28 Tex. Admin. Code § 26.531
The purpose of this division is to establish participation requirements applicable to regional and local health care programs described by the Health and Safety Code Chapter 75 that elect to participate in the Healthy Texas Program. Regional and local health care programs are programs that provide health care services or benefits to employees of participating small employers who are located within the boundaries of a participating county or counties as applicable. Section 75.052 provides that a regional or local health care program may be operated by a joint council, tax-exempt nonprofit entity, or other entity that operates the program under a contract with a county commissioners court or courts, as applicable, or is an entity in which the county or counties participate or that is established or designated by the commissioners court or courts, as applicable, to operate the program.
28 Tex. Admin. Code § 26.531