S.C. San Antonio, Inc. v. Texas Department of Human Services

BEA ANN SMITH, Justice.

Appellee Texas Department of Human Services (the “Department”) formerly administered the Texas Medical Assistance Program (“Medicaid”), which includes a reimbursement program for Medicaid hospitals serving a disproportionate share of low-income patients (“Dispro I program”). 1 Under the Dispro I program, Medicaid hospitals that serve the most low-income patients receive a pro rata share of an allotted fund which is disbursed annually. In 1991 Southwest General Hospital in San Antonio applied for reimbursement under this program. Based on the figures in its application,…