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Like all Texas counties, Dallas County is administered by a commissioners court. The court is composed of the county judge who is elected countywide and four commissioners, who are elected each precinct by the voters.
The policy-making body of the county is the Commissioners' Court. In addition, the County Judge is the highest executive and administrative position within the county. The commissioners' court sets the county tax rate and approves the budget. It also appoints and disapproves grants and other personnel actions. Each commissioner oversees a Road and Bridge District. The Commissioners Court approves the budget, sets the tax rate, and determines the tax rate for the hospital districts. This court is responsible for providing emergency medical care to citizens who would otherwise not be able to receive it.