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Contents

Letter of Transmittal

Introduction
Regional Analysis
Table 1 - Texas Estimated Employer and Individual Private Insurance by Comptroller Economic Region 1998
Table 2 - Texas State Employee Health Insurance by County Fiscal 1998 Employee Benefit Payments for Uniform Group Insurance Plan (UGIP)
Table 3 - Texas School Districts, Employee Health Insurance by County
Table 4 - Comptroller Economic Region Insured Rate by Region Fiscal 1998
Table 5 - Texas Estimated Consumer Health Care Spending by Comptroller Economic Region 1998
Table 6 - Texas Medicare Spending by County Federal Fiscal 1998
Table 7 - Texas Federal Health Care Spending for Military Personnel, Family and Retirees Federal Fiscal 1998
Table 8 - Texas Military Hospital Spending by county Federal Fiscal 1998
Table 9 - Selected U.S. Health and Human Services Spending by County and U.S. Health and Human Services (HRSA, CDC, and Indian Health Services) Federal Fiscal 1998
Table 10 - Texas Veterans Administration Patient Care Costs by County Federal Fiscal 1998
Table 11 - Texas Medical Expenditures by County Federal Fiscal 1998
Table 12 - Texas Medicaid/Disproportionate Share Hospital Program (DSH) by County Fiscal 1999 (Based Upon Fiscal 1997 Expenditure Data)
Table 13 - Texas Department of Mental Health and Mental Retardation* Estimated Health Care Spending by County, Fiscal 1998**
Table 14 - Texas Estimated Department of Health Non-Medicaid Health Care Spending by Comptroller Economic Region Fiscal 1997
Table 15 - Estimated Texas Public Prison Medical Expenditures by County Fiscal 1998
Table 16 - Texas Long Term Care Non-Medicaid Expenditures by County Fiscal 1998 Fiscal 1998
Table 17 - Texas Rehabilitation Commission Health Care Spending by County Fiscal 1998
Table 18 - Texas Youth Commission Health Care Spending by County Fiscal 1998
Table 19 - Texas Commission on Alcohol and Drug Estimated Health Care Spending by County* Fiscal 1998
Table 20 - Texas Commission for the Blind Medical Service Expenditures Fiscal 1998
Table 21 - Estimated Texas Juvenile Probation Commission Medical Services by County Fiscal 1998
Table 22 - Estimated Texas Department of Protective and Regulatory Fiscal 1998
Table 23 - Texas Hospital District Property Taxes by County Fiscal 1998
Table 24 - Texas Emergency Services District Property Tax Levies by County Fiscal 1998
Table 25 - Texas Special District Sales Taxes by County Fiscal 1998
Table 26 - Texas Indigent Health Care Spending by County Fiscal 1998
Table 27 - Texas Other Tax Appropriations to Hospitals by County 1998
Table 28 - Texas School District Health Care Expenditures on Students and Some Personnel by School District and County Fiscal 1998
Table 29 - Local Health Agency Revenue Sources by County Fiscal 1998
Table 30 - Donations to Texas Hospitals by County 1998*
Table 31 - Shriners Hospitals Fiscal 1998 1997
Table 32 - Texas Physicians Estimated Charity Health Care and Bad Debt by County* 1997
Table 33 - Estimated Texas Other Charity Health Care Spending by Comptroller Economic Region, 1998
Table 34 - Texas Tobacco Settlement Distribution by Recipient and County 1999
Spending in the Private Sector

Purchaser: Employer

Private Health Insurance

State Employee Health Insurance

Public School Employee Health Insurance

Workers’ Compensation

State Office of Risk Management

Purchaser: Consumer

Out-of-Pocket Expenditures

Purchaser: Federal Government

Medicare

U.S. Department of Defense (Tricare)

U.S. Department of Health and Human Services (Selected Programs)

U.S. Department of Veterans Affairs

Purchaser: Federal/State Government
Medicaid
Texas Department of Health (Medicaid Acute Care Programs)

Texas Department of Human Services (Medicaid Long Term Care Programs)

Texas Department of Mental Health and Mental Retardation Medicaid Expenditures

Other State Agencies Medicaid Programs

Medicaid Disproportionate Share Hospital Program
Texas State Teaching Hospitals

University Physician Practice Plans
Texas Department of Mental Health and Mental Retardation
Residential Mental Health Programs

Residential Mental Retardation Programs

Community Mental Health Programs

Community Mental Retardation Programs
Texas Department of Health, Non-Medicaid Expenditures
Texas Department of Criminal Justice
Inmate Managed Health and Psychiatric Care Program

Private Prison Facilities Health Care Program
Texas Department of Human Services, Non-Medicaid Expenditures

Texas Rehabilitation Commission

Texas Youth Commission

Texas Commission on Alcohol and Drug Abuse

Texas Commission for the Blind, Independent Living and Rehabilitation Programs

Texas Juvenile Probation Commission

Texas Department of Protective and Regulatory Services

Texas School for the Deaf

Texas School for the Blind and Visually Impaired

Purchaser: Local Government and Other Entities

Hospital and Other Special District Taxes

Other Local Tax Spending

School District Health Care Spending

Local Health Departments

Mental Health and Mental Retardation Authorities, State Operated Community Services

Federally Qualified Health Centers

Purchaser: Charity

Hospital Charity

Physician Charity and Bad Debt

Pharmaceutical Companies

Other Charity

Purchaser: New Programs

Children’s Health Insurance Program

Tobacco Settlement Proceeds

Methodology

Acknowledgments

Comptroller Contributors