Texas House Bill HB3733

Texas 2013 - 83rd Regular

Caption

Relating to county expenditures for certain health care services.

Impact

The changes proposed in HB 3733 would have significant implications for county health budgets and their relationships with state healthcare funding. By enabling counties to count certain intergovernmental transfers as part of their eligibility for state assistance, the bill potentially increases healthcare funding available to counties, which can facilitate improved health services. This measure is particularly important for counties that are participating in federal waiver programs or where hospitals are receiving disproportionate share funding, broadening the healthcare resources available at the county level.

Summary

House Bill 3733 aims to amend the Health and Safety Code concerning the ability of counties to count specific intergovernmental transfers towards eligibility for state assistance related to healthcare services. The bill allows counties to credit transfers made to provide healthcare services as part of a federal waiver program or state plan for disproportionate share hospitals. However, it sets a cap, stating that no more than six percent of a county's general revenue levy can be credited toward eligibility in any state fiscal year. This provision seeks to streamline how county spending on healthcare can be leveraged to gain access to state assistance while maintaining control over the funds allocated.

Contention

While the bill has supportive elements aimed at enhancing healthcare accessibility, it may also face contention around the limitations imposed on the crediting of intergovernmental transfers. Critics could argue that placing a cap of six percent may unfairly restrict counties with larger healthcare needs, inhibiting their ability to fully utilize available state assistance. Furthermore, there may be discussions around ensuring that the balancing of local autonomy and state-level funding requirements does not inadvertently reduce the quality of healthcare services in underfunded counties.