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Hays County sets local health-provider participation rate at 6% after public hearing
Summary
After a public hearing with hospital representatives, the Commissioners Court adopted a resolution setting the county—s FY 2026 local healthcare provider participation rate at 6% to support a county provider participation fund.
Hays County Commissioners on Tuesday set the county—s fiscal year 2026 mandatory payment rate for the local Health Care Provider Participation Program at 6% of net patient revenue, following a public hearing that included hospital representatives.
Robin Oldham, finance and policy director for Adelanto Healthcare Ventures, and Julie Holly of Ascension Seton told the court the program has brought federal matching dollars into local hospitals and that a stable, predictable participation rate helps the hospital sector cover uncompensated care for Medicaid and uninsured patients.
"This is the 11th year we—re coming before you," Robin Oldham said, and she told the court the program had brought more than $336 million into the local hospital community to date. Julie Holly said Ascension Seton supported adoption of the 6% rate.
Under state law (Texas Health and Safety Code ch. 293), counties that establish a local provider participation program must hold a public hearing each year on the amounts of mandatory payments. Hays County—s resolution sets the FY 2026 mandatory payment rate at 6% and directs that revenues be used for purposes listed in the state statute.
The motion to adopt the resolution passed unanimously. County staff noted that the county collects the payments and passes the funds through the state matching mechanism; partners that participate receive federal dollars that augment the local fund.
