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 timely issuance of voter-approved bonds to fund capital improvements.
Alternative Options: N/A
County Strategic Plan Goal: N/A
County Strategic Plan Objective: N/A
Justice/Safety Initiative (Goal 1): N/A
Infrastructure Initiative (Goal 2): N/A
Economy Initiative (Goal 3): N/A
Health Initiative (Goal 4): N/A
Climate/Resilience Initiative (Goal 5): N/A
Housing Initiative (Goal 6): N/A
Additional notes related to the Strategic Plan: N/A
Prior Court Action (if any):
|
Date |
Agenda Item # |
Action Taken |
|
06/12/2025 |
26 |
Approval of an order ratifying the issuance, sale and delivery of Harris County Hospital District, Limited Tax Bonds, Series 2025. |
Location:
Address (if applicable):
Precinct(s): Choose an item.
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Fiscal and Personnel Summary |
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Service Name |
Bonds |
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Current Fiscal Year Cost |
Annual Fiscal Cost |
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Labor |
Non-Labor |
Total |
Recurring Expenses |
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Funding Sources |
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Existing Budget |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Existing Budget |
$ |
$ |
$ |
$ |
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Additional Budget Request (Requires Fiscal Review Request Form) |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Additional Budget Request |
$ |
$ |
$ |
$ |
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Total Funding Sources |
$ |
$ |
$ |
$ |
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Grants - Proposed Budget (For Grants Items only) |
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Labor |
Non-Labor |
Total |
No. of Grant Years |
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Local Match Source - Existing Budget: Choose an item. |
$ |
$ |
$ |
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Local Match Source - Additional Budget Request: Choose an item. |
$ |
$ |
$ |
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Grant Funds Applied for/Awarded (Total) |
$ |
$ |
$ |
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Personnel (Fill out section only if requesting new PCNs) |
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Current Position Count for Service |
- |
- |
- |
- |
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Additional Positions Request |
- |
- |
- |
- |
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Total Personnel |
- |
- |
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- |
Anticipated Court Date: 2/26/2026
Anticipated Implementation Date (if different from Court date): Click or tap to enter a date.
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Fahad Gulzar, Acting Deputy Executive Director, Office of Management and Budget
Attachments (if applicable): Go Forward Order