82R2060 PMO-D By: Shelton, Kolkhorst, Schwertner, H.B. No. 335 Creighton, et al. A BILL TO BE ENTITLED AN ACT relating to implementation and requirements of certain health care reform laws. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 322, Government Code, is amended by adding Section 322.021 to read as follows: Sec. 322.021. MANDATORY HEALTH CARE REFORM REPORTS FROM STATE AGENCIES. (a) In this section, "state agency" has the meaning assigned by Section 2056.001. (b) A state agency may not implement a provision of a federal health care reform law described by Subsection (c) unless the state agency submits a report described by Subsection (d) to the board. (c) A state agency must submit a report described by Subsection (d) of an expenditure incurred in implementing a provision of a federal health care reform law if: (1) the provision: (A) requires a person to purchase health insurance or similar health coverage; (B) requires an employer to provide health insurance or similar health coverage to or for employees; (C) imposes a penalty on an employer who does not provide health insurance or similar health coverage to or for employees; (D) expands eligibility for the state Medicaid program or state child health plan program; (E) creates a health insurance coverage mandate affecting a person; or (F) creates a new health insurance or similar health coverage program that is administered by this state or a political subdivision of this state; or (2) the board, in the exercise of the board's duties under this chapter, determines that a report about the expenditure is necessary to a comprehensive and continuing review of a program or operation of a state agency. (d) A report required under Subsection (b) must: (1) cite the specific federal statute or regulation that requires the state to implement the provision; (2) state whether the provision requires or allows a state waiver or option; (3) describe the state action required to implement the provision; (4) identify the individuals, legal entities, and state agencies that may be impacted by the implementation of or refusal to implement the provision; (5) estimate the cost to be incurred by the state to implement the provision; and (6) describe the consequences that may be imposed on the state for refusing to implement the provision. SECTION 2. This Act takes effect September 1, 2011.