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Val Verde court authorizes first-stage talks with regional medical center to set up clinic space

Val Verde County Commissioners Court · March 12, 2026
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Summary

Commissioners authorized initial planning and negotiations with LaGuardia Regional Medical Center to develop a primary-care/behavioral-health clinic (and potential infusion/oncology services) at a community center site; the hospital representative said limited oncology services could start through partners and RHC designation would take months.

Del Rio — Val Verde County Commissioners Court authorized initial planning and negotiations to explore locating a rural-clinic site within county-owned space, a step county leaders said could expand local access to primary care, behavioral health and limited oncology services.

The court authorized Commissioner Juan Carlos Vasquez to begin formal discussions and planning with LaGuardia Regional Medical Center and to return any resulting proposals to Commissioners Court for further approval.

Why it matters: County officials said adding an on-site primary-care clinic with integrated behavioral health would reduce travel to San Antonio for routine services and could allow limited chemotherapy and infusion services over time, increasing local access to care.

At the meeting a regional-medical-center representative described a two-stage approach: first, enhance the facility’s outpatient infusion center with a USP 800 clean room to allow hazardous-drug mixing (including some chemotherapies); second, partner with other hospitals and clinicians to provide limited oncology coverage. The presenter said accreditation and regulatory steps toward Rural Health Clinic (RHC) designation would take roughly six months but that the clinic could begin seeing patients in a non‑RHC capacity earlier.

The representative said the system already operates two rural clinics and is integrating behavioral health into both sites; proposed services for the new location would include primary-family medicine and behavioral-health staff such as a licensed professional counselor or clinical social worker. The presenter added the system was pursuing partnerships with surgeons and a surgical oncologist who could provide coverage roughly 10 days a month.

Court action: A motion to authorize first-stage planning and negotiations passed unanimously, 5–0. Commissioners directed staff to arrange a walk-through of the proposed facility with county compliance staff to identify ADA, fire-safety and space modifications and to return a site layout and cost estimate to the court.

What was not decided: The authorization covers only planning and negotiations; no binding lease, budget appropriation or clinical-service contracts were approved at the meeting. Any formal agreements or funding requests will come back to the court.

Who said it: Quotes and technical details are drawn from the hospital representative’s presentation to the court and the court’s recorded motions and comments.