Civic Issues
Topics getting the most attention in Tom Green County public meetings, ranked by how frequently they are discussed.
3 issues in taxes budget
Employee Health Insurance Renewal
County employees keep their wellness incentives and can now stash $3,400 instead of $2,400 in a flexible spending account to cover medical costs tax-free.
Local Provider Participation Fund Admin Fee Request
The county collects mandatory payments from Shannon and Compass hospitals to draw down federal Medicaid matching funds for uninsured care. The court cut the rate from 5% to 2.5% because the fund already holds $28 million against a projected $26 million need for 2027. Taxpayers don't pay this — the hospitals do, and the money returns to them for care.
Local Provider Participation Fund (LPPF) Regulatory Updates
Nonpublic hospitals in Tom Green County will pay mandatory payments at a 2.5 rate to fund the Local Provider Participation Fund, which helps cover care for low-income patients. The court held a public hearing before voting.