H.B. No. 2722 AN ACT relating to the state Medicaid program as the payor of last resort. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.04242 to read as follows: Sec. 32.04242. PAYOR OF LAST RESORT. The executive commissioner of the Health and Human Services Commission shall adopt rules to ensure, to the extent allowed by federal law, that the Medicaid program: (1) is the payor of last resort; and (2) provides reimbursement for services, including long-term care services, only if, and to the extent, other adequate public or private sources of payment are not available. SECTION 2. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2011. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 2722 was passed by the House on May 13, 2011, by the following vote: Yeas 121, Nays 10, 2 present, not voting. ______________________________ Chief Clerk of the House I certify that H.B. No. 2722 was passed by the Senate on May 25, 2011, by the following vote: Yeas 31, Nays 0. ______________________________ Secretary of the Senate APPROVED: _____________________ Date _____________________ Governor