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Find BBRHD's list of programs available for residents in need of healthcare assistance.

View the District's service area and Single Member District boundaries.

Locate information about BBRHD finances, tax rates, audits, and budgets.

Learn about BBRHD's mission and history.

Meet BBRHD's team members.

Read about BBRHD's latest news and announcements. 

Find out  about the officals who form BBRHD's Board of Directors 

Stay updated on current election news and dates. 

Find all  important information for BBRHD providers.



Generally, the Board of Directors meet on the third Thursday of each month at locations in Presidio or Brewster County for their regular meetings, but they may be re-scheduled to other weeks to accommodate schedules or availability to obtain quorum. All meetings of the District are public meetings and are open to the public and the media.

Special Meetings, Workshops, and Public Hearings are held necessary at anytime when called by the Board of Directors.  Residents are urged to refer to the official public notice posted no less than seventy-two hours in advance of meetings for the exact time, date, and location of board meetings. Public notices are at the Alpine and Presidio offices of the hospital district and on this web site.

Meetings in Alpine are held at the Administrative Office at 105 W. Holland when held in Brewster County. When meetings are held in Presidio, they are held at the Big Bend Health office at 602 W. O'Reilly Street. The District may hold public meetings at other locations in either Brewster or Presidio County and the public is urged to confirm meeting date, location, and time from the posted public notices.

The District does have rules related to public comments at the meetings and follow policies outlined in the Open Meetings Act. Individuals may address the board on any topic, but the board will be limited in their ability to discuss only items posted on the agenda.  

Next Meeting

Date: February 23, 2023

Time: 5:30 PM


BBRHD Administration Office

105 W. Holland Avenue

Alpine, Texas

Click here to join our meeting


Directors are elected from five Single Member Districts (SMD) that are established in accordance with population guidelines and regulations promulgated by the United States Department of Justice.  Existing precinct lines will be adjusted every ten years in accordance with census data as published by the United States Census Department. 


​The management, control and administration of the District is vested in the Board of Directors who represent all residents of the District equally, regardless of the county, city or community of residence.

S. Buddy Cavness Chairman

District 4

Marathon, Texas

​Term: 2022-2026

Next Election: May 2026

James "Cuatro" White IV

Vice Chairman

District 2

Marfa, Texas

​Term: 2022-2026

Next Election: May 2026

Andrea Perez


District 1

Presidio, Texas

Term: 2020-2024

Next Election: May 2024

Reagan Reed


District 3

Terlingua, Texas

​Term: 2020-2024

Next Election: May 2024

Angela Juett


District 5

Alpine, Texas


​Next Election: May 2024

J.D. Newsom

Executive Director

105 W. Holland Avenue

Alpine, TX 79830




Big Bend Regional Hospital District is comprised of five single-member districts across both Brewster and Presidio Counties. The Board of Directors is composed of the five directors elected from each of the single-member districts. Existing precinct lines are adjusted every ten years in accordance with census data as published by the United States Census Department.

Big Bend Regional Hospital District-1.png



​105 W. Holland Avenue

Alpine, Texas 79830

Phone: (432) 837-7051

Fax: (432) 837-3261


602 W. O'Reilly Street

​Presidio, Texas 79845

Phone: (432) 837-7051

Fax: (432) 229-2161


Big Bend Regional Hospital District

P.O Box 1439

Alpine, Texas 79831

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