Texas 2019 - 86th Regular

Texas Senate Bill SB2257 Compare Versions

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Old	New	Differences
1	1	86R5582 JCG-D
2	2	By: Kolkhorst S.B. No. 2257
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the authority of certain entities to create and operate
8	8	health care provider participation programs in counties not served
9	9	by a hospital district or a public hospital.
10	10	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
11	11	SECTION 1. Subtitle D, Title 4, Health and Safety Code, is
12	12	amended by adding Chapter 299 to read as follows:
13	13	CHAPTER 299. HEALTH CARE PROVIDER PARTICIPATION PROGRAM IN
14	14	MULTI-COUNTY DISTRICT
15	15	SUBCHAPTER A. GENERAL PROVISIONS
16	16	Sec. 299.0001. PURPOSE. The purpose of this chapter is to
17	17	authorize certain counties not served by a hospital district or a
18	18	public hospital to create a district to administer a health care
19	19	provider participation program to provide additional compensation
20	20	to hospitals in the district by collecting mandatory payments from
21	21	each hospital in the district to be used to provide the nonfederal
22	22	share of a Medicaid supplemental payment program and for other
23	23	purposes as authorized under this chapter.
24	24	Sec. 299.0002. DEFINITIONS. In this chapter:
25	25	(1) "Board" means the board of directors of a
26	26	district.
27	27	(2) "Director" means a member of the board.
28	28	(3) "District" means a health care provider
29	29	participation district created under this chapter.
30	30	(4) "Institutional health care provider" means a
31	31	nonpublic hospital that provides inpatient hospital services.
32	32	(5) "Paying hospital" means an institutional health
33	33	care provider required to make a mandatory payment under this
34	34	chapter.
35	35	(6) "Program" means a health care provider
36	36	participation program authorized by this chapter.
37	37	Sec. 299.0003. APPLICABILITY. This chapter applies only to
38	38	a county that:
39	39	(1) is not participating in a health care provider
40	40	participation program authorized under this subtitle;
41	41	(2) is not served by a hospital district or public
42	42	hospital; and
43	43	(3) has only one hospital that is located in the
44	44	county.
45	45	SUBCHAPTER B. CREATION, OPERATION, AND DISSOLUTION OF DISTRICT
46	46	Sec. 299.0021. CREATION BY CONCURRENT ORDERS. (a) Except
47	47	as provided by Subsection (b), a county and one or more other
48	48	counties may create a district by adopting concurrent orders.
49	49	(b) A county or portion of a county that is in the boundaries
50	50	of a hospital district may not be a party to the creation of a
51	51	district.
52	52	(c) A concurrent order to create a district must:
53	53	(1) be approved by the governing body of each creating
54	54	county;
55	55	(2) contain identical provisions; and
56	56	(3) define the boundaries of the district to be
57	57	coextensive with the combined boundaries of each creating county.
58	58	Sec. 299.0022. POWERS. A district may authorize and
59	59	administer a health care provider participation program in
60	60	accordance with this chapter.
61	61	Sec. 299.0023. BOARD OF DIRECTORS. (a) If three or more
62	62	counties create a district, the county judge of each county that
63	63	creates the district shall appoint one director.
64	64	(b) If two counties create a district:
65	65	(1) the county judge of the most populous county shall
66	66	appoint two directors; and
67	67	(2) the county judge of the other county shall appoint
68	68	one director.
69	69	(c) Directors serve staggered two-year terms, with as near
70	70	as possible to one-half of the directors' terms expiring each year.
71	71	(d) A vacancy in the office of director shall be filled for
72	72	the unexpired term in the same manner as the original appointment.
73	73	(e) The board shall elect from among its members a
74	74	president. The president may vote and may cast an additional vote
75	75	to break a tie.
76	76	(f) The board shall also elect from among its members a vice
77	77	president.
78	78	(g) The board shall appoint a secretary, who need not be a
79	79	director.
80	80	(h) Each officer of the board serves for a term of one year.
81	81	(i) The board shall fill a vacancy in a board office for the
82	82	unexpired term.
83	83	(j) A majority of the members of the board voting must
84	84	concur in a matter relating to the business of the district.
85	85	Sec. 299.0024. QUALIFICATIONS FOR OFFICE. (a) To be
86	86	eligible to serve as a director, a person must be a resident of the
87	87	county that appoints the person under Section 299.0023.
88	88	(b) An employee of the district may not serve as a director.
89	89	Sec. 299.0025. COMPENSATION. (a) Directors and officers
90	90	serve without compensation but may be reimbursed for actual
91	91	expenses incurred in the performance of official duties.
92	92	(b) Expenses reimbursed under this section must be:
93	93	(1) reported in the district's minute book or other
94	94	district records; and
95	95	(2) approved by the board.
96	96	Sec. 299.0026. AUTHORITY TO SUE AND BE SUED. The board may
97	97	sue and be sued on behalf of the district.
98	98	Sec. 299.0027. DISTRICT FINANCES. Subchapter F, Chapter
99	99	287, other than Sections 287.129 and 287.130, applies to the
100	100	district in the same manner that those provisions apply to a health
101	101	services district created under Chapter 287. This section does not
102	102	authorize the district to issue bonds.
103	103	Sec. 299.0028. DISSOLUTION. A district shall be dissolved
104	104	if the counties that created the district adopt concurrent orders
105	105	to dissolve the district and the concurrent orders contain
106	106	identical provisions.
107	107	Sec. 299.0029. ADMINISTRATION OF PROPERTY, DEBTS, AND
108	108	ASSETS AFTER DISSOLUTION. (a) After dissolution of a district
109	109	under Section 299.0028, the board shall continue to control and
110	110	administer any property, debts, and assets of the district until
111	111	all funds have been disposed of and all district debts have been
112	112	paid or settled.
113	113	(b) As soon as practicable after the dissolution of the
114	114	district, the board shall transfer to each institutional health
115	115	care provider in the district the provider's proportionate share of
116	116	any remaining funds in any local provider participation fund
117	117	created by the district under Section 299.0102.
118	118	(c) If, after administering any property and assets, the
119	119	board determines that the district's property and assets are
120	120	insufficient to pay the debts of the district, the district shall
121	121	transfer the remaining debts to the counties that created the
122	122	district in proportion to the funds contributed to the district by
123	123	each county, including a paying hospital in the county.
124	124	(d) If, after complying with Subsections (b) and (c) and
125	125	administering the property and assets, the board determines that
126	126	unused funds remain, the board shall transfer the unused funds to
127	127	the counties that created the district in proportion to the funds
128	128	contributed to the district by each county, including a paying
129	129	hospital in the county.
130	130	Sec. 299.0030. ACCOUNTING AFTER DISSOLUTION. After the
131	131	district has paid all its debts and has disposed of all its assets
132	132	and funds as prescribed by Section 299.0029, the board shall
133	133	provide an accounting to each county that created the district. The
134	134	accounting must show the manner in which the assets and debts of the
135	135	district were distributed.
136	136	SUBCHAPTER C. HEALTH CARE PROVIDER PARTICIPATION PROGRAM; POWERS
137	137	AND DUTIES OF DISTRICT BOARD
138	138	Sec. 299.0051. HEALTH CARE PROVIDER PARTICIPATION PROGRAM.
139	139	The board may authorize the district to participate in a health care
140	140	provider participation program on the affirmative vote of a
141	141	majority of the board, subject to the provisions of this chapter.
142	142	Sec. 299.0052. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY
143	143	PAYMENT. The board may require a mandatory payment authorized
144	144	under this chapter by an institutional health care provider in the
145	145	district only in the manner provided by this chapter.
146	146	Sec. 299.0053. RULES AND PROCEDURES. The board may adopt
147	147	rules relating to the administration of the health care provider
148	148	participation program in the district, including collection of the
149	149	mandatory payments, expenditures, audits, and any other
150	150	administrative aspects of the program.
151	151	Sec. 299.0054. INSTITUTIONAL HEALTH CARE PROVIDER
152	152	REPORTING. If the board authorizes the district to participate in a
153	153	health care provider participation program under this chapter, the
154	154	board shall require each institutional health care provider located
155	155	in the district to submit to the district a copy of any financial
156	156	and utilization data required by and reported to the Department of
157	157	State Health Services under Sections 311.032 and 311.033 and any
158	158	rules adopted by the executive commissioner of the Health and Human
159	159	Services Commission to implement those sections.
160	160	SUBCHAPTER D. GENERAL FINANCIAL PROVISIONS
161	161	Sec. 299.0101. HEARING. (a) In each year that the board
162	162	authorizes a health care provider participation program under this
163	163	chapter, the board shall hold a public hearing on the amounts of any
164	164	mandatory payments that the board intends to require during the
165	165	year and how the revenue derived from those payments is to be spent.
166	166	(b) Not later than the fifth day before the date of the
167	167	hearing required under Subsection (a), the board shall publish
168	168	notice of the hearing in a newspaper of general circulation in each
169	169	county that creates the district and provide written notice of the
170	170	hearing to the chief operating officer of each institutional health
171	171	care provider in the district.
172	172	Sec. 299.0102. LOCAL PROVIDER PARTICIPATION FUND;
173	173	DEPOSITORY. (a) If the board collects a mandatory payment
174	174	authorized under this chapter, the board shall create a local
175	175	provider participation fund in one or more banks designated by the
176	176	district as a depository for the mandatory payments received by the
177	177	district.
178	178	(b) The board may withdraw or use money in the local
179	179	provider participation fund of the district only for a purpose
180	180	authorized under this chapter.
181	181	(c) All funds collected under this chapter shall be secured
182	182	in the manner provided for securing county funds.
183	183	Sec. 299.0103. DEPOSITS TO FUND; AUTHORIZED USES OF MONEY.
184	184	(a) The local provider participation fund established under
185	185	Section 299.0102 consists of:
186	186	(1) all revenue received by the district attributable
187	187	to mandatory payments authorized under this chapter, including any
188	188	penalties and interest attributable to delinquent payments;
189	189	(2) money received from the Health and Human Services
190	190	Commission as a refund of an intergovernmental transfer from the
191	191	district to the state for the purpose of providing the nonfederal
192	192	share of Medicaid supplemental payment program payments, provided
193	193	that the intergovernmental transfer does not receive a federal
194	194	matching payment; and
195	195	(3) the earnings of the fund.
196	196	(b) Money deposited to the local provider participation
197	197	fund may be used only to:
198	198	(1) fund intergovernmental transfers from the
199	199	district to the state to provide:
200	200	(A) the nonfederal share of a Medicaid
201	201	supplemental payment program authorized under the state Medicaid
202	202	plan, the Texas Healthcare Transformation and Quality Improvement
203	203	Program waiver issued under Section 1115 of the federal Social
204	204	Security Act (42 U.S.C. Section 1315), or a successor waiver
205	205	program authorizing similar Medicaid supplemental payment
206	206	programs; or
207	207	(B) payments to Medicaid managed care
208	208	organizations that are dedicated for payment to hospitals;
209	209	(2) subsidize indigent programs in the district;
210	210	(3) pay the administrative expenses of the district
211	211	solely for activities under this chapter;
212	212	(4) refund a portion of a mandatory payment collected
213	213	in error from a paying hospital; and
214	214	(5) refund to paying hospitals the proportionate share
215	215	of money received by the district that is not used to fund the
216	216	nonfederal share of Medicaid supplemental payment program
217	217	payments.
218	218	(c) Money in the local provider participation fund may not
219	219	be commingled with other district funds or other funds of a county
220	220	that creates the district.
221	221	(d) An intergovernmental transfer of funds described by
222	222	Subsection (b)(1) and any funds received by the district as a result
223	223	of an intergovernmental transfer described by that subsection may
224	224	not be used by the district, a county that created the district, or
225	225	any other entity to expand Medicaid eligibility under the Patient
226	226	Protection and Affordable Care Act (Pub. L. No. 111-148) as amended
227	227	by the Health Care and Education Reconciliation Act of 2010 (Pub. L.
228	228	No. 111-152).
229	229	Sec. 299.0104. ACCOUNTING OF FUNDS. The district shall
230	230	maintain an accounting of the funds received from each county that
231	231	creates the district, including a paying hospital in the county.
232	232	SUBCHAPTER E. MANDATORY PAYMENTS
233	233	Sec. 299.0151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL
234	234	NET PATIENT REVENUE. (a) Except as provided by Subsection (e), if
235	235	the board authorizes a health care provider participation program
236	236	under this chapter, the district may require an annual mandatory
237	237	payment to be assessed on the net patient revenue of each
238	238	institutional health care provider located in the district. The
239	239	board may provide for the mandatory payment to be assessed
240	240	quarterly. In the first year in which the mandatory payment is
241	241	required, the mandatory payment is assessed on the net patient
242	242	revenue of an institutional health care provider located in the
243	243	district as determined by the data reported to the Department of
244	244	State Health Services under Sections 311.032 and 311.033 in the
245	245	fiscal year ending in 2017 or, if the institutional health care
246	246	provider did not report any data under those sections in that fiscal
247	247	year, as determined by the institutional health care provider's
248	248	Medicare cost report submitted for the 2017 fiscal year or for the
249	249	closest subsequent fiscal year for which the provider submitted the
250	250	Medicare cost report. The district shall update the amount of the
251	251	mandatory payment on an annual basis.
252	252	(b) The amount of a mandatory payment authorized under this
253	253	chapter must be uniformly proportionate with the amount of net
254	254	patient revenue generated by each paying hospital in the district.
255	255	A mandatory payment authorized under this chapter may not hold
256	256	harmless any institutional health care provider, as required under
257	257	42 U.S.C. Section 1396b(w).
258	258	(c) The board shall set the amount of a mandatory payment
259	259	authorized under this chapter. The amount of the mandatory payment
260	260	required of each paying hospital may not exceed six percent of the
261	261	paying hospital's net patient revenue.
262	262	(d) Subject to the maximum amount prescribed by Subsection
263	263	(c), the board shall set a mandatory payment authorized under this
264	264	chapter in amounts that in the aggregate will generate sufficient
265	265	revenue to cover the administrative expenses of the district for
266	266	activities under this chapter, to fund an intergovernmental
267	267	transfer described by Section 299.0103(b)(1), and to pay for
268	268	indigent programs in the district, except that the amount of
269	269	revenue from mandatory payments used for administrative expenses of
270	270	the district for activities under this chapter in a year may not
271	271	exceed four percent of the total revenue generated from the
272	272	mandatory payment.
273	273	(e) A paying hospital may not add a mandatory payment
274	274	required under this section as a surcharge to a patient.
275	275	Sec. 299.0152. ASSESSMENT AND COLLECTION OF MANDATORY
276	276	PAYMENTS. The district may collect or contract for the assessment
277	277	and collection of mandatory payments authorized under this chapter.
278	278	Sec. 299.0153. INTEREST, PENALTIES, AND DISCOUNTS.
279	279	Interest, penalties, and discounts on mandatory payments required
280	280	under this chapter are governed by the law applicable to county ad
281	281	valorem taxes.
282	282	Sec. 299.0154. CORRECTION OF INVALID PROVISION OR
283	283	PROCEDURE. To the extent any provision or procedure under this
284	284	chapter causes a mandatory payment authorized under this chapter to
285	285	be ineligible for federal matching funds, the board may provide by
286	286	rule for an alternative provision or procedure that conforms to the
287	287	requirements of the federal Centers for Medicare and Medicaid
288	288	Services.
289	289	SECTION 2. Subtitle D, Title 4, Health and Safety Code, is
290	290	amended by adding Chapter 299A to read as follows:
291	291	CHAPTER 299A. COUNTY HEALTH CARE PROVIDER PARTICIPATION PROGRAM IN
292	292	COUNTY NOT SERVED BY HOSPITAL DISTRICT OR PUBLIC HOSPITAL
293	293	SUBCHAPTER A. GENERAL PROVISIONS
294	294	Sec. 299A.0001. PURPOSE. The purpose of this chapter is to
295	295	authorize a county not served by a hospital district or a public
296	296	hospital to administer a county health care provider participation
297	297	program to provide additional compensation to hospitals in the
298	298	county by collecting mandatory payments from each hospital in the
299	299	county to be used to provide the nonfederal share of a Medicaid
300	300	supplemental payment program and for other purposes as authorized
301	301	under this chapter.
302	302	Sec. 299A.0002. DEFINITIONS. In this chapter:
303	303	(1) "Institutional health care provider" means a
304	304	nonpublic hospital that provides inpatient hospital services.
305	305	(2) "Paying hospital" means an institutional health
306	306	care provider required to make a mandatory payment under this
307	307	chapter.
308	308	(3) "Program" means a county health care provider
309	309	participation program authorized by this chapter.
310	310	Sec. 299A.0003. APPLICABILITY. This chapter applies only
311	311	to a county that is not served by a hospital district or a public
312	312	hospital.
313	313	Sec. 299A.0004. COUNTY HEALTH CARE PROVIDER PARTICIPATION
314	314	PROGRAM; COUNTY ORDER REQUIRED FOR PARTICIPATION. The
315	315	commissioners court of a county may adopt an order authorizing the
316	316	county to participate in a health care provider participation
317	317	program, subject to the limitations provided by this chapter.
318	318	SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT
319	319	Sec. 299A.0051. LIMITATION ON AUTHORITY TO REQUIRE
320	320	MANDATORY PAYMENT. The commissioners court of a county may require
321	321	a mandatory payment authorized under this chapter by an
322	322	institutional health care provider in the county only in the manner
323	323	provided by this chapter.
324	324	Sec. 299A.0052. RULES AND PROCEDURES. The commissioners
325	325	court of a county may adopt rules relating to the administration of
326	326	the health care provider participation program in the county,
327	327	including collection of the mandatory payments, expenditures,
328	328	audits, and any other administrative aspects of the program.
329	329	Sec. 299A.0053. INSTITUTIONAL HEALTH CARE PROVIDER
330	330	REPORTING. If the commissioners court of a county authorizes the
331	331	county to participate in a health care provider participation
332	332	program under this chapter, the commissioners court shall require
333	333	each institutional health care provider to submit to the county a
334	334	copy of any financial and utilization data required by and reported
335	335	to the Department of State Health Services under Sections 311.032
336	336	and 311.033 and any rules adopted by the executive commissioner of
337	337	the Health and Human Services Commission to implement those
338	338	sections.
339	339	SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS
340	340	Sec. 299A.0101. HEARING. (a) In each year that the
341	341	commissioners court of a county authorizes a health care provider
342	342	participation program under this chapter, the commissioners court
343	343	shall hold a public hearing on the amounts of any mandatory payments
344	344	that the commissioners court intends to require during the year and
345	345	how the revenue derived from those payments is to be spent.
346	346	(b) Not later than the fifth day before the date of the
347	347	hearing required under Subsection (a), the commissioners court
348	348	shall publish notice of the hearing in a newspaper of general
349	349	circulation in the county and provide written notice of the hearing
350	350	to the chief operating officer of each institutional health care
351	351	provider in the county.
352	352	Sec. 299A.0102. LOCAL PROVIDER PARTICIPATION FUND;
353	353	DEPOSITORY. (a) Each commissioners court of a county that collects
354	354	a mandatory payment authorized under this chapter shall create a
355	355	local provider participation fund in one or more banks designated
356	356	by the county as a depository for the mandatory payments received by
357	357	the county.
358	358	(b) The commissioners court of a county may withdraw or use
359	359	money in the local provider participation fund of the county only
360	360	for a purpose authorized under this chapter.
361	361	(c) All funds collected under this chapter shall be secured
362	362	in the manner provided for securing other county funds.
363	363	Sec. 299A.0103. DEPOSITS TO FUND; AUTHORIZED USES OF MONEY.
364	364	(a) The local provider participation fund established by a county
365	365	under Section 299A.0102 consists of:
366	366	(1) all revenue received by the county attributable to
367	367	mandatory payments authorized under this chapter, including any
368	368	penalties and interest attributable to delinquent payments;
369	369	(2) money received from the Health and Human Services
370	370	Commission as a refund of an intergovernmental transfer from the
371	371	county to the state for the purpose of providing the nonfederal
372	372	share of Medicaid supplemental payment program payments, provided
373	373	that the intergovernmental transfer does not receive a federal
374	374	matching payment; and
375	375	(3) the earnings of the fund.
376	376	(b) Money deposited to the local provider participation
377	377	fund of a county may be used only to:
378	378	(1) fund intergovernmental transfers from the county
379	379	to the state to provide:
380	380	(A) the nonfederal share of a Medicaid
381	381	supplemental payment program authorized under the state Medicaid
382	382	plan, the Texas Healthcare Transformation and Quality Improvement
383	383	Program waiver issued under Section 1115 of the federal Social
384	384	Security Act (42 U.S.C. Section 1315), or a successor waiver
385	385	program authorizing similar Medicaid supplemental payment
386	386	programs; or
387	387	(B) payments to Medicaid managed care
388	388	organizations that are dedicated for payment to hospitals;
389	389	(2) subsidize indigent programs in the county;
390	390	(3) pay the administrative expenses of the county
391	391	solely for activities under this chapter;
392	392	(4) refund a portion of a mandatory payment collected
393	393	in error from a paying hospital; and
394	394	(5) refund to paying hospitals the proportionate share
395	395	of money received by the county that is not used to fund the
396	396	nonfederal share of Medicaid supplemental payment program
397	397	payments.
398	398	(c) Money in the local provider participation fund of a
399	399	county may not be commingled with other county funds.
400	400	(d) An intergovernmental transfer of funds described by
401	401	Subsection (b)(1) and any funds received by the county as a result
402	402	of an intergovernmental transfer described by that subsection may
403	403	not be used by the county or any other entity to expand Medicaid
404	404	eligibility under the Patient Protection and Affordable Care Act
405	405	(Pub. L. No. 111-148) as amended by the Health Care and Education
406	406	Reconciliation Act of 2010 (Pub. L. No. 111-152).
407	407	SUBCHAPTER D. MANDATORY PAYMENTS
408	408	Sec. 299A.0151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL
409	409	NET PATIENT REVENUE. (a) Except as provided by Subsection (e), if
410	410	the commissioners court of a county authorizes a health care
411	411	provider participation program under this chapter, the
412	412	commissioners court may require an annual mandatory payment to be
413	413	assessed on the net patient revenue of each institutional health
414	414	care provider located in the county. The commissioners court may
415	415	provide for the mandatory payment to be assessed quarterly. In the
416	416	first year in which the mandatory payment is required, the
417	417	mandatory payment is assessed on the net patient revenue of an
418	418	institutional health care provider located in the county as
419	419	determined by the data reported to the Department of State Health
420	420	Services under Sections 311.032 and 311.033 in the fiscal year
421	421	ending in 2017 or, if the institutional health care provider did not
422	422	report any data under those sections in that fiscal year, as
423	423	determined by the institutional health care provider's Medicare
424	424	cost report submitted for the 2017 fiscal year or for the closest
425	425	subsequent fiscal year for which the provider submitted the
426	426	Medicare cost report. The county shall update the amount of the
427	427	mandatory payment on an annual basis.
428	428	(b) The amount of a mandatory payment authorized under this
429	429	chapter must be uniformly proportionate with the amount of net
430	430	patient revenue generated by each paying hospital in the county. A
431	431	mandatory payment authorized under this chapter may not hold
432	432	harmless any institutional health care provider, as required under
433	433	42 U.S.C. Section 1396b(w).
434	434	(c) The commissioners court of a county that collects a
435	435	mandatory payment authorized under this chapter shall set the
436	436	amount of the mandatory payment. The amount of the mandatory
437	437	payment required of each paying hospital in the county may not
438	438	exceed six percent of the paying hospital's net patient revenue.
439	439	(d) Subject to the maximum amount prescribed by Subsection
440	440	(c), the commissioners court of a county that collects a mandatory
441	441	payment authorized under this chapter shall set the mandatory
442	442	payments in amounts that in the aggregate will generate sufficient
443	443	revenue to cover the administrative expenses of the county for
444	444	activities under this chapter, to fund an intergovernmental
445	445	transfer described by Section 299A.103(b)(1), and to pay for
446	446	indigent programs in the county, except that the amount of revenue
447	447	from mandatory payments used for administrative expenses of the
448	448	county for activities under this chapter in a year may not exceed
449	449	the lesser of four percent of the total revenue generated from the
450	450	mandatory payment or $20,000.
451	451	(e) A paying hospital may not add a mandatory payment
452	452	required under this section as a surcharge to a patient.
453	453	Sec. 299A.0152. ASSESSMENT AND COLLECTION OF MANDATORY
454	454	PAYMENTS. A county may collect or contract for the assessment and
455	455	collection of mandatory payments authorized under this chapter.
456	456	Sec. 299A.0153. INTEREST, PENALTIES, AND DISCOUNTS.
457	457	Interest, penalties, and discounts on mandatory payments required
458	458	under this chapter are governed by the law applicable to county ad
459	459	valorem taxes.
460	460	Sec. 299A.0154. CORRECTION OF INVALID PROVISION OR
461	461	PROCEDURE. To the extent any provision or procedure under this
462	462	chapter causes a mandatory payment authorized under this chapter to
463	463	be ineligible for federal matching funds, the county may provide by
464	464	rule for an alternative provision or procedure that conforms to the
465	465	requirements of the federal Centers for Medicare and Medicaid
466	466	Services.
467	467	SECTION 3. If before implementing any provision of this Act
468	468	a state agency determines that a waiver or authorization from a
469	469	federal agency is necessary for implementation of that provision,
470	470	the agency affected by the provision shall request the waiver or
471	471	authorization and may delay implementing that provision until the
472	472	waiver or authorization is granted.
473	473	SECTION 4. This Act takes effect immediately if it receives
474	474	a vote of two-thirds of all the members elected to each house, as
475	475	provided by Section 39, Article III, Texas Constitution. If this
476	476	Act does not receive the vote necessary for immediate effect, this
477	477	Act takes effect September 1, 2019.