Local Provider Participation Fund Admin Fee Request
Tom Green County
Summary
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.
At a glance
- Total mentions
- 2
- Last 30 days
- 1
Discussed at 2 meetings in the last 60 days; most recently Oct 27, 2026.
Impact analysis
Brings about $20 million into the fund at 2.5% (versus $17.2 million at the requested 2.4%), with no impact on county taxpayers; the county keeps a $20,000 admin fee.
Local hospitals and the uninsured and underinsured patients they treat.
Mentions & discussions (2)
Commissioners' Court - Oct 27, 2026
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.
Commissioners' Court - Sep 15, 2026
The county is asking state legislators to double the administrative fee limit for managing the local provider participation fund associated with Shannon Medical Center, raising it from $20,000 to $40,000.
We'll email you when it's on an upcoming agenda and when it's voted on, at most once a day.
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