BILL ANALYSIS Senate Research Center H.B. 1517 81R6216 ALB-F By: Eissler (Nichols) Intergovernmental Relations 5/21/2009 Engrossed AUTHOR'S / SPONSOR'S STATEMENT OF INTENT The Montgomery County Hospital District was created by the 65th Legislature, Regular Session, 1977. It has a duty to provide indigent health care services to eligible residents. The Montgomery County Hospital District does not currently own a public hospital, but pays for indigent health care services to eligible residents through its network of health care providers. Current law affords counties and public hospitals certain protections, benefits, and limits of fiscal liability. H.B. 1517 gives Montgomery County Hospital District the authority to establish the maximum liability for each fiscal year for health services provided to an eligible resident at an amount commensurate with the maximum county liability. The bill gives Montgomery County Hospital District the authority to select mandated providers of health care services to eligible residents of the district, similar to that afforded to public hospitals. The bill requires providers of non-emergency and emergency services to eligible residents to provide timely notice of the provisions. RULEMAKING AUTHORITY This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Section 5, Chapter 258, Acts of the 65th Legislature, Regular Session, 1977, by adding Subsection (c), to authorize the Montgomery County Hospital District, in addition to the powers otherwise provided by this Act, to exercise any power granted to a county or a public hospital by Sections 61.035 (Limitation of County Liability), 61.057 (Mandated Provider), 61.058 (Notification of Provision of Nonemergency Services), and 61.059 (Notification of Provision of Emergency Services), Health and Safety Code, as those sections exist on September 30, 2009, including the power to require a person to comply with a corresponding duty. SECTION 2. Effective date: September 1, 2009. BILL ANALYSIS Senate Research Center H.B. 1517 81R6216 ALB-F By: Eissler (Nichols) Intergovernmental Relations 5/21/2009 Engrossed AUTHOR'S / SPONSOR'S STATEMENT OF INTENT The Montgomery County Hospital District was created by the 65th Legislature, Regular Session, 1977. It has a duty to provide indigent health care services to eligible residents. The Montgomery County Hospital District does not currently own a public hospital, but pays for indigent health care services to eligible residents through its network of health care providers. Current law affords counties and public hospitals certain protections, benefits, and limits of fiscal liability. H.B. 1517 gives Montgomery County Hospital District the authority to establish the maximum liability for each fiscal year for health services provided to an eligible resident at an amount commensurate with the maximum county liability. The bill gives Montgomery County Hospital District the authority to select mandated providers of health care services to eligible residents of the district, similar to that afforded to public hospitals. The bill requires providers of non-emergency and emergency services to eligible residents to provide timely notice of the provisions. RULEMAKING AUTHORITY This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Section 5, Chapter 258, Acts of the 65th Legislature, Regular Session, 1977, by adding Subsection (c), to authorize the Montgomery County Hospital District, in addition to the powers otherwise provided by this Act, to exercise any power granted to a county or a public hospital by Sections 61.035 (Limitation of County Liability), 61.057 (Mandated Provider), 61.058 (Notification of Provision of Nonemergency Services), and 61.059 (Notification of Provision of Emergency Services), Health and Safety Code, as those sections exist on September 30, 2009, including the power to require a person to comply with a corresponding duty. SECTION 2. Effective date: September 1, 2009.