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A BILL TO BE ENTITLED
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AN ACT
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relating to identification and implementation of hospital funding |
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solutions related to the Medicaid program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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amended by adding Section 531.02117 to read as follows: |
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Sec. 531.02117. HOSPITAL FUNDING SOLUTIONS. (a) In this |
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section, "Patient Protection and Affordable Care Act" means the |
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federal Patient Protection and Affordable Care Act (Pub. L. No. |
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111-148) as amended by the Health Care and Education Reconciliation |
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Act of 2010 (Pub. L. No. 111-152). |
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(b) The commission, in consultation with the Department of |
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State Health Services, shall conduct a study regarding the effects |
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of the Patient Protection and Affordable Care Act on: |
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(1) Medicaid reimbursements paid to hospitals in this |
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state for services provided by the hospitals; and |
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(2) payments made under the disproportionate share |
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hospitals supplemental payment program to hospitals in this state. |
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(c) As part of the study, the commission shall compare and |
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contrast: |
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(1) the amounts of the reimbursements and payments |
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described by Subsection (b) before enactment of the Patient |
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Protection and Affordable Care Act; and |
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(2) the amounts or anticipated amounts of those |
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reimbursements and payments after the effective dates of applicable |
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provisions of that Act, accounting for any expansion of eligibility |
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for the Medicaid program made in accordance with the Act for which |
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additional federal matching money is available, if that expansion |
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were to occur. |
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(d) The commission, in consultation with the Department of |
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State Health Services and based on the study conducted under this |
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section, shall develop proposals designed to provide long-term |
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funding solutions related to the Medicaid program for hospitals in |
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this state. To the extent authorized by law, the commission may |
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implement the proposals. |
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(e) Not later than December 1, 2014, the commission shall |
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submit a report based on the study conducted and proposals |
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developed under this section to the governor, the lieutenant |
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governor, and the legislature. The report must: |
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(1) explain the effects of the Patient Protection and |
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Affordable Care Act on Medicaid reimbursements and |
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disproportionate share hospitals supplemental payment program |
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payments paid to hospitals in this state, as identified in the |
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study; and |
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(2) describe the proposals developed under Subsection |
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(d) and: |
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(A) identify the proposals the commission has |
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implemented; and |
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(B) for each proposal the commission has not |
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implemented, identify any changes in law necessary for |
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implementation. |
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(f) This section expires September 1, 2015. |
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SECTION 2. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2013. |