1 | 1 | | 88R20970 SCL-F |
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2 | 2 | | By: Bucy H.B. No. 5280 |
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3 | 3 | | Substitute the following for H.B. No. 5280: |
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4 | 4 | | By: Rosenthal C.S.H.B. No. 5280 |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to operation by certain nonprofit organizations of certain |
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10 | 10 | | regional health care programs for employees of small employers. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 75.051, Health and Safety Code, is |
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13 | 13 | | amended by adding Subsection (c) to read as follows: |
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14 | 14 | | (c) A community-based nonprofit organization may establish |
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15 | 15 | | or participate in a regional health care program under this |
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16 | 16 | | subchapter without the participation of the commissioners court of |
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17 | 17 | | a county if the program is a premium assistance program not offering |
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18 | 18 | | health care services or health care benefits. |
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19 | 19 | | SECTION 2. Section 75.052(a), Health and Safety Code, is |
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20 | 20 | | amended to read as follows: |
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21 | 21 | | (a) A regional health care program may be operated subject |
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22 | 22 | | to the direct governance of the commissioners courts of the |
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23 | 23 | | participating counties or, for a program under Section 75.051(c), a |
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24 | 24 | | nonprofit organization. A local health care program may be |
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25 | 25 | | operated subject to the direct governance of the commissioners |
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26 | 26 | | court of the participating county. A regional or local health care |
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27 | 27 | | program may be operated by a joint council, tax-exempt nonprofit |
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28 | 28 | | entity, or other entity that: |
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29 | 29 | | (1) operates the program under a contract with the |
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30 | 30 | | commissioners court or courts, as applicable; [or] |
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31 | 31 | | (2) is an entity in which the county or counties |
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32 | 32 | | participate or that is established or designated by the |
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33 | 33 | | commissioners court or courts, as applicable, to operate the |
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34 | 34 | | program; or |
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35 | 35 | | (3) for a program under Section 75.051(c), is a |
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36 | 36 | | participating nonprofit organization. |
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37 | 37 | | SECTION 3. Section 75.101, Health and Safety Code, is |
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38 | 38 | | amended to read as follows: |
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39 | 39 | | Sec. 75.101. ALTERNATIVE PROGRAMS AUTHORIZED; PROGRAM |
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40 | 40 | | OBJECTIVES. In developing a regional or local health care program, |
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41 | 41 | | a governing body may provide health care services or benefits as |
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42 | 42 | | described by this subchapter or may develop another type of program |
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43 | 43 | | to accomplish the purposes of this chapter. A regional or local |
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44 | 44 | | health care program must be developed, to the extent practicable, |
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45 | 45 | | to: |
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46 | 46 | | (1) reduce the number of individuals without health |
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47 | 47 | | benefit plan coverage within the boundaries of the participating |
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48 | 48 | | county or counties or, for a program under Section 75.051(c), in a |
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49 | 49 | | county in which a participating nonprofit organization operates; |
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50 | 50 | | (2) address rising health care costs and reduce the |
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51 | 51 | | cost of health care services or health benefit plan coverage for |
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52 | 52 | | small employers and their employees within the boundaries of the |
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53 | 53 | | participating county or counties or, for a program under Section |
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54 | 54 | | 75.051(c), in a county in which a participating nonprofit |
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55 | 55 | | organization operates; |
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56 | 56 | | (3) promote preventive care and reduce the incidence |
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57 | 57 | | of preventable health conditions, such as heart disease, cancer, |
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58 | 58 | | and diabetes and low birth weight in infants; |
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59 | 59 | | (4) promote efficient and collaborative delivery of |
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60 | 60 | | health care services; |
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61 | 61 | | (5) serve as a model for the innovative use of health |
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62 | 62 | | information technology to promote efficient delivery of health care |
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63 | 63 | | services, reduce health care costs, and improve the health of the |
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64 | 64 | | community; and |
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65 | 65 | | (6) provide fair payment rates for health care |
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66 | 66 | | providers. |
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67 | 67 | | SECTION 4. This Act takes effect September 1, 2023. |
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