83R10614 KLA-D
By: Hinojosa S.B. No. 1528
A BILL TO BE ENTITLED
AN ACT
relating to identification and implementation of hospital funding
solutions related to the Medicaid program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 531, Government Code, is
amended by adding Section 531.02117 to read as follows:
Sec. 531.02117. HOSPITAL FUNDING SOLUTIONS. (a) In this
section, "Patient Protection and Affordable Care Act" means the
federal Patient Protection and Affordable Care Act (Pub. L. No.
111-148) as amended by the Health Care and Education Reconciliation
Act of 2010 (Pub. L. No. 111-152).
(b) The commission, in consultation with the Department of
State Health Services, shall conduct a study regarding the effects
of the Patient Protection and Affordable Care Act on:
(1) Medicaid reimbursements paid to hospitals in this
state for services provided by the hospitals; and
(2) payments made under the disproportionate share
hospitals supplemental payment program to hospitals in this state.
(c) As part of the study, the commission shall compare and
contrast:
(1) the amounts of the reimbursements and payments
described by Subsection (b) before enactment of the Patient
Protection and Affordable Care Act; and
(2) the amounts or anticipated amounts of those
reimbursements and payments after the effective dates of applicable
provisions of that Act, accounting for any expansion of eligibility
for the Medicaid program made in accordance with the Act for which
additional federal matching money is available, if that expansion
were to occur.
(d) The commission, in consultation with the Department of
State Health Services and based on the study conducted under this
section, shall develop proposals designed to provide long-term
funding solutions related to the Medicaid program for hospitals in
this state. To the extent authorized by law, the commission may
implement the proposals.
(e) Not later than December 1, 2014, the commission shall
submit a report based on the study conducted and proposals
developed under this section to the governor, the lieutenant
governor, and the legislature. The report must:
(1) explain the effects of the Patient Protection and
Affordable Care Act on Medicaid reimbursements and
disproportionate share hospitals supplemental payment program
payments paid to hospitals in this state, as identified in the
study; and
(2) describe the proposals developed under Subsection
(d) and:
(A) identify the proposals the commission has
implemented; and
(B) for each proposal the commission has not
implemented, identify any changes in law necessary for
implementation.
(f) This section expires September 1, 2015.
SECTION 2. 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, 2013.