Authorize and approve the Services Agreement with AE Insurance, LLC dba American Exchange to implement a pilot Patien...

Staff Report & Agenda Item Details

2026-0917 Authorize and approve the Services Agreement with AE Insurance, LLC dba American Exchange to implement a pilot Patient Insurance Assistance Program (PIAP) for eligible uninsured or underinsured patients receiving HIV Pre-Exposure Prophylaxis (PrEP) services with no financial impact to Dallas County On a motion made by Commissioner Dr. Elba Garcia, and seconded by Commissioner Andrew Sommerman, the following order was passed and adopted by the Commissioners Court of Dallas County, State of Texas: BRIEFING DATE: August 18, 2026 FUNDING SOURCE: Fund 20200 & Function 20020 Be it resolved and ordered that the Dallas County Commissioners Court does hereby authorize and approve the Services Agreement with AE Insurance, LLC dba American Exchange to implement a pilot Patient Insurance Assistance Program (PIAP) for eligible uninsured or underinsured patients receiving HIV Pre-Exposure Prophylaxis (PrEP) services with no financial impact to Dallas County. Done in open Court August 18, 2026 by the following vote: IN FAVOR: County Judge Clay Jenkins, Commissioner Dr. Theresa Daniel, Commissioner John Wiley Price, Commissioner Dr. Elba Garcia, and Commissioner Andrew Sommerman OPPOSED: None ABSTAINED:

This motion is scored as EXPANDS_GOVERNMENT (Impact Weight: 4.9/10). Under the Bastiat Liberty Watchdog Index, measures that increase tax rates or fee schedules, issue new debt or Certificates of Obligation, expand regulatory/zoning restrictions on private land use, or authorize unbudgeted spending expansions reduce an official's Freedom Score when voted YES (and reward dissenting NO votes).