Central Health is the health care district for Travis County that was created by voters in 2004 to provide health services to low-income residents. The entity differs from public health departments in cities in counties because it adopts a tax rate to raise revenues for maintenance and operations of the district and its health programs. Central Health’s programs include its nonprofit HMO called Sendero Health Plans and CommUnityCare, its system of safety net primary care clinics. Read more about changes to Central Health’s Sendero Health Plans here. Central Health differs from Austin Public Health, which is the health department for the city of Austin and Travis County, in that APH does not levy taxes. Its services include education, immunizations, health screenings and nutritional support programs. The Williamson County and Cities Health District is more similar to APH because it also does not raise taxes. WCCHD also offers public health services, such as disease control, vaccinations and health screenings.