Texas 2013 - 83rd Regular

Texas Senate Bill SB1808 Compare Versions

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1	1	By: Schwertner S.B. No. 1808
2	2	(In the Senate - Filed March 8, 2013; March 18, 2013, read
3	3	first time and referred to Committee on Finance; April 29, 2013,
4	4	reported adversely, with favorable Committee Substitute by the
5	5	following vote: Yeas 9, Nays 3; April 29, 2013, sent to printer.)
6	6	COMMITTEE SUBSTITUTE FOR S.B. No. 1808By: By: Huffman
7	7
8	8
9	9	A BILL TO BE ENTITLED
10	10	AN ACT
11	11	relating to the cost effects of expanding eligibility for medical
12	12	assistance under the federal Patient Protection and Affordable Care
13	13	Act.
14	14	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
15	15	SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
16	16	is amended by adding Section 32.02473 to read as follows:
17	17	Sec. 32.02473. COST EFFECTS OF EXPANDED ELIGIBILITY FOR
18	18	MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE
19	19	ACT. (a) In this section, "commission" means the Health and Human
20	20	Services Commission.
21	21	(b) If the commission expands eligibility for medical
22	22	assistance in accordance with and provides medical assistance using
23	23	federal matching funds made available under the Patient Protection
24	24	and Affordable Care Act (Pub. L. No. 111-148), as amended by the
25	25	Health Care and Education Reconciliation Act of 2010 (Pub. L. No.
26	26	111-152), the commission, in cooperation with the comptroller and
27	27	Legislative Budget Board, shall conduct a study regarding the cost
28	28	effects of that expanded eligibility. The study must identify:
29	29	(1) the estimated amount of uncompensated care costs
30	30	the state will save each state fiscal year by expanding that
31	31	eligibility;
32	32	(2) the estimated amount of health care costs hospital
33	33	districts and counties in this state will save each state fiscal
34	34	year by expanding that eligibility; and
35	35	(3) the estimated reduction in uncompensated care
36	36	costs to hospital districts and counties that will result from the
37	37	expansion of medical assistance eligibility and that would
38	38	otherwise be paid from hospital district and county tax revenue.
39	39	(c) The commission shall ensure that cost savings
40	40	identified under Subsection (b)(1) are reflected in each biennial
41	41	legislative appropriations request submitted to the Legislative
42	42	Budget Board by the commission or a health and human services
43	43	agency.
44	44	(d) In preparing a general appropriations bill as required
45	45	by Section 322.008, Government Code, the Legislative Budget Board
46	46	shall ensure that any proposed appropriation for providing health
47	47	care to residents of this state reflects the cost savings
48	48	identified under Subsection (b)(1) and the legislative
49	49	appropriations requests prepared in accordance with Subsection
50	50	(c).
51	51	SECTION 2. Chapter 26, Tax Code, is amended by adding
52	52	Section 26.0442 to read as follows:
53	53	Sec. 26.0442. TAX RATE ADJUSTMENT FOR EXPANDED ELIGIBILITY
54	54	FOR MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE
55	55	ACT. In the first tax year in which a hospital district or a county
56	56	adopts a tax rate and in which the state expands eligibility for
57	57	medical assistance in accordance with and provides medical
58	58	assistance using federal matching funds made available under the
59	59	Patient Protection and Affordable Care Act (Pub. L. No. 111-148),
60	60	as amended by the Health Care and Education Reconciliation Act of
61	61	2010 (Pub. L. No. 111-152), the effective tax rate and the rollback
62	62	tax rate for the hospital district or the county are decreased by
63	63	the rate that, if applied to current total value, would impose an
64	64	amount of taxes equal to the reduction in uncompensated care costs
65	65	realized by the hospital district or county as identified under
66	66	Section 32.02473(b)(3), Human Resources Code, that will result from
67	67	the provision of that assistance.
68	68	SECTION 3. (a) Not later than the first anniversary of the
69	69	effective date of expanded eligibility criteria implemented in
70	70	accordance with the Patient Protection and Affordable Care Act
71	71	(Pub. L. No. 111-148), as amended by the Health Care and Education
72	72	Reconciliation Act of 2010 (Pub. L. No. 111-152), for the Medicaid
73	73	program, the Health and Human Services Commission, in cooperation
74	74	with the comptroller of public accounts and the Legislative Budget
75	75	Board, shall complete the study required under Subsection (b),
76	76	Section 32.02473, Human Resources Code, as added by this Act.
77	77	(b) Subsections (c) and (d), Section 32.02473, Human
78	78	Resources Code, as added by this Act, apply only to legislative
79	79	appropriations requests and general appropriations bills,
80	80	respectively, prepared on or after the date the Health and Human
81	81	Services Commission completes the study required under Subsection
82	82	(b), Section 32.02473, Human Resources Code, as added by this Act.
83	83	SECTION 4. If before implementing any provision of this Act
84	84	a state agency determines that a waiver or authorization from a
85	85	federal agency is necessary for implementation of that provision,
86	86	the agency affected by the provision shall request the waiver or
87	87	authorization and may delay implementing that provision until the
88	88	waiver or authorization is granted.
89	89	SECTION 5. This Act takes effect September 1, 2013.
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