Legislation Details

File #: 26-161   
Type: Resolution (Consent) Status: Passed
File created: 4/9/2026 In control: Gaston Emergency Medical Services (GEMS)
On agenda: 4/28/2026 Final action: 4/28/2026
Enactment date: 4/28/2026 Enactment #: 2026-133
Title: Commissioner Fraley - GEMS - To Appropriate Medicaid Cost Settlement Funds Totaling $1,167,466 and Approve a Transfer of $736,361 to the Capital Fund
Sponsors: Allen R. Fraley
Attachments: 1. Adopted 2026-133, 2. BCR

title

Commissioner Fraley - GEMS - To Appropriate Medicaid Cost Settlement Funds Totaling $1,167,466 and Approve a Transfer of $736,361 to the Capital Fund

body

STAFF CONTACT

Mark Lamphiear - GEMS - 704-866-3202

BUDGET IMPACT
budget

 

General Fund: Increase revenue by $1,167,466.  Increase operating budget by $431,105 and transfer to CIF by $736,361.

 

CIF: Increase transfers in by $736,361. Increase transfers out by $736,361.

 

Capital Fund: Increase transfers in by $736,361. Increase capital expenditures by $736,361.

 

body

BACKGROUND

 

From an operational standpoint, we’ve cut or deferred several needs across GEMS, Fire, EM, and Law Enforcement. This approach allows us to address some of those gaps, maintain service levels during a challenging financial period, and help reduce pressure on FY 2027 Budget.  GEMS received Medicaid cost settlement funds for ambulance services. The requested GEMS FY 2027 budget is based on needs of approximately $32,000,000. However, the expected adopted budget will likely fall short of this amount, and the Medicaid cost settlement funds will be used to supplement the additional non-recurring items. This will also benefit others including GCPD and OEMFS.

 

POLICY IMPACT

N/A

ATTACHMENTS

Budget Change Request (BCR)