Indigent Health Care

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The Indigent Health Care and Treatment Act was passed by the Texas Legislature in 1985. This legislation made local governments responsible for the medical care to indigent persons who meet certain criteria.

Important Links


Smith County IHC
314 E. Houston Street
Tyler, Texas 75702

Phone: (903) 526-4405
Fax: (903) 535-9701


Each county is responsible for their indigent. It is the responsibility of the client to prove residency in Smith County.

Household Composition
This program was set up to cover single adults without dependent children, and couples without dependent children.

The countable monthly income cannot exceed the TANF payment , approximately 21% of the federal poverty level.

Includes all assets or possessions, both liquid and non-liquid legally available to the household.


Complete an Application
Applications can be picked up from the Indigent Health Care Office and / or if client has been in the hospital, Trinity MFH, ETMC Tyler and UTHC can provide an application.

Complete an Interview
Appointments for eligibility are scheduled in the IHC office.


Lucy Aydelott
SCIGC Supervisor

Tracy Cruz
Bill Payment Bookeeper

Glenda Smith

Debra McKeever