What is the Texas Indigent Health Care Association (TIHCA)?

The Texas Indigent Health Care Association (TIHCA) was created in 2004 as a program of the Urban Counties, with the co-operation of the Texas Association of Counties when county indigent health care directors asked for organizational assistance in response to the State’s discontinuation of the Texas Department of Health Regional Coordinators the prior year.

What does TIHCA do?

The basic goal of TIHCA is to provide timely information on upcoming legislative issues and state level changes as well as staff training on program administration.

TIHCA Library Common forms, documents and reports of interest to indigent health care workers. (Members)

Who are the current members?

Angelina County	Charter
Aransas County	General
Bastrop County	General
Bell County	Charter
Big Bend Regional Hospital District	General
Bosque County	General
Brazoria County	Charter
Brown County	General
Brownfield Regional Medical Center	General
Burnet County	General
Chambers County	General
Collin County	Charter
Ellis County	General
Falls County	General
Fayette County	General
Fort Bend County	Charter
Freestone County	General
Galveston County	General
Garza County Health Care District	General
Grayson County	General
Guadalupe County	General
Hardin County	General
Harrison County	General
Hays County	General
Henderson County IHC	General
Hidalgo County	General
Hockley County	General
Hood County	General
Jasper County	General
Jefferson County	General
Jim Wells County	General
Kerr County	General
Lee County	General
Liberty County	General
Liberty County Hospital District	Charter
Limestone County	General
Maverick County Hospital District	General
McLennan County	General
Montgomery County Hospital District	Charter
Navarro County	General
Nixon Hospital District	General
Northwest Texas Healthcare System	General
Parmer County Community Hospital	General
Randall County	General
Real County	General
Rockwall County	General
San Jacinto County	Charter
San Patricio	General
Sterling County	General
Tom Green County	General
University Medical Center	Charter
University of Texas Medical Branch	General
Van Zandt County	General
Walker County Hospital District	General
Webb County	General
Williamson County	Charter
Wood County	General

Who are the officers?
TIHCA Board of Directors Term of Office Ends

Chairman	Williamson County, Bride Roberts	December 2012
Chairman Elect	Tom Green County, Dianna Spieker	December 2012
Secretary	Northwest Texas Healthcare System, Lesa Gilbert	December 2014
Board Member	Garza County Hospital District, Brandy Fannon	December 2014
Board Member	Guadalupe County, Lena Saenz Morgan	December 2014
Board Member	Hood County, Commissioner Richard Roan, Ph.D.	December 2012
Board Member	Jasper County, Linda Dickerson	December 2014
Board Member	McLennan County, Eva Cruz	December 2012
Board Member	Montgomery County, Penny Wilson	December 2012
Board Member	San Patricio County, Jose Michaels	December 2014

Who is eligible to join?
Membership is open to all programs with responsibilities under Chapter 61. Has responsibilities under Chapter 61, Health And Safety Code, which defines the responsibilities of counties, hospital districts, and public hospitals in providing health care to eligible residents who are considered indigent.

TIHCA CHARTER

How does an eligible entity join?
Interested counties, hospital districts and public hospitals may contact Windy Johnson at the Urban Counties offices for assistance in joining TIHCA. A potential member joins (or makes application) by adopting a minute order authorizing the county, HD, or PH to become a member of the association, authorizing the necessary expenditures for membership dues and appointing a representative to speak on behalf of the entity.

MEMBERSHIP APPLICATION