| 1 | 1 | | 81R7515 ALB-F |
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| 2 | 2 | | By: Gonzales, Deshotel, Ritter, Hilderbran H.B. No. 2205 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to a county's eligibility to receive state assistance for |
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| 8 | 8 | | health care expenditures that exceed eight percent of the county's |
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| 9 | 9 | | general revenue levy for the year. |
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| 10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 11 | 11 | | SECTION 1. Section 61.037, Health and Safety Code, is |
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| 12 | 12 | | amended by adding Subsection (b-1) to read as follows: |
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| 13 | 13 | | (b-1) A county may include as part of the county's eight |
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| 14 | 14 | | percent expenditure level calculated under Subsection (b)(1) any |
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| 15 | 15 | | payment made by the county for health care services provided |
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| 16 | 16 | | through Medicaid, including the county's direct reimbursement to |
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| 17 | 17 | | health care providers and indirect reimbursement through transfers |
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| 18 | 18 | | of funds to the state for health care services provided through |
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| 19 | 19 | | Medicaid. |
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| 20 | 20 | | SECTION 2. Section 61.038, Health and Safety Code, is |
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| 21 | 21 | | amended to read as follows: |
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| 22 | 22 | | Sec. 61.038. DISTRIBUTION OF ASSISTANCE FUNDS. (a) If the |
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| 23 | 23 | | department determines that a county is eligible for assistance, the |
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| 24 | 24 | | department shall distribute funds appropriated to the department |
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| 25 | 25 | | from the indigent health care assistance fund or any other |
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| 26 | 26 | | available fund to the county to assist the county in providing: |
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| 27 | 27 | | (1) health care services under Sections 61.028 and |
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| 28 | 28 | | 61.0285 to its eligible county residents who qualify for assistance |
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| 29 | 29 | | as described by Section 61.037; or |
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| 30 | 30 | | (2) health care services provided through Medicaid as |
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| 31 | 31 | | described by Section 61.037(b-1). |
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| 32 | 32 | | (b) State funds provided under this section to a county must |
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| 33 | 33 | | be equal to at least 90 percent of the actual payment for the health |
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| 34 | 34 | | care services for the county's eligible residents, including any |
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| 35 | 35 | | payments made by the county for health care services provided |
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| 36 | 36 | | through Medicaid as described by Section 61.037(b-1), during the |
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| 37 | 37 | | remainder of the state fiscal year after the eight percent |
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| 38 | 38 | | expenditure level is reached. |
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| 39 | 39 | | SECTION 3. This Act takes effect September 1, 2009. |
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