Texas 2019 - 86th Regular

Texas Senate Bill SB1545

Caption

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

Impact

The enactment of SB1545 is expected to have a significant impact on state laws governing health care funding, particularly by introducing a structure for mandatory payments from health care providers. The legislation specifically limits the use of funds collected under this program to cover the necessary nonfederal share for Medicaid and associated administrative expenses, thus aiming to streamline and enhance funding sources for nonpublic hospitals without extending the tax structure. However, this bill also places a sunset provision, with the program authority expiring on December 31, 2023, requiring reevaluation or potential renewal by that date.

Summary

SB1545 introduces a health care provider participation program under the jurisdiction of the Bexar County Hospital District. This legislation allows the district to collect mandatory payments from institutional health care providers, specifically nonpublic hospitals, to support the Medicaid supplemental payment program and facilitate Medicaid managed care rate enhancements for those providers. The program aims to ensure adequate funding for healthcare services to district residents and aims to improve financial sustainability for local hospitals.

Sentiment

The sentiment around SB1545 appears to be generally supportive among legislators, as indicated by the unanimous votes in both the Senate and House during its passage. Supporters argue that the program is essential for securing necessary funding to support local health care services and ensure continued operational viability for nonpublic hospitals. However, there may be concerns about the long-term impacts of mandatory payments on health care provider finances and the implications for patient care services, which remains a point of discussion.

Contention

Key points of contention regarding SB1545 could arise over the financial burden placed on health care providers due to the mandatory payments and the implications for how these funds may be utilized. While proponents highlight the necessity of such payments to enhance Medicaid funding, critics may argue that any additional financial obligations could strain hospital resources, particularly for smaller providers. Moreover, the sunset clause could also be a point of contention in negotiations for ongoing health care funding within the state, ensuring that proper oversight and evaluation mechanisms are established for the program’s continuation.

Companion Bills

TX HB3896

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

Similar Bills

TX HB1142

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

TX SB1350

Relating to the creation and operations of a health care provider participation program by a certain hospital district.

TX HB3649

Relating to the creation and operations of a health care provider participation program by a certain hospital district.

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 HB4289

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

TX SB2170

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

TX SB2315

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

TX HB4300

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