Finding New Resources

To secure diverse funding, Texas has become the only state to secure flexible dollars allocated specifically for local health departments through the Section 1115 Waiver from the Centers for Medicare and Medicaid Services (CMS). 

Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs. States can apply for Medicaid flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. 


In July 2011, the Texas Health and Human Services Commission submitted a proposal for an innovative program to transform and improve the quality of its health system through the Medicaid Section 1115 Waiver. You can view resources on what Texas submitted how they were able to partner with hospital systems below.

In addition to the resources above, you can read about San Antonio's successes in the Journal of Public Health Management & Practice (JPHMP) and the Institute of Medicine (Iom):


Diversifying Local Health Department Funding through Innovative Medicaid Waivers

On January 7, 2015, BCHC held a webinar highlighting what the local health officials from San Antonio and Houston have been able to do with the money that their health departments received ($50 million and $100 million, respectively). They also shared tactics on how other states can navigate this innovative approach to securing new public health funding. 

Speakers included:

To watch a recording of the webinar, visit: