Primary Department: Management and Budget
Primary Department Head/Elected Official: Daniel Ramos, Executive Director, Office of Management and Budget
Secondary Department: Harris Health System
Secondary Department Head/Elected Official: N/A
Regular or Supplemental RCA: Supplemental RCA
Type of Request: Bonds
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Request by the Office of Management and Budget for approval of an order approving proceedings to authorize Harris County Hospital District, Limited Tax Bonds, Series 2026; including the preparation of all financing and offering documents and the publication of notice; approving the engagement of professionals in connection with the foregoing; and making other provisions regarding such bonds and matters incident thereto.
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Background and Discussion:
On November 7, 2023, the voters authorized the issuance of $2.5 billion hospital district bonds for Harris County Hospital District, d/b/a Harris Health System (the "District"). The District intends to issue new money bonds to finance the acquisition, construction, equipment, and/or enlargement of the District facilities from this election voted authority.
On May 13, 2025, the District issued $808.5 million of new-money bonds as part of the first tranche of the approved $2.5 billion in bonds for District facilities.
On February 11, 2026, the Harris Health Board of Trustees passed resolutions approving the Go Forward order to issue the Harris County Hospital District, Limited Tax Bonds, Series 2026 in an amount not to exceed $850 million.
Expected Impact:
Facilitates the time...
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