Discussion and possible action to authorize Inter-Governmental Transfer (IGT) contributions payable to the Texas Health and Human Services Commission as required under the Texas Healthcare Transformation and Quality Improvement Program/1115 Waiver in amounts not to exceed a total of Nine Hundred Thousand Dollars ($900,000) for Fiscal Year 2024-2025. IGT contributions for FY 2024-2025 may be paid out, if necessary, thru December 31, 2025, contingent upon IGT transfer dates and deadlines established by the State of Texas. [Accounts #1001-5030-001-432063-015 (Hospital Inpatient) and #1001-5030-001-432063-020 (Hospital Outpatient) from Fiscal Year 2024-2025 Budget]
 
Issue: Since 2006, Webb County has participated as the Inter-Governmental Transfer (IGT) entity for Laredo Medical Center and Doctors Hospital of Laredo. The IGT submitted allows hospitals to receive federal matching funds that are used to offset the cost of uncompensated care that hospitals provide to Medicaid and uninsured patients.
 
Solution: Commissioners Court approval is needed in order to submit IGT contributions on behalf of local hospitals as requested by the State of Texas.
 
Result: The authorization of IGT will allow local hospitals to access matching federal funds for FY 2024-2025 to offset uncompensated care costs as well as receive supplemental payments from the State of Texas.