Garland, TX – The City of Garland announced it is cancelling the agreement with MD Health Pathways, after months of mounting pressure that was beginning to impact upcoming elections. Here is what the City shared:
City of Garland Cancels Telehealth Program with MD Health Pathways
Following months of receiving feedback from the community, and after consultation with the City Attorney and City Council, Interim City Manager Mike Betz has elected to exercise his authority to terminate the City’s contract with MD Health Pathways. On Feb. 17, 2026, the contract for Tap Telehealth services was canceled according to Section 6.1 of the Master Telehealth Services Agreement, which authorizes either party to terminate for convenience, without penalty, for up to 30 days prior to the program launch date.
The program was originally expected to launch in late spring or early summer this year. If implemented, all households would have been automatically enrolled, unless they opted out, at an initial charge of $6 per month added to City of Garland utility bills. Since the contract was canceled before the program launch, no households were enrolled and no charges were added to utility bills.
This program has been the subject of vigorous debate in our community. While opinions differed, it is clear that we all share a common goal: protecting and enhancing the health, safety and quality of life of our residents. We thank those who engaged respectfully and constructively in this conversation. The level of community participation reflects the strong commitment our residents have to the well-being and future of Garland.
At the Feb. 17 City Council Regular Meeting, Council will vote on whether to also cancel the special election previously called for May 2, 2026. The election was called for the purpose of submitting to the qualified voters a nonbinding proposition regarding the provision of telehealth services by a fee within the City utility bill.







