Tom Green County · issues
Civic issues
Topics getting the most attention in Tom Green County public meetings, ranked by how frequently they come up.
Local Provider Participation Fund (LPPF) Regulatory Updates
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 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.
Employee Health Insurance Renewal
HR Director Julie Radekin proposed adding a Roth option to the county's 457 retirement plan and increasing the maximum employee contribution limit for healthcare flexible spending accounts to align with federal guidelines ($3,400).
Concho Valley Public Defender Grant Policy
The county accepted two state improvement grants from the Texas Indigent Defense Commission to fund public defender core operations and expand services into the Big Country region.
Elected Official Salaries and Compensation
The court approved publishing proposed salary adjustments for elected officials for fiscal year 2027, including a 3% cost-of-living raise across the board, commissioner base salary adjustments, and auto allowance realignments.