Texas 2019 - 86th Regular

Texas House Bill HB1142

Caption

Relating to the creation and operations of health care provider participation programs in certain counties.

Impact

The legislation impacts the provisions under the Health and Safety Code by adding Chapter 293C. Under the bill, counties meeting specific population requirements, which do not currently have a hospital district, can create local provider participation funds. The revenue generated from mandatory payments will not only support Medicaid but will also help subsidize crucial indigent care. This ensures that rural or less populated areas maintain access to essential health services while also keeping the financial ecosystem of these care providers stable.

Summary

House Bill 1142 aims to establish and regulate health care provider participation programs in certain counties in Texas, specifically those not bordering populous counties and with specific population criteria. The bill defines parameters for county authorities to collect mandatory payments from institutional health care providers in order to fund intergovernmental transfers and indigent care programs. This framework is designed to generate revenue that supports health care services in those counties, enhancing the financial viability of hospitals servicing low-income communities.

Sentiment

Sentiments regarding HB 1142 appear to vary based on regional affiliations and demographic considerations. Supporters argue that the bill is a necessary step to ensure equitable access to health care services in under-served regions, thereby promoting public health and safety. Critics, however, may express concerns about the financial implications for healthcare providers, particularly in terms of how mandatory payments could affect hospital operations and patient care costs. The discussion around the bill reflects broader debates related to healthcare funding and access in differing community contexts.

Contention

A notable point of contention involves the mandatory nature of the payments imposed on healthcare providers and their implications for hospital revenues. Some stakeholders worry that this could lead to financial strain for smaller, community-based hospitals which may struggle to meet these additional financial burdens. Others are concerned about potential inequities resulting from such mandates, where the financial contributions required could disproportionately impact local healthcare systems. Overall, the bill raises critical discussions about the funding model for health services and the balance between maintaining viable healthcare systems and ensuring affordable care access for residents.

Companion Bills

TX SB1099

Same As Relating to the creation and operations of health care provider participation programs in certain counties.

Similar Bills

TX SB2257

Relating to the authority of certain entities to create and operate health care provider participation programs in counties not served by a hospital district or a public hospital.

TX SB1462

Relating to the creation and operation of certain local health care provider participation programs.

TX HB2977

Relating to issues affecting counties and certain other governmental entities; authorizing fees.

TX SB2286

Relating to the creation and operations of health care provider participation programs in certain counties.

TX HB4289

Relating to the authority of certain local governments to create and operate health care provider participation programs.

TX SB2448

Relating to the creation and operations of a health care provider participation program by the Lubbock County Hospital District of Lubbock County, Texas.

TX HB4648

Relating to the creation and operations of a health care provider participation program by the Lubbock County Hospital District.

TX HB4180

Relating to the creation, operations, functions, and regulatory authority of certain governmental entities and officials; changes in certain judicial procedures; imposing civil penalties.