On Oct. 1, the City of Pflugerville will transition its Emergency Medical Services from Allegiance Mobile Health to Travis County Emergency Services District No. 2, also known as the Pflugerville Fire Department.
What you need to know
The transition will take place at noon, and Allegiance and ESD No. 2 will simultaneously monitor calls from 10:30 a.m. to 3 p.m. to ensure there are no gaps in service.
Mayor Doug Weiss said there should not be a noticeable difference for residents, but the transition will benefit the community by increasing the number of available ambulances.
“The first provider that shows up when you call 911 might not be an ambulance; it might be a fire truck,” Weiss said. “But they are all trained and ready to provide that care. So it increases the number of folks who can provide that care.”
Every ESD No. 2 firefighter is, at a minimum, a certified emergency medical technician, according to the city. ESD No. 2 has provided advanced life support ambulance services since 2017, and its ambulances are staffed and equipped to deliver advanced emergency medical treatment and transport.
ESD No. 2 will operate six staffed ambulances across its service area, with four positioned within the Pflugerville city limits.
ESD No. 2 Fire Chief Nick Perkins said they have been working on solving the need to improve EMS in Pflugerville since 2011.
“We started working on it pretty diligently and started building the capacity, training paramedics, training firefighters as paramedics, getting the equipment, and just getting to the point where we were able to provide that type of service,” Perkins said. “What it’s always been about is we’re going to all these calls as first responders, and it was really about taking advantage of the opportunity of using the existing workforce in the community.”
Dig deeper
Weiss said the city decided to make the transition because it wanted a public entity to provide the service, and it was able to coordinate with the county to secure funding to ensure the transition would be net-neutral for the first year.
According to previous Community Impact reporting, the city of Pflugerville approved two interlocal agreements to transition these services. Under the first agreement, the city will commit $1.9 million for the first two years to fund these services. The second agreement provides $600,000 in grant funding from Travis County toward services. For each year of the six-year contract with Travis County ESD 2, the contract cost will increase by 2.5%.
The background
On July 14, Pflugerville City Council approved the measure to transition ambulance and emergency medical services.
ESD No. 2 has served the city for over 70 years. In 2025, Travis County ESD No. 2 responded to more than 14,300 calls for service and operates from eight 24-hour fire stations, according to the city.
