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JW
SPECIAL_DISTRICT • Montgomery COUNTY

Jackie Williams

Director, At-Large Position 1 (At-Large Position 1)
Montgomery County Hospital District

Elected Director, At-Large Position 1 for Montgomery County Hospital District.

rejohnson@mchd-tx.org936-523-5000
A
Roll-Call Liberty Index
Freedom Score: 89/100▼ -1.0 pts (5Y)
Statewide Rank: #9890 in Texas
Fiscal Restraint
88/100
Regulatory Restraint
88.6/100
Lone Dissents
0

Electoral History & Canvass Margins

May 2025 Montgomery County Hospital District Official General Election Canvass (2025-05-03)
Director, At-Large Position 1 (At-Large Position 1)
ELECTED / WON
Jackie Williams (Current Profile)100.0% (141 votes)
Early Voting: 86Election Day: 48Mail Ballots: 7

Roll-Call Voting Record & Scorecard

Total Recorded Votes
463
Yes Votes
461 (100%)
No / Dissenting Votes
2 (0%)
Abstentions
0

Recorded Public Votes Log

Ordered from most impactful to Freedom Score to least impactful
#1VOTED: YES+8.8 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on tentative schedule for tax rate and budget hearings
#2VOTED: YES+8.8 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-09-02
Consider, Adopt and Set by Order/Resolution the 2025 Ad Valorem Tax Rate for Maintenance and Operation, $0
#3VOTED: YES+8.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on tentative schedule for tax rate and budget hearings
#4VOTED: YES+8.5 Score Impact • Pro-LibertyOutcome: PASSED (9-0)
2025-11-12
Order Adopting No-New-Revenue Property Tax Rate & Capping Ad Valorem Levy
#5VOTED: YES+8.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-09-02
Consider, Adopt, and set by Order/Resolution the 2025 Ad Valorem Tax Rate for Debt Service, $0
#6VOTED: YES+6.9 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on 2026 EMS Fee Schedule
#7VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and act on ratification of payment of District invoices
#8VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on the purchase of2 Powerloads and 4 PowerPro 2 Stretchers
#9VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
Consider and act on changes to the signers for the following Woodforest National Bank accounts: (Mr
#10VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
e. Update on Accounting, Billing and Public Health departments. Mr. Randy Johnson, CEO presented the CEO report to the b
#11VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#12VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on approval to use NASPO YaluePoint Contract
#13VOTED: YES-5.1 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-06-24
Consider act on purchase of seven Ram 5500 chassis purchased in budget FY26 and completed in FY27
#14VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2025
#15VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid I 1 15 Waiver program of Healthcare Assistance Program claims
#16VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Discuss and approve the purchase of a set of mobile column lifts
#17VOTED: YES+5.1 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on ratification of payment of District invoices
#18VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on contract renewal for Image Trend
#19VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act to approve budgeted Blanket Purchase Orders for Fiscal Year 2027
#20VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act to approve order of (8) leased Tahoe's from Enterprise that are approved in the FY27 budget
#21VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on authorizing the District Staff to negotiate and execute a contract with Elections Administrator Suzie Harvey for administration of the November 3, 2026 Election
#22VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#23VOTED: YES-5.0 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2026-05-26
Consider and act on changes to the signers for the following Woodforest National Bank accounts: (Mr
#24VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
Consider and act on ratification of payment of District invoices
#25VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#26VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#27VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on the Purchase of Dispatch Console Hardware Replacement
#28VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act contract renewal for Image Trend
#29VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of August 2025
#30VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and ratify purchase of items for the Wellness Initiative backpack
#31VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on ImageTrend Software Invoice
#32VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#33VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act on the purchase of budgeted replacement Boilers
#34VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Presentation of the HR Turnover Report
#35VOTED: YES-5.0 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-06-24
Consider and act on ratification of payment of District invoices
#36VOTED: YES+5.0 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#37VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of June 2026
#38VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on ratification of payment of District invoices
#39VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on Zoll Cardiac Monitors one year warranty contract renewal
#40VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (9-0)
2025-11-12
Resolution Releasing Unused Public Utility Easements & Returning Right-of-Way to Private Landowners
#41VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 11 15 Waiver providers
#42VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#43VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on the purchase of Matrix Consulting to provide Fleet Management as a Service (FMaaS) to MCHD
#44VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2025
#45VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on the First Amendment to the Interlocal Cooperative Agreement between appointed Public Health Board Member)
#46VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and ratify the one-year contract extension for Blackbaud FE NXT Pro
#47VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Consider and act on changes to the authorized representatives for the TexPool account
#48VOTED: YES-4.9 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-01-28
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2025
#49VOTED: YES+4.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on approving Dr
#50VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#51VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#52VOTED: YES-4.8 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2026-07-28
Consider and act on renewal contract for EEZE Fiber for internet and network services for MCHD buildings and towers
#53VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of April 2026
#54VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
Consider and act on changes to the signers for the TexPool and TexStar accounts
#55VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#56VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (9-0)
2026-01-26
Resolution Enforcing Competitive Sealed Bidding Caps & Rejecting Over-Budget Vendor Change Orders
#57VOTED: YES+4.8 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on ratification of payment of District invoices
#58VOTED: YES-4.8 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2025-04-22
Consider and act on ratification of contracts with additional network providers for indigent care
#59VOTED: YES-4.8 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2025-03-25
Consider and act on the purchase (2) additional Zoll X-Series Monitors for expansion trucks
#60VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on approval of purchasing Interlocal agreement with Willis ISO
#61VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider act on purchase of eight Ram 5500 chassis to be charged against FY27 budget and completed in FY28
#62VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Present, consider and act on the Weaver and Tidwell, L
#63VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on Docunav Annual Agreement
#64VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on the purchase of (5) Zoll Cardiac Defibrillator Monitors
#65VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2026
#66VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2026
#67VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on ratification of payment of District invoices
#68VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#69VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on agreement for Docunav to migrate and host Laserfiche servers
#70VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on the purchase of Stryker Powerload and Power Pro 2 cots
#71VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and ratify the purchase of property located at 10655 FM 1097 West, Willis, TX
#72VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#73VOTED: YES-4.7 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2025-04-22
Consider and act on engagement of auditor Weaver and Tidwell, LLP for audit to include, if necessary, a single audit
#74VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#75VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-02-25
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#76VOTED: YES-4.7 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-01-28
Consider and act on ratification of contract with additional network provider for indigent care
#77VOTED: YES+4.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-09-03
Consider and adopt the Budget for Fiscal Year Ending September 30, 2025
#78VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on Radio Infrastructure Annual Software Services agreement Year 2 of 7 budgeted payment
#79VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of August 2026
#80VOTED: YES-4.6 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2026-07-28
Consider and act upon recommendation for amendment(s) to budget for fiscal year ending September 30, 2026
#81VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of May 2026
#82VOTED: YES-4.6 Score Impact • Gov't ExpansionOutcome: PASSED (4-0)
2026-06-23
Consider and act on authorizing the District Staff to negotiate and execute an agreement for a joint election with any and all appropriate governmental bodies who may hold an election concurrent with the District's November 3, 2026 Election
#83VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on ratification of payment of District invoices
#84VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#85VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on ratification of payment of District invoices
#86VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#87VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on purchase of Colo Lockers for Regionals to replace UCapit Machines
#88VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#89VOTED: YES-4.6 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2025-04-22
Consider and act on ratification of payment of District invoices
#90VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Present, consider and act on the Weaver and Tidwell, L
#91VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Consider and act on paying MCAD quarterly invoice
#92VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#93VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Consider and act on ratification of payment of District invoices
#94VOTED: YES+4.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#95VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on ratification of payment of District invoices
#96VOTED: YES-4.5 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2026-05-26
Consider and act on changes to the signers for the TexPool and TexStar accounts
#97VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#98VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act upon recommendation for amcndment(s) to the budget for fiscal year ending September 30, 2025
#99VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on the 2025-2028 Medical Supply RFP
#100VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on the purchase of Interference Detection Equipment through RFP No
#101VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-09-03
Public Budget Hearing convened at 4:01 P
#102VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act on ratification of payment of District invoices
#103VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on purchase of budgeted Lucas 3 devices to outfit the remaining fleet
#104VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-02-25
Consider and act on amendment to extend agreement with Woodforest Bank Depository
#105VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-02-25
Consider and act on ratification of payment of District invoices
#106VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#107VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Monthly Reports: a
#108VOTED: YES+4.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-07
Consider and act on changes to the signers for the Operating Account, Tax Revenue Account and Investment Account at Woodforest National Bank
#109VOTED: YES-4.4 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2026-09-22
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#110VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on Medical Fellowship agreement
#111VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on District Policy HR 25-508 District Provided Communication
#112VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#113VOTED: YES-4.4 Score Impact • Gov't ExpansionOutcome: PASSED (5-0)
2025-07-22
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1 l 15 Waiver program of Healthcare Assistance Program claims
#114VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on purchase of 24 Door Standard Locker Assembly for Narcotic exchanges
#115VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#116VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-02-25
Consider and act on
#117VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#118VOTED: YES+4.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#119VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on Healthcare Assistance Program claims from specialty care Non-Medicaid 1115 Waiver providers
#120VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on Docunav Annual Cloud Hosting Agreement and Annual Support Agreement
#121VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-08-11
Consider and act on MCHD Command Staff supporting the County's purchase of blocker vehicles for public and first responder safety
#122VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and approve the MCAD Quarterly Invoice
#123VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act upon recommendation for amendment(s) to budget for fiscal year ending September 30, 2026
#124VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of April 2026
#125VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on ratification of payment of District invoices
#126VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on the purchase of 1 additional Dodge 5500 chassis to replace Shop 62
#127VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2025
#128VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on purchase of Virtual Server Replacement Project
#129VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on the purchase of VHF Equipment Upgrades through RFP No
#130VOTED: YES-4.3 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-09-02
Consider and adopt the Budget for Fiscal Year Ending September 30, 2026
#131VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers
#132VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and ratify MCAD Quarterly Invoice
#133VOTED: YES+4.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on Station 46 and Phase II Covered Parking Agreement with LaW Construction
#134VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on the payment of the MCAD quarterly invoice
#135VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on ratification of voluntary contributions for uncompensated care to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims
#136VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on a sealed bid sale and removal of the surplus building located at 809 W
#137VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on ratification of payment of District invoices
#138VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1 I I 5 Waiver providers
#139VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on a LOI for the purchase of8 units from Frazer in FY 2027
#140VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and ratify the payment of the Impac Fleet monthly invoice for fuel charges for the month of September 2025
#141VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on ratification of payment of District invoices
#142VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on Janitorial Services RFP No
#143VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-06-24
Consider and act on ImageTrend Billing Bridge annual invoice
#144VOTED: YES+4.2 Score Impact • Pro-LibertyOutcome: PASSED (9-0)
2024-11-05
Resolution Enforcing Competitive Sealed Bidding Caps & Rejecting Over-Budget Vendor Change Orders
#145VOTED: YES+2.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on Billing Policies: (Mr
#146VOTED: YES+2.9 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on Replacement of Communication Shelters
#147VOTED: YES+2.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on Replacement of Communication Shelters
#148VOTED: YES+2.9 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on making Optimum Computer Solutions a single-source vendor for refurbished Cisco network equipment
#149VOTED: YES-2.9 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-06-24
Consider and act on salvage and surplus
#150VOTED: YES+2.9 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act on Proclamation in support of EMS Week, May 18-24, 2025
#151VOTED: YES-2.9 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2025-03-25
Consider and act on Proclamation in support of National Public Safety Telecommunicators Week, April 13-19, 2025
#152VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on renewal of the employee health related benefits, including employee health insurance
#153VOTED: YES-2.8 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2026-09-22
Consider and act on salvage and surplus
#154VOTED: YES-2.8 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2026-07-28
Consider and act on annual review of CEO Communication Plan with Board
#155VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on proposed Order for Montgomery County Hospital District Board of Directors election on November 3, 2026, for the position of Director Precinct 3, Director Precinct 4, and Director At Large Position 2
#156VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2026-06-23
Consider and act on approval of the calendar for the November 3, 2026 Election
#157VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-03-24
Consider and act on salvage and surplus
#158VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on salvage and surplus
#159VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on the Replacement of Chiller I
#160VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Presentation of HR Turnover Report
#161VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on USDD Sole Source Letter
#162VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on Demontrond Single Source
#163VOTED: YES+2.8 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act on salvage and surplus
#164VOTED: YES-2.7 Score Impact • Gov't ExpansionOutcome: PASSED (4-0)
2026-06-23
Consider and act on salvage and surplus
#165VOTED: YES+2.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-05-26
Consider and act on salvage and surplus
#166VOTED: YES+2.7 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act on salvage and surplus
#167VOTED: YES+2.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Consider and act on changes to the authorized representatives for the TexStar account
#168VOTED: YES+2.7 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-07
Consider and act on the selection of a representative of MCHD for the MCPHD board
#169VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on appointment of Treasurer
#170VOTED: YES-2.6 Score Impact • Gov't ExpansionOutcome: PASSED (6-0)
2026-03-24
Consider and act on Proclamation in support of National Public Safety Telecommunicators Week, April 12-18, 2026
#171VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on salvage and surplus
#172VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on Enterprise Leasing vehicles
#173VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act sole source letter for ImageTrend
#174VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on renewal of the employee health related benefits, including employee health insurance
#175VOTED: YES+2.6 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on salvage and surplus
#176VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on a one-year renewal of the CenterPoint Energy tower lease
#177VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and act on proposed revisions to the Health Care Assistance Program (HCAP), including updates to the Montgomery County Indigent Care Plan and the Medical Assistance Plan Handbooks
#178VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on salvage and surplus
#179VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider act on FY2026 Field and NonField pay scales
#180VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (9-0)
2026-01-26
Resolution Adopting Open-Checkbook Financial Transparency & Independent Audit Controls
#181VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on salvage and surplus
#182VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on the City of Conroe's proposed utility easement on the property at I 00 Medical Center Blvd
#183VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-09-23
Consider and act on changes to TCDRS retirement eligibility requirements
#184VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-07-22
Consider and act on Conroe Service Center Tower lease Third Amendment with CenterPoint Energy
#185VOTED: YES-2.5 Score Impact • Gov't ExpansionOutcome: PASSED (7-0)
2025-06-24
Consider and act on nominee(s) for consideration for MCAD board of directors
#186VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Consider and act on approval for Boardroom Audio and Video Equipment Upgrade
#187VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Present, consider and act on the renewal of the District insurance portfolio
#188VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-02-25
Consider and act on salvage and surplus
#189VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-01-28
Consider and act on salvage and surplus
#190VOTED: YES+2.5 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2024-05-28
Consider and act on Paycom Renewal
#191VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2026-07-28
Consider and act on update of ACC 05-005 Banking and Investment Policy
#192VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-05-26
Consider and act on salvage and surplus
#193VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-01-27
Consider and act on Department Policy: a
#194VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (4-0)
2025-10-28
Consider and act on the November and December, 2025 MCHD Regular Board of Directors meeting dates and times
#195VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2025-08-26
Consider and act on Zoll Ventilators for expansion trucks and shelf reserves
#196VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-04-22
Presentation of Quarterly Employee Turnover Report
#197VOTED: YES+2.4 Score Impact • Pro-LibertyOutcome: PASSED (6-0)
2025-03-25
Consider and act on District Policies: a
#198VOTED: YES+2.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act on sole source letter for Image Trend
#199VOTED: YES+2.3 Score Impact • Pro-LibertyOutcome: PASSED (7-0)
2026-09-22
Consider and act upon resignation of Board member Jason Walker
#200VOTED: YES+2.3 Score Impact • Pro-LibertyOutcome: PASSED (5-0)
2025-12-09
Consider and act on Wage and Salary Survey