89R8674 LRM-D By: Lalani H.B. No. 2299 A BILL TO BE ENTITLED AN ACT relating to a community health clinic grant program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 64, Health and Safety Code, is amended by designating Section 64.001 as Subchapter A and adding a subchapter heading to read as follows: SUBCHAPTER A. TEACHING HOSPITAL ACCOUNT SECTION 2. Chapter 64, Health and Safety Code, is amended by adding Subchapter B to read as follows: SUBCHAPTER B. COMMUNITY HEALTH CLINIC GRANT PROGRAM Sec. 64.051. DEFINITIONS. In this subchapter: (1) "Community health clinic" means a community-driven, nonprofit health clinic located in a medically underserved area or serving populations that are medically underserved. The term includes a community health center and a federally qualified health center, as defined by 42 U.S.C. Section 1396d(l)(2)(B). (2) "Grant program" means the community health clinic grant program established under this subchapter. Sec. 64.052. ESTABLISHMENT AND ADMINISTRATION OF GRANT PROGRAM. The executive commissioner by rule shall establish and the commission shall administer a community health clinic grant program to increase access to health care, improve health outcomes, reduce health disparities, and achieve health equity in medically underserved areas of this state by: (1) improving the provision of preventative care, screening, and treatment for chronic health conditions, including diabetes, hypertension, and obesity; and (2) strengthening the availability and capacity of community health clinics to provide affordable, high-quality health care services to medically underserved individuals. Sec. 64.053. APPLICATION. A community health clinic may apply to the commission to receive money under the grant program if the clinic: (1) is located in a county with a population of 800,000 or more, adjacent to a county with a population of 4 million or more; and (2) either: (A) operates in a medically underserved area of the county; or (B) serves a medically underserved population in the county. Sec. 64.054. AWARD OF GRANTS. (a) The executive commissioner by rule shall establish eligibility criteria and a scoring system for the commission to award grants under the grant program. (b) The commission may award grants under the grant program to eligible applicants. Sec. 64.055. USE OF GRANT MONEY. A grant recipient may use money awarded under the grant program only for the purposes described by Section 64.052. The executive commissioner shall adopt rules governing the use of money awarded under the grant program. Sec. 64.056. FUNDING. (a) The commission shall award grants as provided by this subchapter using money appropriated to the commission for that purpose. (b) Out of money appropriated to the commission that is available for the purpose, the commission shall allocate $200 million each fiscal biennium to award grants under this subchapter. Sec. 64.057. RULES. The executive commissioner shall adopt rules necessary to implement and administer this subchapter. SECTION 3. Not later than January 1, 2026, the executive commissioner of the Health and Human Services Commission shall adopt the rules necessary to implement Subchapter B, Chapter 64, Health and Safety Code, as added by this Act. SECTION 4. This Act takes effect September 1, 2025.