ORDER NO. 30162
ASSIST COLLIN COUNTY IN RESISTANCE OF INDIGENT HEALTH
CARE PROGRAM LEGISLATION
Came to be heard this the 26th day of February, 2007, with a motion made
by Commissioner Baldwin, seconded by Commissioner Williams/Oehler.
The Court unanimously approved by vote of 4-0-0 to:
Join Collin County, and others similarly situated, to resist the negative
effects of indent health care program legislation.
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COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS REQUEST AND DOCUMENTS TO
BE REVIEWED BY THE COURT.
MADE BY: Pat Tinley
MEETING DATE: February 26, 2007
OFFICE: County
TIME PREFERRED:
SUBJECT: (please be specific) Consider, discuss and take appropriate action on request
from Collin County to join or otherwise assist Collin County and others similarly
situated to resist negative effect of indigent health care program legislation.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON):
NAME OF PERSON ADDRESSING THE COURT: -Judge Tinley
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5,
Chapter 55l and 552, Government Code, is as follows:
5:00 P.M. on the Tuesday prior to the meeting.
THIS REQUEST RECEIVED BY:
REQUEST RECEIVED ON:
All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has
been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will
be appreciated and contribute towards your request being addressed at the earliest opportunity. See Agenda
Request Rules Adopted by Commissioners' Court, Court Order No. 25722.
COLLIN COUNTY
January 24, 2007
Hon. Pat Tinley
Kerr County
700 Main Street
Kerrville, TX 78028
Dear County Judge and Commissioners:
Office of the County Judge
210 S. McDonald Street
Suite 626
McKinney, Texas 75069
www.collincountytx.gov
Collin County is administered as a County Indigent Health Care Program (CIHCP).
I am writing to ask that you partner with Collin County to actively guard our
common interests. To date, seven bills have been filed in the legislature relating to
Indigent Healthcare, several of which could potentially have a devastating effect on the
vast majority of Texas counties.
These bills place our counties in harm's way and the danger is real. As early as
yesterday, the Chairman of the Senate Intergovernmental Relations Committee stated
that changes to the Indigent Healthcare Program are a high priority to him. For
example, HB 480 would mandate all Indigent Healthcare programs increase eligibility
requirements from 21% to 100% of the Federal Poverty Level. HB 272 would mandate
that counties spend 6% of our General Revenue on Indigent Health Care, which would
require Collin County to quadruple our Indigent Healthcare expenditures.
These bills pose a negative financial impact on our taxpayers, potentially funneling our
tax dollars through the State into large urban hospital districts.
I ask that we speak with a united voice to our representatives in Austin and strongly
recommend that we work together toward acounty-sponsored solution in order to
minimize unfunded State mandates. I am willing to act as the point man on this matter,
since regional organizations and associations may very well not take a position on these
issues. If you would like to partner with Collin County, please let me know.
Sincerely,
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Keith Self
County Judge
Collin County
Keith.self@collincou ntytx.gov