising costs and increased response times of EMS delivery and the stagnant revenues affecting the MedStar EMS delivery model. The City began an examination into solutions to ensure the long-term viability, stability, efficiency, and success of the EMS system that serves Fort Worth and other member cities. In May 2024, the Fort Worth City Council approved the EMS Ad Hoc Committees recommendations, which included establishing an EMS system within the Fort Worth Fire Department. This will ensure that the EMS system for residents and visitors is financially sustainable, responsive, timely and focused on high-quality patient care.

Most recently, the Memorandum of Understanding (MOU) between the City of Fort Worth and the Fort Worth Professional Firefighters Association, IAFF Local 440, was approved by Fort Worth City Council. This agreement will amend certain provisions of the current Collective Bargaining Agreement (CBA) between the City and the Local 440 for incoming Emergency Medical Services (EMS) positions joining the Fort Worth Fire Department (FWFD), effective July 1, 2025.

For additional information, please visit https://www.fortworthtexas.gov/departments/city-manager/ems.

  • EMS Transition Milestone: Certification & Licensure UPDATE

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    The City of Fort Worth has submitted the necessary application to the State of Texas for approval to become a licensed EMS transport provider, progressing the transition of its Emergency Medical Services (EMS) system from MedStar to the City of Fort Worth’s Fire Department (FWFD). This is a significant milestone that has been achieved. While the FWFD is already a licensed EMS provider, it currently lacks the authority to transport patients.

Page last updated: 10 Apr 2025, 10:54 AM