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Commissioners approve 6% mandatory rate for Collin County Local Provider Participation Fund for FY2026
Summary
After a public hearing, Collin County Commissioners voted to set the mandatory Local Provider Participation Fund rate at 6% for fiscal year 2026 and accepted an increase in the county administrative fee authorized by new state law, Chapter 292E of the Texas Health and Safety Code.
Collin County Commissioners on Friday approved a 6% mandatory rate for the county’s Local Provider Participation Fund (LPPF) for fiscal year 2026 and authorized an increased administrative fee allowed under recent state statute.
The move follows a public hearing at which Adelanto Healthcare Ventures’ representatives explained the program and its purpose. Michael Neal of Adelanto told the court the LPPF is “a mandatory payment that private hospitals in your county pay into that unlocks federal funding to reimburse your hospitals here in Collin County to pay for the health care services for those indigent population members.”
Why it matters: The LPPF is a county-level mechanism that pools local hospital payments to draw federal Medicaid matching dollars. Counties use the federal funding to reimburse hospitals for care of low-income residents and to preserve local hospital finances.
What commissioners approved
• Mandatory rate: The court approved a 6% mandatory rate for private hospitals’ contributions for fiscal year 2026. The vote followed the public hearing and a staff presentation.
• Administrative fee and statute: Commissioners also accepted an increase in the county administrative fee permitted under the Legislature’s recent enactment of Chapter 292E of the Texas Health and Safety Code, which specifically addresses Collin County’s authority to continue the program and to collect a higher administrative fee for running the LPPF.
• Supporters present: Representatives of local hospitals attended the hearing and were listed as supportive, including Baylor Scott and White, Dallas Children’s, Texas Health Resources, HCA Healthcare and Methodist. Adelanto Healthcare’s Kimberly Lam and Michael Neal led the presentation.
Vote and procedure
• Motion to approve the 6% rate and the higher administrative fee was made, seconded and carried by voice vote; no roll-call votes were recorded. The court chair announced the motion carried.
Context and background
Chapter 292E of the Texas Health and Safety Code, enacted in the most recent legislative session and cited by the presenters, provides statutory authorization for Collin County’s program changes and the revised administrative fee structure. Adelanto officials said the program has been used in other counties and that Collin County’s continuation would “bring these dollars back into Collin County for your health care funding.”
Ending
County staff and the Adelanto team thanked the court for its approval and said they would continue to work with local providers on program administration and implementation.
