The Tobacco Settlement Permanent Trust Account Investment Advisory Committee approved $50 million for the year 2013 tobacco settlement distribution, the same as the previous year’s amount. According to the distribution report published by the Department of State Health Services (DSHS), 158 counties received just under
$6 million in reimbursements.
Under the terms of a historic settlement negotiated in the summer of 1998, tobacco companies agreed to create a $2.275 billion fund for the benefit of “all hospital districts, other local political subdivisions owning and maintaining public hospitals, and counties of the State of Texas responsible for providing indigent care to the general public.”
At the outset, $450 million of the nearly $2.3 billion was deposited into a “lump sum trust account” and distributed to local entities over a three-year period. The remainder, approximately $1.8 billion, was deposited into a “permanent trust account” with local entities receiving yearly disbursements each spring from investment earnings.
In response to the economic challenges faced in 2009, the Tobacco Settlement Permanent Trust Account Investment Advisory Committee recommended updates to rules related to the Tobacco Settlement Permanent Trust Account. The revised rules, Texas Administrative Code, 34 TAC §18.2, were effective on March 24, 2011, regarding trust account distributions.
“These measures taken by the Committee serve to safeguard the trust during economic downturns such as the one experienced in 2009,” said Elaine McHard, manager of the DSHS Funds Coordination and Management Branch.
The DSHS has certified the expenditure statements submitted by the eligible political subdivisions. According to the report identifying 2012 unreimbursed health care expenditures, hospital districts reported $2,283,469,057.82; eligible cities reported $2,456,392.00; and counties reported $310,026,143.96. Total expenditures reported by all eligible political subdivisions for 2012 were $2,595,951,593.78. The total 2013 distribution was $50 million.
For more information on the tobacco settlement, go to http://www.dshs.state.tx.us/tobaccosettlement/default.shtm.
List of Political Subdivisions that Received a Payment in the 2013 Distribution:
| Amarillo Hospital District | $11,557,200.00 | $222,685.90 |
| Andrews County Hospital District | $11,118,075.04 | $214,224.78 |
| Angleton Danbury Hospital District | $5,222,902.99 | $100,635.69 |
| Ballinger Memorial Hospital District | $647,014.49 | $12,466.77 |
| Baylor County Hospital District | $680,057.47 | $13,103.46 |
| Bellville General Hospital District | $718,961.71 | $13,853.08 |
| Big Bend Regional Hospital District | $765,259.36 | $14,745.14 |
| Booker Hospital District | $1,565,255.96 | $30,159.60 |
| Burleson County Hospital District | $662,862.74 | $12,772.17 |
| Caprock Hospital District | $265,422.12 | $5,114.18 |
| Castro County Hospital District | $1,540,219.25 | $29,677.17 |
| Chambers County Public Hospital District | $1,878,283.63 | $36,191.06 |
| Childress County Hospital District | $355,340.23 | $6,846.76 |
| Chillicothe Hospital District | $478,106.66 | $9,212.24 |
| Cochran Memorial Hospital District | $3,025,690.00 | $58,299.45 |
| Coleman Hospital District | $1,315,674.00 | $25,350.62 |
| Collingsworth County Hospital District | $1,334,008.57 | $25,703.87 |
| Comanche County Consolidated Hospital District | $2,079,338.00 | $40,065.01 |
| Concho County Hospital District | $801,191.53 | $15,437.50 |
| Crane County Hospital District | $4,290,497.13 | $82,669.97 |
| Crosby County Hospital District | $586,590.00 | $11,302.50 |
| Culberson County Hospital District | $1,513,083.02 | $29,154.30 |
| Dallam-Hartley Counties Hospital District | $1,732,763.00 | $33,387.16 |
| Dallas County Hospital District | $473,544,418.00 | $9,124,326.38 |
| Darrouzett Hospital District | $314,114.54 | $6,052.41 |
| Dawson County Hospital District | $2,001,139.82 | $38,558.26 |
| Deaf Smith Hospital District | $4,497,693.00 | $86,662.24 |
| DeWitt Medical District | $1,792,726.00 | $34,542.52 |
| Dimmit Regional Hospital District | $2,003,796.31 | $38,609.44 |
| Donley Hospital District | $342,418.93 | $6,597.79 |
| East Coke County Hospital District | $488,488.78 | $9,412.28 |
| Eastland Memorial Hospital District | $668,035.00 | $12,871.80 |
| Ector County Hospital District | $46,116,758.00 | $888,584.75 |
| El Paso County Hospital District/RE Thomason HD | $78,686,531.00 | $1,516,144.14 |
| Electra Hospital District | $809,984.00 | $15,606.89 |
| Fairfield Hospital District | $889,922.04 | $17,147.17 |
| Farwell Hospital District | $34,525.39 | $665.25 |
| Fisher County Hospital District | $914,487.92 | $17,620.49 |
| Foard County Hospital District | $296,196.32 | $5,707.16 |
| Follett County Hospital District | $58,091.34 | $1,119.33 |
| Frio Hospital District | $1,127,602.00 | $25,424.19 |
| Gainesville Hospital District | $2,285,458.01 | $44,036.55 |
| Garza County Health Care District | $642,508.50 | $12,379.96 |
| Gonzales County Hospital District | $2,367,266.00 | $45,612.84 |
| Grapeland Hospital District – Did not report | $- | $- |
| Hall County Hospital District | $229,414.00 | $4,420.38 |
| Hamilton County Hospital District | $610,949.69 | $11,771.88 |
| Hamlin Hospital District | $652,945.04 | $12,581.04 |
| Hansford County Hospital District | $2,052,880.00 | $39,555.22 |
| Hardeman County Hospital District | $827,100.54 | $15,936.70 |
| Harris Health System; previously Harris County Hospital District | $578,064,862.00 | $11,138,242.23 |
| Haskell Memorial Hospital District | $836,942.41 | $16,126.33 |
| Hemphill County Hospital District | $4,037,345.00 | $77,792.18 |
| Higgins/Lipscomb Hospital District | $32,191.37 | $620.27 |
| Hood County Hospital District | $627,784.14 | $12,096.25 |
| Hopkins County Hospital District | $4,007,402.00 | $77,215.24 |
| Houston County Hospital District | $1,724,333.00 | $33,224.70 |
| Hunt County Memorial Hospital District | $10,064,461.00 | $193,923.59 |
| Hutchinson County Hospital District | $5,830,533.52 | $112,343.60 |
| Iraan General Hospital District | $3,328,204.30 | $52,152.43 |
| Jack County Hospital District | $3,123,106.83 | $60,176.51 |
| Jackson County Hospital District | $2,282,197.55 | $43,973.73 |
| Jasper Hospital District | $164,947.89 | $3,178.25 |
| Karnes County Hospital District | $2,966,758.44 | $57,163.95 |
| Kimble County Hospital District | $1,490,768.97 | $28,724.37 |
| Knox County Hospital District | $733,114.29 | $14,125.75 |
| Lavaca Hospital District | $800,171.57 | $15,417.82 |
| Lockney General Hospital District | $453,826.00 | $8,744.39 |
| Lubbock County Hospital District | $20,989,055.46 | $404,420.34 |
| Lynn County Hospital District | $868,761.70 | $16,739.43 |
| Marion County Hospital District | $232,711.35 | $4,483.93 |
| Martin County Hospital District | $3,318,798.77 | $63,947.13 |
| Matagorda County Hospital District | $9,496,592.00 | $182,981.78 |
| Maverick County Hospital District | $2,561,882.11 | $49,362.73 |
| McCamey Hospital District | $3,328,994.92 | $64,143.57 |
| McCulloch Hospital District | $650,040.00 | $12,525.08 |
| Medina County Hospital District | $1,353,525.85 | $26,079.95 |
| Menard County Hospital District | $834,458.85 | $16,078.48 |
| Midland Hospital District | $24,770,475.32 | $477,281.30 |
| Mitchell County Hospital District | $2,077,275.37 | $40,025.27 |
| Montgomery County Hospital District | $25,416,818.27 | $489,735.15 |
| Moore County Hospital District | $3,115,153.15 | $60,023.24 |
| Motley County Hospital District | $92,061.00 | $1,773.86 |
| Moulton Community Medical Clinic Inc | $56,566.80 | $1,089.94 |
| Muenster Hospital District | $1,098,470.77 | $21,165.49 |
| Muleshoe Area Hospital District | $1,194,657.00 | $23,018.82 |
| Nacogdoches County Hospital District | $7,554,262.36 | $145,556.68 |
| Nixon Hospital District | $53,557.00 | $1,031.95 |
| Nocona Hospital District | $399,198.00 | $7,691.81 |
| Nolan County Hospital District | $2,611,945.38 | $50,327.38 |
| North Runnels Hospital District | $1,071,077.99 | $20,637.69 |
| North Wheeler County Hospital District/Parkview Hospital | $1,414,009.18 | $27,245.35 |
| Nueces County Hospital District | $34,089,915.20 | $656,849.71 |
| Ochiltree County Hospital District | $2,298,536.00 | $44,288.54 |
| Olney-Hamilton Hospital District | $554,744.99 | $10,688.92 |
| Palo Pinto Hospital District | $6,165,727.00 | $118,802.18 |
| Parker County Hospital District | $17,854,019.97 | $344,013.98 |
| Parmer County Hospital District | $1,394,190.87 | $26,863.48 |
| Rankin Hospital District | $2,509,057.92 | $48,344.91 |
| Reagan Hospital District | $4,135,807.67 | $79,689.37 |
| Reeves County Hospital District | $6,566,318.76 | $126,520.83 |
| Refugio County Memorial Hospital District | $2,423,321.17 | $46,692.92 |
| Rice Hospital District | $2,046,882.40 | $39,439.65 |
| Rockdale Hospital District | $1,080,000.00 | $20,809.61 |
| Sabine County Hospital District | $986,167.02 | $19,001.62 |
| San Augustine City-County Hospital District | $766,385.20 | $14,766.82 |
| Schleicher County Hospital District | $2,550,831.33 | $45,601.84 |
| Scurry County Hospital District | $8,100,623.15 | $156,084.04 |
| Seminole Memorial Hospital District | $6,077,396.62 | $117,100.21 |
| Shackelford County Hospital District | $1,027,865.56 | $19,805.06 |
| South Limestone Hospital District | $5,642,683.60 | $108,724.08 |
| South Randall County Hospital District | $1,080,831.78 | $20,825.64 |
| South Wheeler County Hospital District | $1,982,154.00 | $38,192.45 |
| Stamford Hospital District | $1,112,848.00 | $21,442.52 |
| Starr County Hospital District | $4,151,858.78 | $79,998.65 |
| Stonewall County Hospital District | $1,499,944.17 | $28,901.16 |
| Stratford Hospital District | $1,199,537.48 | $23,112.87 |
| Sutton County Hospital District | $1,440,269.23 | $27,751.31 |
| Sweeny Hospital District | $5,018,664.46 | $96,700.41 |
| Swisher Memorial Hospital District | $895,098.41 | $17,246.90 |
| Tarrant County Hospital District | $301,043,124.82 | $5,800,545.04 |
| Teague Hospital District | $389,815.60 | $7,511.02 |
| Terry Memorial Hospital District | $2,144,703.00 | $41,324.46 |
| Texhoma Hospital District – Did not report | $- | $- |
| Titus County Memorial Hospital District | $5,442,819.13 | $104,873.08 |
| Travis County Healthcare District | $143,836,159.00 | $2,771,457.14 |
| Trinity Hospital District | $1,389,214.00 | $26,767.60 |
| Tyler County Hospital District | $1,923,557.71 | $37,063.41 |
| University Health System/Bexar County Hospital District | $269,893,271.85 | $5,200,344.91 |
| Val Verde County Hospital District | $2,396,311.04 | $46,172.49 |
| Walker County Hospital District | $5,609,030.00 | $108,075.67 |
| West Coke County Hospital District | $1,033,167.73 | $19,907.23 |
| West Wharton County Hospital District | $2,866,920.00 | $55,240.26 |
| Wilbarger General Hospital District | $1,475,050.09 | $28,421.50 |
| Willacy County Hospital District | $436,145.14 | $8,403.74 |
| Wilson County Hospital District | $3,516,293.70 | $67,752.49 |
| Winnie Stowell Hospital District | $504,268.55 | $9,716.32 |
| Wood County Central Hospital District | $95,675.62 | $1,843.50 |
| Yoakum Hospital District | $1,303,304.15 | $25,112.26 |
| Subtotal Hospital Districts | $2,283,469,057.82 | $43,986,405.18 |
| City of Graham | $1,200,000.00 | $23,121.77 |
| City of Seguin/Guadalupe Regional Medical Center | $1,256,392.00 | $24,208.36 |
| Subtotal Cities | $2,456,392.00 | $47,330.13 |
| Anderson County | $538,679.34 | $10,379.35 |
| Angelina County | $2,449,682.56 | $47,200.86 |
| Aransas County | $1,309,805.51 | $25,237.53 |
| Archer County | $152,027.90 | $2,929.31 |
| Armstrong County | $10,180.44 | $196.16 |
| Atascosa County | $3,970,415.08 | $76,502.57 |
| Austin County | $1,079,063.91 | $20,791.55 |
| Bailey County | $448,932.26 | $8,650.09 |
| Bandera County | $998,462.64 | $19,238.52 |
| Bastrop County | $2,298,109.63 | $44,280.33 |
| Bee County | $597,669.26 | $11,062.04 |
| Bell County | $9,605,721.68 | $182,902.56 |
| Blanco County | $604,969.81 | $11,656.66 |
| Borden County | $6,382.51 | $122.97 |
| Bosque County | $325,522.97 | $6,272.22 |
| Bowie County | $1,427,179.99 | $27,499.12 |
| Brazoria County | $6,090,245.90 | $117,347.80 |
| Brazos County | $3,853,433.80 | $74,248.55 |
| Briscoe County | $51.75 | $1.00 |
| Brooks County | $1,588,661.53 | $30,610.59 |
| Brown County | $1,636,047.12 | $31,523.62 |
| Burnet County | $1,266,909.72 | $24,411.01 |
| Caldwell County | $1,140,270.01 | $21,970.90 |
| Calhoun County | $2,515,004.10 | $48,459.49 |
| Callahan County | $170,796.55 | $3,290.92 |
| Cameron County | $10,057,100.75 | $193,781.74 |
| Camp County | $1,736,896.91 | $33,466.79 |
| Carson County | $106,931.60 | $2,060.38 |
| Cass County | $523,471.39 | $10,086.33 |
| Chambers County | $3,279,698.51 | $63,193.73 |
| Cherokee County | $617,001.04 | $11,888.48 |
| Clay County | $129,002.76 | $2,485.65 |
| Collin County | $10,304,036.80 | $198,539.74 |
| Colorado County | $721,393.95 | $13,899.95 |
| Comal County | $3,383,247.10 | $65,188.91 |
| Comanche County | $132,048.46 | $2,544.34 |
| Coryell County | $1,305,815.71 | $25,160.64 |
| Cottle County | $424,698.32 | $8,183.15 |
| Crockett County | $2,554,960.00 | $49,229.36 |
| Crosby County | $14,770.35 | $284.60 |
| Delta County | $197,090.46 | $3,797.57 |
| Denton County | $12,682,255.22 | $244,363.64 |
| DeWitt County | $534,429.27 | $10,297.45 |
| Dickens County | $43,009.80 | $828.72 |
| Duval County | $219,024.40 | $4,220.18 |
| Eastland County | $521,832.97 | $10,054.76 |
| Edwards County | $73,905.08 | $1,424.01 |
| Ellis County | $3,075,710.40 | $59,263.27 |
| Erath County | $788,905.16 | $15,200.75 |
| Falls County | $356,189.68 | $6,863.12 |
| Fannin County | $1,106,924.20 | $21,328.40 |
| Fayette County | $1,875,485.55 | $34,778.73 |
| Fort Bend County | $15,559,126.28 | $299,795.63 |
| Franklin County | $317,564.82 | $6,118.90 |
| Freestone County | $438,747.77 | $8,453.87 |
| Frio County | $438,514.88 | $8,449.39 |
| Gaines County | $717,729.82 | $13,829.34 |
| Galveston County | $15,734,980.93 | $301,898.59 |
| Gillespie County | $893,488.42 | $17,215.88 |
| Glasscock County | $12,354.02 | $238.05 |
| Goliad County | $1,016,116.68 | $19,578.69 |
| Gonzales County | $15,092.49 | $290.80 |
| Gray County | $454,021.12 | $8,748.15 |
| Grayson County | $3,870,411.25 | $74,351.08 |
| Gregg County | $2,600,984.26 | $50,116.17 |
| Grimes County | $508,408.74 | $9,796.09 |
| Guadalupe County | $3,208,655.46 | $61,824.87 |
| Hale County | $1,644,746.36 | $31,691.22 |
| Hamilton County | $85,613.92 | $1,649.61 |
| Hardin County | $752,571.17 | $14,500.65 |
| Harrison County | $1,528,950.30 | $28,716.18 |
| Hays County | $5,168,042.93 | $99,578.63 |
| Henderson County | $8,011,112.43 | $154,359.34 |
| Hidalgo County | $18,041,274.82 | $347,622.06 |
| Hill County | $861,214.30 | $16,594.01 |
| Hockley County | $1,250,005.86 | $24,085.30 |
| Howard County | $568,911.90 | $10,961.89 |
| Hudspeth County | $280,504.00 | $5,404.79 |
| Irion County | $32,512.80 | $626.46 |
| Jasper County | $979,069.55 | $18,864.85 |
| Jeff Davis County | $152,860.59 | $2,945.34 |
| Jefferson County | $12,128,180.93 | $233,687.66 |
| Jim Hogg County | $172,375.80 | $3,321.35 |
| Jim Wells County | $762,395.33 | $14,689.96 |
| Johnson County | $1,365,842.48 | $26,317.27 |
| Jones County | $237,946.14 | $4,584.78 |
| Kaufman County | $794,658.23 | $15,311.60 |
| Kendall County | $1,090,203.00 | $21,006.20 |
| Kenedy County – Did not report | $- | $- |
| Kent County | $1,039,558.60 | $20,030.36 |
| Kerr County | $622,899.63 | $12,002.12 |
| King County – Reported “0” | $- | $- |
| Kinney County | $1,034,249.97 | $19,928.09 |
| Kleberg County | $1,536,812.36 | $29,611.53 |
| La Salle County | $3,391,881.44 | $65,355.28 |
| Lamar County | $1,273,638.80 | $24,540.67 |
| Lamb County | $1,985,663.77 | $38,260.08 |
| Lampasas County | $500,593.53 | $9,645.51 |
| Lavaca County | $100,063.63 | $1,928.04 |
| Lee County | $602,721.92 | $11,613.34 |
| Leon County | $74,160.99 | $1,428.94 |
| Liberty County | $828,196.51 | $15,957.81 |
| Limestone County | $615,667.13 | $11,862.77 |
| Live Oak County | $437,419.75 | $8,428.29 |
| Llano County | $271,976.71 | $5,240.48 |
| Loving County – Reported “0” | $- | $- |
| Madison County | $271,423.15 | $5,229.82 |
| Mason County | $34,662.91 | $667.89 |
| McLennan County | $7,589,067.22 | $146,227.32 |
| McMullen County | $278,917.38 | $5,374.22 |
| Milam County | $985,344.75 | $18,985.78 |
| Mills County | $233,563.61 | $4,500.35 |
| Montague County | $281,183.67 | $5,417.89 |
| Morris County | $282,269.71 | $5,438.82 |
| Navarro County | $1,376,432.70 | $26,521.31 |
| Newton County | $153,306.79 | $2,953.95 |
| Oldham County | $18,422.36 | $354.97 |
| Orange County | $1,376,147.50 | $26,515.82 |
| Panola County | $1,491,807.65 | $28,744.37 |
| Pecos County | $7,714,806.05 | $148,650.06 |
| Polk County | $704,679.61 | $13,577.86 |
| Rains County | $106,525.03 | $2,052.55 |
| Randall County | $546,847.51 | $10,536.76 |
| Real County | $131,872.72 | $2,540.95 |
| Red River County | $217,419.77 | $4,189.27 |
| Roberts County | $161,851.61 | $3,118.58 |
| Robertson County | $272,441.43 | $5,249.44 |
| Rockwall County | $1,033,877.78 | $19,920.92 |
| Runnels County | $29,005.69 | $558.88 |
| Rusk County | $475,356.50 | $9,159.24 |
| San Jacinto County | $345,472.78 | $6,656.62 |
| San Patricio County | $1,212,481.90 | $23,362.28 |
| San Saba County | $525,474.59 | $10,124.93 |
| Shelby County | $466,946.13 | $8,997.17 |
| Smith County | $4,374,483.84 | $84,288.23 |
| Somervell County | $591,114.95 | $11,389.69 |
| Stephens County | $3,001,899.13 | $57,841.03 |
| Sterling County | $933,330.58 | $17,983.55 |
| Taylor County | $3,570,453.50 | $67,677.81 |
| Terrell County | $266,931.73 | $5,143.28 |
| Throckmorton County | $231,790.35 | $4,466.17 |
| Tom Green County | $2,298,743.07 | $44,292.53 |
| Trinity County | $169,467.57 | $3,265.31 |
| Upshur County | $213,081.41 | $4,105.69 |
| Uvalde County | $2,350,132.64 | $45,282.70 |
| Van Zandt County | $328,458.04 | $6,328.77 |
| Victoria County | $2,511,379.87 | $48,389.64 |
| Waller County | $454,483.21 | $8,757.06 |
| Ward County | $3,129,501.49 | $60,299.72 |
| Washington County | $1,243,956.36 | $23,968.76 |
| Webb County | $5,333,249.05 | $102,761.86 |
| Wharton County | $965,709.45 | $18,607.44 |
| Wichita County | $4,395,960.01 | $84,702.03 |
| Williamson County | $16,093,515.92 | $310,092.31 |
| Winkler County | $2,795,144.74 | $53,857.26 |
| Wise County | $2,503,127.94 | $48,230.65 |
| Wood County | $473,242.87 | $9,118.51 |
| Yoakum County | $2,854,909.80 | $55,008.84 |
| Young County | $289,459.16 | $5,577.33 |
| Zapata County | $3,250,334.80 | $62,627.94 |
| Zavala County | $223,917.65 | $4,314.49 |
| Subtotal Counties: | $310,026,143.96 | $5,966,264.69 |
| GRAND TOTAL | $2,595,951,593.78 | $50,000,000.00 |