Texas 2019 - 86th Regular

Texas Senate Bill SB1752 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	86R13688 MM-D
2	2	By: Rodríguez S.B. No. 1752
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the expansion of eligibility for Medicaid to all
8	8	persons for whom federal matching money is available.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
11	11	is amended by adding Section 32.02472 to read as follows:
12	12	Sec. 32.02472. EXPANDED ELIGIBILITY FOR MEDICAL
13	13	ASSISTANCE. (a) Notwithstanding any other law, the commission
14	14	shall provide medical assistance to all persons who apply for that
15	15	assistance and for whom federal matching money is available.
16	16	(b) The executive commissioner shall adopt rules necessary
17	17	to implement this section.
18	18	(c) The commission, in cooperation with the comptroller and
19	19	Legislative Budget Board, shall conduct a study regarding the cost
20	20	effects of the expanded eligibility. The study must identify:
21	21	(1) the estimated amount of health care costs hospital
22	22	districts and counties in this state will save each state fiscal
23	23	year by expanding that eligibility; and
24	24	(2) the estimated reduction in uncompensated care
25	25	costs to hospital districts and counties that will result from the
26	26	expansion of medical assistance eligibility and that would
27	27	otherwise be paid from hospital district and county tax revenue.
28	28	SECTION 2. Chapter 26, Tax Code, is amended by adding
29	29	Section 26.0443 to read as follows:
30	30	Sec. 26.0443. TAX RATE ADJUSTMENT FOR EXPANDED ELIGIBILITY
31	31	FOR MEDICAL ASSISTANCE UNDER FEDERAL LAW. In the first tax year in
32	32	which a hospital district or a county adopts a tax rate and in which
33	33	the state expands eligibility for medical assistance in accordance
34	34	with and provides medical assistance using federal matching money
35	35	made available under federal law as required by Section 32.02472,
36	36	Human Resources Code, the effective tax rate and the rollback tax
37	37	rate for the hospital district or the county are decreased by the
38	38	rate that, if applied to current total value, would impose an amount
39	39	of taxes equal to the reduction in uncompensated care costs
40	40	realized by the hospital district or county as identified under
41	41	Section 32.02472(c)(2), Human Resources Code, that will result from
42	42	the provision of that assistance.
43	43	SECTION 3. Section 32.02472, Human Resources Code, as added
44	44	by this Act, applies only to an initial determination or
45	45	recertification of eligibility of a person for medical assistance
46	46	under Chapter 32, Human Resources Code, made on or after the date
47	47	the section is implemented, regardless of the date the person
48	48	applied for that assistance.
49	49	SECTION 4. As soon as possible after the effective date of
50	50	this Act, the executive commissioner of the Health and Human
51	51	Services Commission shall take all necessary actions to expand
52	52	eligibility for medical assistance under Chapter 32, Human
53	53	Resources Code, in accordance with Section 32.02472, Human
54	54	Resources Code, as added by this Act, including notifying
55	55	appropriate federal agencies of that expanded eligibility.
56	56	SECTION 5. If before implementing any provision of this Act
57	57	a state agency determines that any other waiver or authorization
58	58	from a federal agency is necessary for implementation of that
59	59	provision, the agency affected by the provision shall request the
60	60	waiver or authorization and may delay implementing that provision
61	61	until the waiver or authorization is granted.
62	62	SECTION 6. This Act takes effect September 1, 2019.