Texas Health and Safety Code - HEALTH & SAFETY § 75.052. Governance of Program

(a) A regional health care program may be operated subject to the direct governance of the commissioners courts of the participating counties or, for a program operating under Section 75.051(c), a nonprofit organization.  A local health care program may be operated subject to the direct governance of the commissioners court of the participating county.  A regional or local health care program may be operated by a joint council, tax-exempt nonprofit entity, or other entity that:

(b) In selecting an entity described by Subsection (a)(1) or (2) to operate a regional or local health care program, the commissioners court or courts, as applicable, shall require, to the extent possible, that the entity be authorized under federal law to accept donations on a basis that is tax-deductible or otherwise tax-advantaged for the contributor.