Legislation Details

File #: 26-4111    Version: 1 Name:
Type: Interlocal Agreement Status: Passed
File created: 6/17/2026 In control: Commissioners Court
On agenda: 7/9/2026 Final action: 7/9/2026
Title: Request that the County Judge execute an interlocal agreement between Harris County and the Harris County Hospital District d/b/a Harris Health for the provision of in-kind support of governmental services.
Primary Department: Management and Budget
Primary Department Head/Elected Official: Daniel Ramos, Executive Director

Secondary Department: Choose an item.
Secondary Department Head/Elected Official:

Regular or Supplemental RCA: Regular RCA

Type of Request: Interlocal Agreement

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 that the County Judge execute an interlocal agreement between Harris County and the Harris County Hospital District d/b/a Harris Health for the provision of in-kind support of governmental services.
end

Background and Discussion:

Harris County and the Harris County Hospital District d/b/a Harris Health routinely collaborate to provide governmental services through multiple interlocal agreements. Under this agreement, Harris Health will provide certain existing services to Harris County departments and component units on an in-kind basis during Fiscal Year 2027 rather than invoicing the County for those services. The agreement is authorized under Chapter 791 of the Texas Government Code (Interlocal Cooperation Act).

The in-kind support includes continued access to Harris Health's Epic electronic health record system and related post-implementation support for healthcare providers within the Harris County Sheriff's Office and The Harris Center, as well as support for Harris County Public Health initiatives, including the Violence Interruption Program and related care coordination efforts. The agreement also supports ongoing collaboration among County entities to improve health outcomes and reduce duplication of services.

Pursuant to the agreement, Harr...

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