The Montgomery County Hospital District (MCHD) is a political subdivision of the State of Texas. MCHD was established through special legislation in 1977 to provide healthcare to the indigent residents of Montgomery County. In addition to its legislation charge to provide indigent care through its Health Care Assistance Program (HCAP), MCHD operates the county’s ambulance service, manages the county’s Public Health District and offers a variety of community and professional education programs.