Concerns over ambulance service fees took center stage at the Garland Budget Workshop on August 16, 2025, as city officials discussed the implications of current pricing structures. The dialogue highlighted fears that residents might hesitate to call 911 due to misconceptions about potential costs, with officials emphasizing the importance of clear communication to dispel these myths.

City leaders expressed a commitment to ensuring that residents understand that ambulance fees are not intended to burden them financially. Instead, they aim to capture revenue from insurance providers, which could help the city avoid leaving money on the table. "We're concerned about what the unintended consequences are of putting too much information out there," one official noted, stressing the need to balance transparency with public perception.

The discussion also revealed that current fees for ambulance services are lower than what Medicare would reimburse, prompting calls for a review and potential increase. Councilmember Bearden shared personal experiences, noting that ambulance services in Dallas charged significantly more than those in Garland, reinforcing the argument for a fee adjustment. "Our services far exceed the fees we're charging," Bearden stated, advocating for a pricing strategy that aligns with the quality of care provided.

As the meeting progressed, officials acknowledged the need for a comprehensive review of the fee schedule, with plans to gather more data on the effectiveness of recent changes in fee collection practices. The conversation underscored a growing recognition that updating ambulance service fees could not only enhance city revenue but also ensure that residents receive the quality care they deserve without financial hesitation.