| 1 | 1 | | By: Deuell S.B. No. 872 |
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| 2 | 2 | | (Coleman) |
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| 3 | 3 | | Substitute the following for S.B. No. 872: No. |
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| 4 | 4 | | |
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| 5 | 5 | | |
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| 6 | 6 | | A BILL TO BE ENTITLED |
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| 7 | 7 | | AN ACT |
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| 8 | 8 | | relating to county expenditures for certain health care services. |
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| 9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 10 | 10 | | SECTION 1. Section 61.036, Health and Safety Code, is |
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| 11 | 11 | | amended by adding Subsections (d) and (e) to read as follows: |
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| 12 | 12 | | (d) Regardless of the application, documentation, and |
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| 13 | 13 | | verification procedures or eligibility standards established by |
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| 14 | 14 | | the department under Subchapter A, a county may credit an |
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| 15 | 15 | | intergovernmental transfer to the state toward eligibility for |
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| 16 | 16 | | state assistance if the transfer was made to provide health care |
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| 17 | 17 | | services as part of the Texas Healthcare Transformation and Quality |
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| 18 | 18 | | Improvement Program waiver issued under 42 U.S.C. Section 1315. |
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| 19 | 19 | | (e) A county may credit toward eligibility for state |
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| 20 | 20 | | assistance intergovernmental transfers made under Subsection (d) |
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| 21 | 21 | | that in the aggregate do not exceed four percent of the county's |
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| 22 | 22 | | general revenue levy in any state fiscal year, provided: |
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| 23 | 23 | | (1) The commissioners court determines that the |
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| 24 | 24 | | expenditure fulfills the county's obligations to provide indigent |
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| 25 | 25 | | health care under this chapter; |
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| 26 | 26 | | (2) The commissioners court determines that the amount |
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| 27 | 27 | | of care available through participation in the waiver is sufficient |
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| 28 | 28 | | in type and amount to meet the requirements of this chapter; and |
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| 29 | 29 | | (3) The county receives periodic reports from health |
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| 30 | 30 | | care providers that receive supplemental or incentive payments |
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| 31 | 31 | | under the Texas Healthcare Transformation and Quality Improvement |
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| 32 | 32 | | Program waiver that document the number and types of services |
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| 33 | 33 | | provided to persons who are eligible to receive services under this |
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| 34 | 34 | | chapter. |
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| 35 | 35 | | SECTION 2. Not later than December 1, 2014, the Department |
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| 36 | 36 | | of State Health Services shall submit a report to the governor, the |
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| 37 | 37 | | lieutenant governor, and the speaker of the house of |
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| 38 | 38 | | representatives on the effects of the provisions of this Act on |
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| 39 | 39 | | services rendered to eligible residents under Chapter 61, Health |
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| 40 | 40 | | and Safety Code. |
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| 41 | 41 | | SECTION 3. (a) The change in law made by this Act to Section |
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| 42 | 42 | | 61.036, Health and Safety Code, applies only to state assistance |
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| 43 | 43 | | for health care services under Chapter 61, Health and Safety Code, |
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| 44 | 44 | | as amended by this Act, that are delivered on or after the effective |
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| 45 | 45 | | date of this Act. |
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| 46 | 46 | | (b) State assistance for health care services under |
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| 47 | 47 | | Chapter |
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| 48 | 48 | | 61, Health and Safety Code, that are delivered before the effective |
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| 49 | 49 | | date of this Act is governed by the law as it existed immediately |
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| 50 | 50 | | before the effective date of this Act, and that law is continued in |
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| 51 | 51 | | effect for that purpose. |
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| 52 | 52 | | SECTION 4. This Act takes effect immediately if it receives |
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| 53 | 53 | | a vote of two-thirds of all the members elected to each house, as |
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| 54 | 54 | | provided by Section 39, Article III, Texas Constitution. If this |
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| 55 | 55 | | Act does not receive the vote necessary for immediate effect, this |
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| 56 | 56 | | Act takes effect September 1, 2013. |
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