Texas 2021 - 87th Regular

Texas Senate Bill SB1533 Compare Versions

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

Old	New	Differences
1	1	87R6680 KFF-D
2	2	By: Buckingham S.B. No. 1533
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the reimbursement of certain urban teaching hospitals
8	8	for the provision of inpatient hospital care under Medicaid.
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 32.0285 to read as follows:
12	12	Sec. 32.0285. CALCULATION OF MEDICAL EDUCATION ADD-ON FOR
13	13	REIMBURSEMENT OF CERTAIN URBAN TEACHING HOSPITALS. (a) In this
14	14	section:
15	15	(1) "Base standard dollar amount" means the
16	16	standardized payment amount calculated by the commission for costs
17	17	incurred by prospectively paid hospitals in this state for
18	18	providing inpatient hospital care under Medicaid.
19	19	(2) "Children's hospital" means a hospital designated
20	20	by the Centers for Medicare and Medicaid Services as a children's
21	21	hospital.
22	22	(3) "Medical education add-on" means an adjustment to
23	23	the base standard dollar amount for an urban teaching hospital to
24	24	reflect higher patient care costs relative to nonteaching urban
25	25	hospitals.
26	26	(4) "Rural hospital" means a hospital enrolled as a
27	27	Medicaid provider that:
28	28	(A) is located in a county with a population of
29	29	not more than 60,000;
30	30	(B) is designated by the Centers for Medicare and
31	31	Medicaid Services as a critical access hospital, sole community
32	32	hospital, or rural referral center and is not located in an area
33	33	defined by the United States Office of Management and Budget as a
34	34	metropolitan statistical area; or
35	35	(C) meets all of the following criteria:
36	36	(i) has 100 or fewer beds;
37	37	(ii) is designated by the Centers for
38	38	Medicare and Medicaid Services as a critical access hospital, sole
39	39	community hospital, or rural referral center; and
40	40	(iii) is located in an area defined by the
41	41	United States Office of Management and Budget as a metropolitan
42	42	statistical area.
43	43	(5) "State-owned teaching hospital" means:
44	44	(A) The University of Texas Medical Branch at
45	45	Galveston;
46	46	(B) The University of Texas Health Science Center
47	47	at Tyler; and
48	48	(C) The University of Texas M.D. Anderson Cancer
49	49	Center.
50	50	(6) "Teaching hospital" means a hospital that incurs
51	51	indirect costs for operating graduate medical education programs
52	52	and for which the Centers for Medicare and Medicaid Services has
53	53	calculated and assigned a percentage Medicare education adjustment
54	54	factor under 42 C.F.R. Section 412.105.
55	55	(7) "Urban hospital" means a hospital that:
56	56	(A) is located in an area defined by the United
57	57	States Office of Management and Budget as a metropolitan
58	58	statistical area; and
59	59	(B) is not a rural hospital, children's hospital,
60	60	state-owned teaching hospital, or freestanding psychiatric
61	61	facility.
62	62	(b) To the extent permitted by federal law, in order to
63	63	ensure that urban teaching hospitals are accurately reimbursed for
64	64	the provision of inpatient hospital care to recipients under
65	65	Medicaid, the commission shall, on request from a teaching
66	66	hospital, update on a biannual basis the education adjustment
67	67	factor used to calculate the medical education add-on using the
68	68	most current Medicare education adjustment factor data available
69	69	under 42 C.F.R. Section 412.105 at the time the commission makes the
70	70	update.
71	71	SECTION 2. If before implementing any provision of this Act
72	72	a state agency determines that a waiver or authorization from a
73	73	federal agency is necessary for implementation of that provision,
74	74	the agency affected by the provision shall request the waiver or
75	75	authorization and may delay implementing that provision until the
76	76	waiver or authorization is granted.
77	77	SECTION 3. This Act takes effect immediately if it receives
78	78	a vote of two-thirds of all the members elected to each house, as
79	79	provided by Section 39, Article III, Texas Constitution. If this
80	80	Act does not receive the vote necessary for immediate effect, this
81	81	Act takes effect September 1, 2021.