HB2977 Substitute
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Transcript of HB2977 Substitute
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1 15.145.3 TJB
By: ___________________ ___.B. No. _____
Substitute the following for ___.B. No. ____:
By: ___________________ C.S.___.B. No. _____
A BILL TO BE ENTITLED
AN ACT 1
relating to issues affecting counties and certain other 2
governmental entities; authorizing fees. 3
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 4
SECTION 1. Subchapter B, Chapter 1, Family Code, is 5
amended by adding Section 1.109 to read as follows: 6
Sec. 1.109. CERTAIN MARRIAGE LICENSES AND DECLARATIONS OF 7
INFORMAL MARRIAGE PROHIBITED. (a) This state or a political 8
subdivision of this state may not use any funds to issue, 9
enforce, or recognize a marriage license or declaration of 10
informal marriage for a union other than a union between one man 11
and one woman. 12
(b) An employee or official of this state or a political 13
subdivision of this state may not issue, enforce, or recognize a 14
marriage license or declaration of informal marriage for a union 15
other than a union between one man and one woman. 16
(c) This state or a political subdivision of this state 17
may not use any funds to enforce an order requiring the 18
issuance, enforcement, or recognition of a marriage license or 19
declaration of informal marriage for a union other than a union 20
between one man and one woman. 21
SECTION 2. Effective September 1, 2015, Subchapter H, 22
Chapter 51, Government Code, is amended by adding Section 51.712 23
to read as follows: 24
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Sec. 51.712. ADDITIONAL FILING FEE FOR CIVIL CASES IN 1
KAUFMAN COUNTY. (a) This section applies only to district 2
courts, statutory probate courts, county courts at law, and 3
justice courts in Kaufman County. 4
(b) Except as otherwise provided by this section and in 5
addition to all other fees authorized or required by other law, 6
the clerk of a court shall collect a filing fee of not more than 7
$15 in each civil case filed in the court to be used for the 8
construction, renovation, or improvement of the facilities that 9
house the Kaufman courts collecting the fee. 10
(c) Court fees due under this section shall be collected 11
in the same manner as other fees, fines, or costs are collected 12
in the case. 13
(d) The clerk shall send the fees collected under this 14
section to the county treasurer or to any other official who 15
discharges the duties commonly assigned to the county treasurer 16
at least as frequently as monthly. The treasurer or other 17
official shall deposit the fees in a special account in the 18
county treasury dedicated to the construction, renovation, or 19
improvement of the facilities that house the courts collecting 20
the fee. 21
(e) This section applies only to fees for a 12-month 22
period beginning July 1, if the commissioners court: 23
(1) adopts a resolution authorizing a fee of not more 24
than $15; and 25
(2) files the resolution with the county treasurer or 26
with any other official who discharges the duties commonly 27
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assigned to the county treasurer not later than June 1 1
immediately preceding the first 12-month period during which the 2
fees are to be collected. 3
(f) A resolution adopted under Subsection (e) continues 4
from year to year until July 1, 2030, allowing the county to 5
collect fees under the terms of this section until the 6
resolution is rescinded. 7
(g) The commissioners court may rescind a resolution 8
adopted under Subsection (e) by adopting a resolution rescinding 9
the resolution and submitting the rescission resolution to the 10
county treasurer or to any other official who discharges the 11
duties commonly assigned to the county treasurer not later than 12
June 1 preceding the beginning of the first day of the county 13
fiscal year. The commissioners court may adopt an additional 14
resolution in the manner provided by Subsection (e) after 15
rescinding a previous resolution under that subsection. 16
(h) A fee established under a particular resolution is 17
abolished on the earlier of: 18
(1) the date a resolution adopted under Subsection 19
(e) is rescinded as provided by Subsection (g); or 20
(2) July 1, 2030. 21
SECTION 3. Effective September 1, 2015, Subchapter D, 22
Chapter 101, Government Code, is amended by adding Section 23
101.061193 to read as follows: 24
Sec. 101.061193. ADDITIONAL DISTRICT COURT FEES FOR COURT 25
FACILITIES: GOVERNMENT CODE. The clerk of a district court in 26
Kaufman County shall collect an additional filing fee of not 27
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more than $15 under Section 51.712, Government Code, in civil 1
cases to fund the construction, renovation, or improvement of 2
court facilities, if authorized by the county commissioners 3
court. 4
SECTION 4. Effective September 1, 2015, Subchapter E, 5
Chapter 101, Government Code, is amended by adding Section 6
101.081196 to read as follows: 7
Sec. 101.081196. ADDITIONAL STATUTORY COUNTY COURT FEES 8
FOR COURT FACILITIES: GOVERNMENT CODE. The clerk of a 9
statutory county court in Kaufman County shall collect an 10
additional filing fee of not more than $15 under Section 51.712, 11
Government Code, in civil cases to fund the construction, 12
renovation, or improvement of court facilities, if authorized by 13
the county commissioners court. 14
SECTION 5. Effective September 1, 2015, Subchapter F, 15
Chapter 101, Government Code, is amended by adding Section 16
101.101191 to read as follows: 17
Sec. 101.101191. ADDITIONAL STATUTORY PROBATE COURT FEES 18
FOR COURT FACILITIES: GOVERNMENT CODE. The clerk of a 19
statutory probate court in Kaufman County shall collect an 20
additional filing fee of not more than $15 under Section 51.712, 21
Government Code, in civil cases to fund the construction, 22
renovation, or improvement of court facilities, if authorized by 23
the county commissioners court. 24
SECTION 6. Effective September 1, 2015, Subchapter H, 25
Chapter 101, Government Code, is amended by adding Section 26
101.143 to read as follows: 27
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Sec. 101.143. ADDITIONAL JUSTICE COURT FEE FOR COURT 1
FACILITIES COLLECTED BY CLERK. The clerk of a justice court in 2
Kaufman County shall collect an additional filing fee of not 3
more than $15 under Section 51.712, Government Code, in civil 4
cases to fund the construction, renovation, or improvement of 5
court facilities, if authorized by the county commissioners 6
court. 7
SECTION 7. Section 1502.056, Government Code, is amended 8
by adding Subsection (a-1) to read as follows: 9
(a-1) For a municipality in a county that contains an 10
international border and borders the Gulf of Mexico, the first 11
lien against the revenue of a municipally owned utility system 12
that secures the payment of public securities issued or 13
obligations incurred under this chapter also applies to funding, 14
as a necessary operations expense, for a bill payment assistance 15
program for the utility system's customers who: 16
(1) have been determined by the municipality to be 17
low-income customers; 18
(2) are military veterans who have significantly 19
decreased abilities to regulate their bodies' core temperatures 20
because of severe burns received in combat; or 21
(3) are elderly and low-income customers as 22
determined by the municipality. 23
SECTION 8. Section 194.001, Health and Safety Code, is 24
amended by adding Subsection (c) to read as follows: 25
(c) A county clerk may not file, and the vital statistics 26
unit may not enter into the vital statistics system, a document 27
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copy described by Subsection (a) or (b) that is associated with 1
a union other than a union between one man and one woman. If 2
the vital statistics unit determines that the document copy is 3
associated with a union other than a union between one man and 4
one woman, the vital statistics unit shall provide the document 5
copy to the attorney general. 6
SECTION 9. Section 285.101, Health and Safety Code, is 7
amended by amending Subsection (a) and adding Subsection (b-1) 8
to read as follows: 9
(a) This subchapter applies only to a hospital, hospital 10
district, or authority created and operated under Article IX, 11
Texas Constitution, under a special law, or under this title 12
[that is located in: 13
[(1) a county with a population of 35,000 or less; 14
[(2) those portions of extended municipalities that 15
the federal census bureau has determined to be rural; or 16
[(3) an area that is not delineated as an urbanized 17
area by the federal census bureau]. 18
(b-1) A facility or service under Subsection (b) may be 19
located or offered, as applicable, in any location that the 20
governing body of the hospital, hospital district, or authority 21
considers to be in the best interest of the hospital, hospital 22
district, or authority, subject to any limitation imposed by: 23
(1) a rule of the Department of State Health 24
Services; or 25
(2) an order of the commissioners court of a county 26
in which any part of the facility will be located or the service 27
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will be offered, if the county in which any part of the facility 1
will be located or the service will be offered does not have a 2
public hospital, hospital district, or hospital authority. 3
SECTION 10. Section 288.001(4), Health and Safety Code, is 4
amended to read as follows: 5
(4) "Institutional health care provider" means a 6
nonpublic hospital that provides inpatient hospital services 7
[licensed under Chapter 241]. 8
SECTION 11. Subtitle D, Title 4, Health and Safety Code, 9
is amended by adding Chapter 291 to read as follows: 10
CHAPTER 291. COUNTY HEALTH CARE PROVIDER PARTICIPATION PROGRAM 11
IN CERTAIN COUNTIES BORDERING ARKANSAS 12
SUBCHAPTER A. GENERAL PROVISIONS 13
Sec. 291.001. DEFINITIONS. In this chapter: 14
(1) "Institutional health care provider" means a 15
nonpublic hospital that provides inpatient hospital services. 16
(2) "Paying hospital" means an institutional health 17
care provider required to make a mandatory payment under this 18
chapter. 19
(3) "Program" means the county health care provider 20
participation program authorized by this chapter. 21
Sec. 291.002. APPLICABILITY. This chapter applies only to 22
a county that: 23
(1) is not served by a hospital district or a public 24
hospital; 25
(2) is located on the state border with Arkansas; and 26
(3) has a population of more than 90,000. 27
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Sec. 291.003. COUNTY HEALTH CARE PROVIDER PARTICIPATION 1
PROGRAM; PARTICIPATION IN PROGRAM. (a) A county health care 2
provider participation program authorizes a county to collect a 3
mandatory payment from each institutional health care provider 4
located in the county to be deposited in a local provider 5
participation fund established by the county. Money in the fund 6
may be used by the county to fund certain intergovernmental 7
transfers and indigent care programs as provided by this 8
chapter. 9
(b) The commissioners court may adopt an order authorizing 10
a county to participate in the program, subject to the 11
limitations provided by this chapter. 12
SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT 13
Sec. 291.051. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY 14
PAYMENT. The commissioners court of a county may require a 15
mandatory payment authorized under this chapter by an 16
institutional health care provider in the county only in the 17
manner provided by this chapter. 18
Sec. 291.052. MAJORITY VOTE REQUIRED. The commissioners 19
court of a county may not authorize the county to collect a 20
mandatory payment authorized under this chapter without an 21
affirmative vote of a majority of the members of the 22
commissioners court. 23
Sec. 291.053. RULES AND PROCEDURES. After the 24
commissioners court has voted to require a mandatory payment 25
authorized under this chapter, the commissioners court may adopt 26
rules relating to the administration of the mandatory payment. 27
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Sec. 291.054. INSTITUTIONAL HEALTH CARE PROVIDER 1
REPORTING; INSPECTION OF RECORDS. (a) The commissioners court 2
of a county that collects a mandatory payment authorized under 3
this chapter shall require each institutional health care 4
provider to submit to the county a copy of any financial and 5
utilization data required by and reported to the Department of 6
State Health Services under Sections 311.032 and 311.033 and any 7
rules adopted by the executive commissioner of the Health and 8
Human Services Commission to implement those sections. 9
(b) The commissioners court of a county that collects a 10
mandatory payment authorized under this chapter may inspect the 11
records of an institutional health care provider to the extent 12
necessary to ensure compliance with the requirements of 13
Subsection (a). 14
SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS 15
Sec. 291.101. HEARING. (a) Each year, the commissioners 16
court of a county that collects a mandatory payment authorized 17
under this chapter shall hold a public hearing on the amounts of 18
any mandatory payments that the commissioners court intends to 19
require during the year and how the revenue derived from those 20
payments is to be spent. 21
(b) Not later than the 10th day before the date of the 22
hearing required under Subsection (a), the commissioners court 23
of the county shall publish notice of the hearing in a newspaper 24
of general circulation in the county. 25
(c) A representative of a paying hospital is entitled to 26
appear at the time and place designated in the public notice and 27
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to be heard regarding any matter related to the mandatory 1
payments authorized under this chapter. 2
Sec. 291.102. DEPOSITORY. (a) The commissioners court of 3
each county that collects a mandatory payment authorized under 4
this chapter by resolution shall designate one or more banks 5
located in the county as the depository for mandatory payments 6
received by the county. A bank designated as a depository 7
serves for two years or until a successor is designated. 8
(b) All income received by a county under this chapter, 9
including the revenue from mandatory payments remaining after 10
discounts and fees for assessing and collecting the payments are 11
deducted, shall be deposited with the county depository in the 12
county's local provider participation fund and may be withdrawn 13
only as provided by this chapter. 14
(c) All funds under this chapter shall be secured in the 15
manner provided for securing county funds. 16
Sec. 291.103. LOCAL PROVIDER PARTICIPATION FUND; 17
AUTHORIZED USES OF MONEY. (a) Each county that collects a 18
mandatory payment authorized under this chapter shall create a 19
local provider participation fund. 20
(b) The local provider participation fund of a county 21
consists of: 22
(1) all revenue received by the county attributable 23
to mandatory payments authorized under this chapter, including 24
any penalties and interest attributable to delinquent payments; 25
(2) money received from the Health and Human Services 26
Commission as a refund of an intergovernmental transfer from the 27
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county to the state for the purpose of providing the nonfederal 1
share of Medicaid supplemental payment program payments, 2
provided that the intergovernmental transfer does not receive a 3
federal matching payment; and 4
(3) the earnings of the fund. 5
(c) Money deposited to the local provider participation 6
fund may be used only to: 7
(1) fund intergovernmental transfers from the county 8
to the state to provide: 9
(A) the nonfederal share of a Medicaid 10
supplemental payment program authorized under the state Medicaid 11
plan, the Texas Healthcare Transformation and Quality 12
Improvement Program waiver issued under Section 1115 of the 13
federal Social Security Act (42 U.S.C. Section 1315), or a 14
successor waiver program authorizing similar Medicaid 15
supplemental payment programs; or 16
(B) payments to Medicaid managed care 17
organizations that are dedicated for payment to hospitals; 18
(2) subsidize indigent programs; 19
(3) pay the administrative expenses of the county 20
solely for activities under this chapter; 21
(4) refund a portion of a mandatory payment collected 22
in error from a paying hospital; and 23
(5) refund to paying hospitals the proportionate 24
share of money received by the county from the Health and Human 25
Services Commission that is not used to fund the nonfederal 26
share of Medicaid supplemental payment program payments. 27
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(d) Money in the local provider participation fund may not 1
be commingled with other county funds. 2
(e) An intergovernmental transfer of funds described by 3
Subsection (c)(1) and any funds received by the county as a 4
result of an intergovernmental transfer described by that 5
subsection may not be used by the county or any other entity to 6
expand Medicaid eligibility under the Patient Protection and 7
Affordable Care Act (Pub. L. No. 111-148) as amended by the 8
Health Care and Education Reconciliation Act of 2010 (Pub. L. 9
No. 111-152). 10
SUBCHAPTER D. MANDATORY PAYMENTS 11
Sec. 291.151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL 12
NET PATIENT REVENUE. (a) Except as provided by Subsection (e), 13
the commissioners court of a county that collects a mandatory 14
payment authorized under this chapter may require an annual 15
mandatory payment to be assessed on the net patient revenue of 16
each institutional health care provider located in the county. 17
The commissioners court may provide for the mandatory payment to 18
be assessed quarterly. In the first year in which the mandatory 19
payment is required, the mandatory payment is assessed on the 20
net patient revenue of an institutional health care provider as 21
determined by the data reported to the Department of State 22
Health Services under Sections 311.032 and 311.033 in the fiscal 23
year ending in 2013 or, if the institutional health care 24
provider did not report any data under those sections in that 25
fiscal year, as determined by the institutional health care 26
provider's Medicare cost report submitted for the 2013 fiscal 27
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year or for the closest subsequent fiscal year for which the 1
provider submitted the Medicare cost report. The county shall 2
update the amount of the mandatory payment on an annual basis. 3
(b) The amount of a mandatory payment authorized under 4
this chapter must be uniformly proportionate with the amount of 5
net patient revenue generated by each paying hospital in the 6
county. A mandatory payment authorized under this chapter may 7
not hold harmless any institutional health care provider, as 8
required under 42 U.S.C. Section 1396b(w). 9
(c) The commissioners court of a county that collects a 10
mandatory payment authorized under this chapter shall set the 11
amount of the mandatory payment. The amount of the mandatory 12
payment required of each paying hospital may not exceed an 13
amount that, when added to the amount of the mandatory payments 14
required from all other paying hospitals in the county, equals 15
an amount of revenue that exceeds six percent of the aggregate 16
net patient revenue of all paying hospitals in the county. 17
(d) Subject to the maximum amount prescribed by Subsection 18
(c), the commissioners court of a county that collects a 19
mandatory payment authorized under this chapter shall set the 20
mandatory payments in amounts that in the aggregate will 21
generate sufficient revenue to cover the administrative expenses 22
of the county for activities under this chapter, to fund an 23
intergovernmental transfer described by Section 291.103(c)(1), 24
and to pay for indigent programs, except that the amount of 25
revenue from mandatory payments used for administrative expenses 26
of the county for activities under this chapter in a year may 27
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not exceed the lesser of four percent of the total revenue 1
generated from the mandatory payment or $20,000. 2
(e) A paying hospital may not add a mandatory payment 3
required under this section as a surcharge to a patient. 4
Sec. 291.152. ASSESSMENT AND COLLECTION OF MANDATORY 5
PAYMENTS. (a) Except as provided by Subsection (b), the county 6
tax assessor-collector shall collect the mandatory payment 7
authorized under this chapter. The county tax assessor-8
collector shall charge and deduct from mandatory payments 9
collected for the county a fee for collecting the mandatory 10
payment in an amount determined by the commissioners court of 11
the county, not to exceed the county tax assessor-collector's 12
usual and customary charges. 13
(b) If determined by the commissioners court to be 14
appropriate, the commissioners court may contract for the 15
assessment and collection of mandatory payments in the manner 16
provided by Title 1, Tax Code, for the assessment and collection 17
of ad valorem taxes. 18
(c) Revenue from a fee charged by a county tax assessor-19
collector for collecting the mandatory payment shall be 20
deposited in the county general fund and, if appropriate, shall 21
be reported as fees of the county tax assessor-collector. 22
Sec. 291.153. INTEREST, PENALTIES, AND DISCOUNTS. 23
Interest, penalties, and discounts on mandatory payments 24
required under this chapter are governed by the law applicable 25
to county ad valorem taxes. 26
Sec. 291.154. PURPOSE; CORRECTION OF INVALID PROVISION OR 27
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PROCEDURE. (a) The purpose of this chapter is to generate 1
revenue by collecting from institutional health care providers a 2
mandatory payment to be used to provide the nonfederal share of 3
a Medicaid supplemental payment program. 4
(b) To the extent any provision or procedure under this 5
chapter causes a mandatory payment authorized under this chapter 6
to be ineligible for federal matching funds, the county may 7
provide by rule for an alternative provision or procedure that 8
conforms to the requirements of the federal Centers for Medicare 9
and Medicaid Services. 10
SECTION 12. Subtitle D, Title 4, Health and Safety Code, 11
is amended by adding Chapter 293 to read as follows: 12
CHAPTER 293. COUNTY HEALTH CARE PROVIDER PARTICIPATION PROGRAM 13
IN CERTAIN COUNTIES IN THE TEXAS-LOUISIANA BORDER REGION 14
SUBCHAPTER A. GENERAL PROVISIONS 15
Sec. 293.001. DEFINITIONS. In this chapter: 16
(1) "Institutional health care provider" means a 17
nonpublic hospital that provides inpatient hospital services. 18
(2) "Paying hospital" means an institutional health 19
care provider required to make a mandatory payment under this 20
chapter. 21
(3) "Program" means the county health care provider 22
participation program authorized by this chapter. 23
Sec. 293.002. APPLICABILITY. This chapter applies only to 24
a county that: 25
(1) is not served by a hospital district; 26
(2) is located in the Texas-Louisiana border region, 27
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as that region is defined by Section 2056.002, Government Code; 1
and 2
(3) has a population of more than 100,000 but less 3
than 200,000. 4
Sec. 293.003. COUNTY HEALTH CARE PROVIDER PARTICIPATION 5
PROGRAM; PARTICIPATION IN PROGRAM. (a) A county health care 6
provider participation program authorizes a county to collect a 7
mandatory payment from each institutional health care provider 8
located in the county to be deposited in a local provider 9
participation fund established by the county. Money in the fund 10
may be used by the county to fund certain intergovernmental 11
transfers and indigent care programs as provided by this 12
chapter. 13
(b) The commissioners court may adopt an order authorizing 14
a county to participate in the program, subject to the 15
limitations provided by this chapter. 16
SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT 17
Sec. 293.051. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY 18
PAYMENT. The commissioners court of a county may require a 19
mandatory payment authorized under this chapter by an 20
institutional health care provider in the county only in the 21
manner provided by this chapter. 22
Sec. 293.052. MAJORITY VOTE REQUIRED. The commissioners 23
court of a county may not authorize the county to collect a 24
mandatory payment authorized under this chapter without an 25
affirmative vote of a majority of the members of the 26
commissioners court. 27
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17 15.145.3 TJB
Sec. 293.053. RULES AND PROCEDURES. After the 1
commissioners court has voted to require a mandatory payment 2
authorized under this chapter, the commissioners court may adopt 3
rules relating to the administration of the mandatory payment. 4
Sec. 293.054. INSTITUTIONAL HEALTH CARE PROVIDER 5
REPORTING; INSPECTION OF RECORDS. (a) The commissioners court 6
of a county that collects a mandatory payment authorized under 7
this chapter shall require each institutional health care 8
provider to submit to the county a copy of any financial and 9
utilization data required by and reported to the Department of 10
State Health Services under Sections 311.032 and 311.033 and any 11
rules adopted by the executive commissioner of the Health and 12
Human Services Commission to implement those sections. 13
(b) The commissioners court of a county that collects a 14
mandatory payment authorized under this chapter may inspect the 15
records of an institutional health care provider to the extent 16
necessary to ensure compliance with the requirements of 17
Subsection (a). 18
SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS 19
Sec. 293.101. HEARING. (a) Each year, the commissioners 20
court of a county that collects a mandatory payment authorized 21
under this chapter shall hold a public hearing on the amounts of 22
any mandatory payments that the commissioners court intends to 23
require during the year and how the revenue derived from those 24
payments is to be spent. 25
(b) Not later than the 10th day before the date of the 26
hearing required under Subsection (a), the commissioners court 27
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of the county shall publish notice of the hearing in a newspaper 1
of general circulation in the county. 2
(c) A representative of a paying hospital is entitled to 3
appear at the time and place designated in the public notice and 4
to be heard regarding any matter related to the mandatory 5
payments authorized under this chapter. 6
Sec. 293.102. DEPOSITORY. (a) The commissioners court of 7
each county that collects a mandatory payment authorized under 8
this chapter by resolution shall designate one or more banks 9
located in the county as the depository for mandatory payments 10
received by the county. A bank designated as a depository 11
serves for two years or until a successor is designated. 12
(b) All income received by a county under this chapter, 13
including the revenue from mandatory payments remaining after 14
discounts and fees for assessing and collecting the payments are 15
deducted, shall be deposited with the county depository in the 16
county's local provider participation fund and may be withdrawn 17
only as provided by this chapter. 18
(c) All funds under this chapter shall be secured in the 19
manner provided for securing county funds. 20
Sec. 293.103. LOCAL PROVIDER PARTICIPATION FUND; 21
AUTHORIZED USES OF MONEY. (a) Each county that collects a 22
mandatory payment authorized under this chapter shall create a 23
local provider participation fund. 24
(b) The local provider participation fund of a county 25
consists of: 26
(1) all revenue received by the county attributable 27
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19 15.145.3 TJB
to mandatory payments authorized under this chapter, including 1
any penalties and interest attributable to delinquent payments; 2
(2) money received from the Health and Human Services 3
Commission as a refund of an intergovernmental transfer from the 4
county to the state for the purpose of providing the nonfederal 5
share of Medicaid supplemental payment program payments, 6
provided that the intergovernmental transfer does not receive a 7
federal matching payment; and 8
(3) the earnings of the fund. 9
(c) Money deposited to the local provider participation 10
fund may be used only to: 11
(1) fund intergovernmental transfers from the county 12
to the state to provide the nonfederal share of a Medicaid 13
supplemental payment program authorized under the state Medicaid 14
plan, the Texas Healthcare Transformation and Quality 15
Improvement Program waiver issued under Section 1115 of the 16
federal Social Security Act (42 U.S.C. Section 1315), or a 17
successor waiver program authorizing similar Medicaid 18
supplemental payment programs; 19
(2) subsidize indigent programs; 20
(3) pay the administrative expenses of the county 21
solely for activities under this chapter; 22
(4) refund a portion of a mandatory payment collected 23
in error from a paying hospital; and 24
(5) refund to paying hospitals the proportionate 25
share of money received by the county from the Health and Human 26
Services Commission that is not used to fund the nonfederal 27
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20 15.145.3 TJB
share of Medicaid supplemental payment program payments. 1
(d) Money in the local provider participation fund may not 2
be commingled with other county funds. 3
(e) An intergovernmental transfer of funds described by 4
Subsection (c)(1) and any funds received by the county as a 5
result of an intergovernmental transfer described by that 6
subsection may not be used by the county or any other entity to 7
expand Medicaid eligibility under the Patient Protection and 8
Affordable Care Act (Pub. L. No. 111-148) as amended by the 9
Health Care and Education Reconciliation Act of 2010 (Pub. L. 10
No. 111-152). 11
SUBCHAPTER D. MANDATORY PAYMENTS 12
Sec. 293.151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL 13
NET PATIENT REVENUE. (a) Except as provided by Subsection (e), 14
the commissioners court of a county that collects a mandatory 15
payment authorized under this chapter may require an annual 16
mandatory payment to be assessed on the net patient revenue of 17
each institutional health care provider located in the county. 18
The commissioners court may provide for the mandatory payment to 19
be assessed quarterly. In the first year in which the mandatory 20
payment is required, the mandatory payment is assessed on the 21
net patient revenue of an institutional health care provider as 22
determined by the data reported to the Department of State 23
Health Services under Sections 311.032 and 311.033 in the fiscal 24
year ending in 2013 or, if the institutional health care 25
provider did not report any data under those sections in that 26
fiscal year, as determined by the institutional health care 27
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21 15.145.3 TJB
provider's cost report submitted for the 2013 fiscal year or for 1
the closest subsequent fiscal year for which the provider 2
submitted the cost report. The county shall update the amount 3
of the mandatory payment on an annual basis. 4
(b) The amount of a mandatory payment authorized under 5
this chapter must be uniformly proportionate with the amount of 6
net patient revenue generated by each paying hospital in the 7
county. A mandatory payment authorized under this chapter may 8
not hold harmless any institutional health care provider, as 9
required under 42 U.S.C. Section 1396b(w). 10
(c) The commissioners court of a county that collects a 11
mandatory payment authorized under this chapter shall set the 12
amount of the mandatory payment. The amount of the mandatory 13
payment required of each paying hospital may not exceed an 14
amount that, when added to the amount of the mandatory payments 15
required from all other paying hospitals in the county, equals 16
an amount of revenue that exceeds six percent of the aggregate 17
net patient revenue of all paying hospitals in the county. 18
(d) Subject to the maximum amount prescribed by Subsection 19
(c), the commissioners court of a county that collects a 20
mandatory payment authorized under this chapter shall set the 21
mandatory payments in amounts that in the aggregate will 22
generate sufficient revenue to cover the administrative expenses 23
of the county for activities under this chapter, to fund the 24
nonfederal share of a Medicaid supplemental payment program, and 25
to pay for indigent programs, except that the amount of revenue 26
from mandatory payments used for administrative expenses of the 27
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22 15.145.3 TJB
county for activities under this chapter in a year may not 1
exceed the lesser of four percent of the total revenue generated 2
from the mandatory payment or $20,000. 3
(e) A paying hospital may not add a mandatory payment 4
required under this section as a surcharge to a patient. 5
Sec. 293.152. ASSESSMENT AND COLLECTION OF MANDATORY 6
PAYMENTS. (a) Except as provided by Subsection (b), the county 7
tax assessor-collector shall collect the mandatory payment 8
authorized under this chapter. The county tax assessor-9
collector shall charge and deduct from mandatory payments 10
collected for the county a fee for collecting the mandatory 11
payment in an amount determined by the commissioners court of 12
the county, not to exceed the county tax assessor-collector's 13
usual and customary charges. 14
(b) If determined by the commissioners court to be 15
appropriate, the commissioners court may contract for the 16
assessment and collection of mandatory payments in the manner 17
provided by Title 1, Tax Code, for the assessment and collection 18
of ad valorem taxes. 19
(c) Revenue from a fee charged by a county tax assessor-20
collector for collecting the mandatory payment shall be 21
deposited in the county general fund and, if appropriate, shall 22
be reported as fees of the county tax assessor-collector. 23
Sec. 293.153. INTEREST, PENALTIES, AND DISCOUNTS. 24
Interest, penalties, and discounts on mandatory payments 25
required under this chapter are governed by the law applicable 26
to county ad valorem taxes. 27
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23 15.145.3 TJB
Sec. 293.154. PURPOSE; CORRECTION OF INVALID PROVISION OR 1
PROCEDURE. (a) The purpose of this chapter is to generate 2
revenue by collecting from institutional health care providers a 3
mandatory payment to be used to provide the nonfederal share of 4
a Medicaid supplemental payment program. 5
(b) To the extent any provision or procedure under this 6
chapter causes a mandatory payment authorized under this chapter 7
to be ineligible for federal matching funds, the county may 8
provide by rule for an alternative provision or procedure that 9
conforms to the requirements of the federal Centers for Medicare 10
and Medicaid Services. 11
SECTION 13. Subtitle D, Title 4, Health and Safety Code, 12
is amended by adding Chapter 294 to read as follows: 13
CHAPTER 294. COUNTY HEALTH CARE PROVIDER PARTICIPATION PROGRAM 14
IN CERTAIN COUNTIES CONTAINING A PRIVATE UNIVERSITY 15
SUBCHAPTER A. GENERAL PROVISIONS 16
Sec. 294.001. DEFINITIONS. In this chapter: 17
(1) "Institutional health care provider" means a 18
nonpublic hospital licensed under Chapter 241. 19
(2) "Paying hospital" means an institutional health 20
care provider required to make a mandatory payment under this 21
chapter. 22
(3) "Program" means the county health care provider 23
participation program authorized by this chapter. 24
Sec. 294.002. APPLICABILITY. This chapter applies only to 25
a county that: 26
(1) is not served by a hospital district or a public 27
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24 15.145.3 TJB
hospital; 1
(2) contains a private institution of higher 2
education with a student enrollment of more than 12,000; and 3
(3) has a population of less than 250,000. 4
Sec. 294.003. COUNTY HEALTH CARE PROVIDER PARTICIPATION 5
PROGRAM; PARTICIPATION IN PROGRAM. (a) A county health care 6
provider participation program authorizes a county to collect a 7
mandatory payment from each institutional health care provider 8
located in the county to be deposited in a local provider 9
participation fund established by the county. Money in the fund 10
may be used by the county to fund certain intergovernmental 11
transfers and indigent care programs as provided by this 12
chapter. 13
(b) The commissioners court may adopt an order authorizing 14
a county to participate in the program, subject to the 15
limitations provided by this chapter. 16
SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT 17
Sec. 294.051. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY 18
PAYMENT. The commissioners court of a county may require a 19
mandatory payment authorized under this chapter by an 20
institutional health care provider in the county only in the 21
manner provided by this chapter. 22
Sec. 294.052. MAJORITY VOTE REQUIRED. The commissioners 23
court of a county may not authorize the county to collect a 24
mandatory payment authorized under this chapter without an 25
affirmative vote of a majority of the members of the 26
commissioners court. 27
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25 15.145.3 TJB
Sec. 294.053. RULES AND PROCEDURES. After the 1
commissioners court has voted to require a mandatory payment 2
authorized under this chapter, the commissioners court may adopt 3
rules relating to the administration of the mandatory payment. 4
Sec. 294.054. INSTITUTIONAL HEALTH CARE PROVIDER 5
REPORTING; INSPECTION OF RECORDS. (a) The commissioners court 6
of a county that collects a mandatory payment authorized under 7
this chapter shall require each institutional health care 8
provider to submit to the county a copy of any financial and 9
utilization data required by and reported to the Department of 10
State Health Services under Sections 311.032 and 311.033 and any 11
rules adopted by the executive commissioner of the Health and 12
Human Services Commission to implement those sections. 13
(b) The commissioners court of a county that collects a 14
mandatory payment authorized under this chapter may inspect the 15
records of an institutional health care provider to the extent 16
necessary to ensure compliance with the requirements of 17
Subsection (a). 18
SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS 19
Sec. 294.101. HEARING. (a) Each year, the commissioners 20
court of a county that collects a mandatory payment authorized 21
under this chapter shall hold a public hearing on the amounts of 22
any mandatory payments that the commissioners court intends to 23
require during the year and how the revenue derived from those 24
payments is to be spent. 25
(b) Not later than the 10th day before the date of the 26
hearing required under Subsection (a), the commissioners court 27
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26 15.145.3 TJB
of the county shall publish notice of the hearing in a newspaper 1
of general circulation in the county. 2
(c) A representative of a paying hospital is entitled to 3
appear at the time and place designated in the public notice and 4
to be heard regarding any matter related to the mandatory 5
payments authorized under this chapter. 6
Sec. 294.102. DEPOSITORY. (a) The commissioners court of 7
each county that collects a mandatory payment authorized under 8
this chapter by resolution shall designate one or more banks 9
located in the county as the depository for mandatory payments 10
received by the county. A bank designated as a depository 11
serves for two years or until a successor is designated. 12
(b) All income received by a county under this chapter, 13
including the revenue from mandatory payments remaining after 14
discounts and fees for assessing and collecting the payments are 15
deducted, shall be deposited with the county depository in the 16
county's local provider participation fund and may be withdrawn 17
only as provided by this chapter. 18
(c) All funds under this chapter shall be secured in the 19
manner provided for securing county funds. 20
Sec. 294.103. LOCAL PROVIDER PARTICIPATION FUND; 21
AUTHORIZED USES OF MONEY. (a) Each county that collects a 22
mandatory payment authorized under this chapter shall create a 23
local provider participation fund. 24
(b) The local provider participation fund of a county 25
consists of: 26
(1) all revenue received by the county attributable 27
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27 15.145.3 TJB
to mandatory payments authorized under this chapter, including 1
any penalties and interest attributable to delinquent payments; 2
(2) money received from the Health and Human Services 3
Commission as a refund of an intergovernmental transfer from the 4
county to the state for the purpose of providing the nonfederal 5
share of Medicaid supplemental payment program payments, 6
provided that the intergovernmental transfer does not receive a 7
federal matching payment; and 8
(3) the earnings of the fund. 9
(c) Money deposited to the local provider participation 10
fund may be used only to: 11
(1) fund intergovernmental transfers from the county 12
to the state to provide the nonfederal share of a Medicaid 13
supplemental payment program authorized under the state Medicaid 14
plan, the Texas Healthcare Transformation and Quality 15
Improvement Program waiver issued under Section 1115 of the 16
federal Social Security Act (42 U.S.C. Section 1315), or a 17
successor waiver program authorizing similar Medicaid 18
supplemental payment programs; 19
(2) subsidize indigent programs; 20
(3) pay the administrative expenses of the county 21
solely for activities under this chapter; 22
(4) refund a portion of a mandatory payment collected 23
in error from a paying hospital; and 24
(5) refund to paying hospitals the proportionate 25
share of money received by the county from the Health and Human 26
Services Commission that is not used to fund the nonfederal 27
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28 15.145.3 TJB
share of Medicaid supplemental payment program payments. 1
(d) Money in the local provider participation fund may not 2
be commingled with other county funds. 3
(e) An intergovernmental transfer of funds described by 4
Subsection (c)(1) and any funds received by the county as a 5
result of an intergovernmental transfer described by that 6
subsection may not be used by the county or any other entity to 7
expand Medicaid eligibility under the Patient Protection and 8
Affordable Care Act (Pub. L. No. 111-148) as amended by the 9
Health Care and Education Reconciliation Act of 2010 (Pub. L. 10
No. 111-152). 11
SUBCHAPTER D. MANDATORY PAYMENTS 12
Sec. 294.151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL 13
NET PATIENT REVENUE. (a) Except as provided by Subsection (e), 14
the commissioners court of a county that collects a mandatory 15
payment authorized under this chapter may require an annual 16
mandatory payment to be assessed quarterly on the net patient 17
revenue of each institutional health care provider located in 18
the county. In the first year in which the mandatory payment is 19
required, the mandatory payment is assessed on the net patient 20
revenue of an institutional health care provider as determined 21
by the data reported to the Department of State Health Services 22
under Sections 311.032 and 311.033 in the fiscal year ending in 23
2014. The county shall update the amount of the mandatory 24
payment on an annual basis. 25
(b) The amount of a mandatory payment authorized under 26
this chapter must be uniformly proportionate with the amount of 27
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29 15.145.3 TJB
net patient revenue generated by each paying hospital in the 1
county. A mandatory payment authorized under this chapter may 2
not hold harmless any institutional health care provider, as 3
required under 42 U.S.C. Section 1396b(w). 4
(c) The commissioners court of a county that collects a 5
mandatory payment authorized under this chapter shall set the 6
amount of the mandatory payment. The amount of the mandatory 7
payment required of each paying hospital may not exceed an 8
amount that, when added to the amount of the mandatory payments 9
required from all other paying hospitals in the county, equals 10
an amount of revenue that exceeds six percent of the aggregate 11
net patient revenue of all paying hospitals in the county. 12
(d) Subject to the maximum amount prescribed by Subsection 13
(c), the commissioners court of a county that collects a 14
mandatory payment authorized under this chapter shall set the 15
mandatory payments in amounts that in the aggregate will 16
generate sufficient revenue to cover the administrative expenses 17
of the county for activities under this chapter, to fund the 18
nonfederal share of a Medicaid supplemental payment program, and 19
to pay for indigent programs, except that the amount of revenue 20
from mandatory payments used for administrative expenses of the 21
county for activities under this chapter in a year may not 22
exceed the lesser of four percent of the total revenue generated 23
from the mandatory payment or $20,000. 24
(e) A paying hospital may not add a mandatory payment 25
required under this section as a surcharge to a patient. 26
Sec. 294.152. ASSESSMENT AND COLLECTION OF MANDATORY 27
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30 15.145.3 TJB
PAYMENTS. (a) Except as provided by Subsection (b), the county 1
tax assessor-collector shall collect the mandatory payment 2
authorized under this chapter. The county tax assessor-3
collector shall charge and deduct from mandatory payments 4
collected for the county a fee for collecting the mandatory 5
payment in an amount determined by the commissioners court of 6
the county, not to exceed the county tax assessor-collector's 7
usual and customary charges. 8
(b) If determined by the commissioners court to be 9
appropriate, the commissioners court may contract for the 10
assessment and collection of mandatory payments in the manner 11
provided by Title 1, Tax Code, for the assessment and collection 12
of ad valorem taxes. 13
(c) Revenue from a fee charged by a county tax assessor-14
collector for collecting the mandatory payment shall be 15
deposited in the county general fund and, if appropriate, shall 16
be reported as fees of the county tax assessor-collector. 17
Sec. 294.153. INTEREST, PENALTIES, AND DISCOUNTS. 18
Interest, penalties, and discounts on mandatory payments 19
required under this chapter are governed by the law applicable 20
to county ad valorem taxes. 21
Sec. 294.154. PURPOSE; CORRECTION OF INVALID PROVISION OR 22
PROCEDURE. (a) The purpose of this chapter is to generate 23
revenue by collecting from institutional health care providers a 24
mandatory payment to be used to provide the nonfederal share of 25
a Medicaid supplemental payment program. 26
(b) To the extent any provision or procedure under this 27
-
31 15.145.3 TJB
chapter causes a mandatory payment authorized under this chapter 1
to be ineligible for federal matching funds, the county may 2
provide by rule for an alternative provision or procedure that 3
conforms to the requirements of the federal Centers for Medicare 4
and Medicaid Services. 5
SECTION 14. Subtitle D, Title 4, Health and Safety Code, 6
is amended by adding Chapter 296 to read as follows: 7
CHAPTER 296. COUNTY HEALTH CARE PROVIDER PARTICIPATION 8
PROGRAM IN CERTAIN COUNTIES 9
SUBCHAPTER A. GENERAL PROVISIONS 10
Sec. 296.001. DEFINITIONS. In this chapter: 11
(1) "Institutional health care provider" means a 12
nonpublic hospital that provides inpatient hospital services. 13
(2) "Paying hospital" means an institutional health 14
care provider required to make a mandatory payment under this 15
chapter. 16
(3) "Program" means the county health care provider 17
participation program authorized by this chapter. 18
Sec. 296.002. APPLICABILITY. This chapter applies only to 19
a county that: 20
(1) is not served by a hospital district or a public 21
hospital; and 22
(2) has a population of less than 200,000 and 23
contains two municipalities both with populations of 75,000 or 24
more. 25
Sec. 296.003. COUNTY HEALTH CARE PROVIDER PARTICIPATION 26
PROGRAM; PARTICIPATION IN PROGRAM. (a) A county health care 27
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32 15.145.3 TJB
provider participation program authorizes a county to collect a 1
mandatory payment from each institutional health care provider 2
located in the county to be deposited in a local provider 3
participation fund established by the county. Money in the fund 4
may be used by the county to fund certain intergovernmental 5
transfers and indigent care programs as provided by this 6
chapter. 7
(b) The commissioners court may adopt an order authorizing 8
a county to participate in the program, subject to the 9
limitations provided by this chapter. 10
SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT 11
Sec. 296.051. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY 12
PAYMENT. The commissioners court of a county may require a 13
mandatory payment authorized under this chapter by an 14
institutional health care provider in the county only in the 15
manner provided by this chapter. 16
Sec. 296.052. MAJORITY VOTE REQUIRED. The commissioners 17
court of a county may not authorize the county to collect a 18
mandatory payment authorized under this chapter without an 19
affirmative vote of a majority of the members of the 20
commissioners court. 21
Sec. 296.053. RULES AND PROCEDURES. After the 22
commissioners court has voted to require a mandatory payment 23
authorized under this chapter, the commissioners court may adopt 24
rules relating to the administration of the mandatory payment. 25
Sec. 296.054. INSTITUTIONAL HEALTH CARE PROVIDER 26
REPORTING; INSPECTION OF RECORDS. (a) The commissioners court 27
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33 15.145.3 TJB
of a county that collects a mandatory payment authorized under 1
this chapter shall require each institutional health care 2
provider to submit to the county a copy of any financial and 3
utilization data required by and reported to the Department of 4
State Health Services under Sections 311.032 and 311.033 and any 5
rules adopted by the executive commissioner of the Health and 6
Human Services Commission to implement those sections. 7
(b) The commissioners court of a county that collects a 8
mandatory payment authorized under this chapter may inspect the 9
records of an institutional health care provider to the extent 10
necessary to ensure compliance with the requirements of 11
Subsection (a). 12
SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS 13
Sec. 296.101. HEARING. (a) Each year, the commissioners 14
court of a county that collects a mandatory payment authorized 15
under this chapter shall hold a public hearing on the amounts of 16
any mandatory payments that the commissioners court intends to 17
require during the year and how the revenue derived from those 18
payments is to be spent. 19
(b) Not later than the 10th day before the date of the 20
hearing required under Subsection (a), the commissioners court 21
of the county shall publish notice of the hearing in a newspaper 22
of general circulation in the county. 23
(c) A representative of a paying hospital is entitled to 24
appear at the time and place designated in the public notice and 25
to be heard regarding any matter related to the mandatory 26
payments authorized under this chapter. 27
-
34 15.145.3 TJB
Sec. 296.102. DEPOSITORY. (a) The commissioners court of 1
each county that collects a mandatory payment authorized under 2
this chapter by resolution shall designate one or more banks 3
located in the county as the depository for mandatory payments 4
received by the county. A bank designated as a depository 5
serves for two years or until a successor is designated. 6
(b) All income received by a county under this chapter, 7
including the revenue from mandatory payments remaining after 8
discounts and fees for assessing and collecting the payments are 9
deducted, shall be deposited with the county depository in the 10
county's local provider participation fund and may be withdrawn 11
only as provided by this chapter. 12
(c) All funds under this chapter shall be secured in the 13
manner provided for securing county funds. 14
Sec. 296.103. LOCAL PROVIDER PARTICIPATION FUND; 15
AUTHORIZED USES OF MONEY. (a) Each county that collects a 16
mandatory payment authorized under this chapter shall create a 17
local provider participation fund. 18
(b) The local provider participation fund of a county 19
consists of: 20
(1) all revenue received by the county attributable 21
to mandatory payments authorized under this chapter, including 22
any penalties and interest attributable to delinquent payments; 23
(2) money received from the Health and Human Services 24
Commission as a refund of an intergovernmental transfer from the 25
county to the state for the purpose of providing the nonfederal 26
share of Medicaid supplemental payment program payments, 27
-
35 15.145.3 TJB
provided that the intergovernmental transfer does not receive a 1
federal matching payment; and 2
(3) the earnings of the fund. 3
(c) Money deposited to the local provider participation 4
fund may be used only to: 5
(1) fund intergovernmental transfers from the county 6
to the state to provide the nonfederal share of a Medicaid 7
supplemental payment program authorized under the state Medicaid 8
plan, the Texas Healthcare Transformation and Quality 9
Improvement Program waiver issued under Section 1115 of the 10
federal Social Security Act (42 U.S.C. Section 1315), or a 11
successor waiver program authorizing similar Medicaid 12
supplemental payment programs; 13
(2) subsidize indigent programs; 14
(3) pay the administrative expenses of the county 15
solely for activities under this chapter; 16
(4) refund a portion of a mandatory payment collected 17
in error from a paying hospital; and 18
(5) refund to paying hospitals the proportionate 19
share of money received by the county from the Health and Human 20
Services Commission that is not used to fund the nonfederal 21
share of Medicaid supplemental payment program payments. 22
(d) Money in the local provider participation fund may not 23
be commingled with other county funds. 24
(e) An intergovernmental transfer of funds described by 25
Subsection (c)(1) and any funds received by the county as a 26
result of an intergovernmental transfer described by that 27
-
36 15.145.3 TJB
subsection may not be used by the county or any other entity to 1
expand Medicaid eligibility under the Patient Protection and 2
Affordable Care Act (Pub. L. No. 111-148) as amended by the 3
Health Care and Education Reconciliation Act of 2010 (Pub. L. 4
No. 111-152). 5
SUBCHAPTER D. MANDATORY PAYMENTS 6
Sec. 296.151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL 7
NET PATIENT REVENUE. (a) Except as provided by Subsection (e), 8
the commissioners court of a county that collects a mandatory 9
payment authorized under this chapter may require an annual 10
mandatory payment to be assessed on the net patient revenue of 11
each institutional health care provider located in the county. 12
The commissioners court may provide for the mandatory payment to 13
be assessed quarterly. In the first year in which the mandatory 14
payment is required, the mandatory payment is assessed on the 15
net patient revenue of an institutional health care provider as 16
determined by the data reported to the Department of State 17
Health Services under Sections 311.032 and 311.033 in the fiscal 18
year ending in 2013 or, if the institutional health care 19
provider did not report any data under those sections in that 20
fiscal year, as determined by the institutional health care 21
provider's Medicare cost report submitted for the 2013 fiscal 22
year or for the closest subsequent fiscal year for which the 23
provider submitted the Medicare cost report. The county shall 24
update the amount of the mandatory payment on an annual basis. 25
(b) The amount of a mandatory payment authorized under 26
this chapter must be uniformly proportionate with the amount of 27
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37 15.145.3 TJB
net patient revenue generated by each paying hospital in the 1
county. A mandatory payment authorized under this chapter may 2
not hold harmless any institutional health care provider, as 3
required under 42 U.S.C. Section 1396b(w). 4
(c) The commissioners court of a county that collects a 5
mandatory payment authorized under this chapter shall set the 6
amount of the mandatory payment. The amount of the mandatory 7
payment required of each paying hospital may not exceed an 8
amount that, when added to the amount of the mandatory payments 9
required from all other paying hospitals in the county, equals 10
an amount of revenue that exceeds six percent of the aggregate 11
net patient revenue of all paying hospitals in the county. 12
(d) Subject to the maximum amount prescribed by Subsection 13
(c), the commissioners court of a county that collects a 14
mandatory payment authorized under this chapter shall set the 15
mandatory payments in amounts that in the aggregate will 16
generate sufficient revenue to cover the administrative expenses 17
of the county for activities under this chapter, to fund an 18
intergovernmental transfer described by Section 296.103(c)(1), 19
and to pay for indigent programs, except that the amount of 20
revenue from mandatory payments used for administrative expenses 21
of the county for activities under this chapter in a year may 22
not exceed the lesser of four percent of the total revenue 23
generated from the mandatory payment or $20,000. 24
(e) A paying hospital may not add a mandatory payment 25
required under this section as a surcharge to a patient. 26
Sec. 296.152. ASSESSMENT AND COLLECTION OF MANDATORY 27
-
38 15.145.3 TJB
PAYMENTS. (a) Except as provided by Subsection (b), the county 1
tax assessor-collector shall collect the mandatory payment 2
authorized under this chapter. The county tax assessor-3
collector shall charge and deduct from mandatory payments 4
collected for the county a fee for collecting the mandatory 5
payment in an amount determined by the commissioners court of 6
the county, not to exceed the county tax assessor-collector's 7
usual and customary charges. 8
(b) If determined by the commissioners court to be 9
appropriate, the commissioners court may contract for the 10
assessment and collection of mandatory payments in the manner 11
provided by Title 1, Tax Code, for the assessment and collection 12
of ad valorem taxes. 13
(c) Revenue from a fee charged by a county tax assessor-14
collector for collecting the mandatory payment shall be 15
deposited in the county general fund and, if appropriate, shall 16
be reported as fees of the county tax assessor-collector. 17
Sec. 296.153. INTEREST, PENALTIES, AND DISCOUNTS. 18
Interest, penalties, and discounts on mandatory payments 19
required under this chapter are governed by the law applicable 20
to county ad valorem taxes. 21
Sec. 296.154. PURPOSE; CORRECTION OF INVALID PROVISION OR 22
PROCEDURE. (a) The purpose of this chapter is to generate 23
revenue by collecting from institutional health care providers a 24
mandatory payment to be used to provide the nonfederal share of 25
a Medicaid supplemental payment program. 26
(b) To the extent any provision or procedure under this 27
-
39 15.145.3 TJB
chapter causes a mandatory payment authorized under this chapter 1
to be ineligible for federal matching funds, the county may 2
provide by rule for an alternative provision or procedure that 3
conforms to the requirements of the federal Centers for Medicare 4
and Medicaid Services. 5
SECTION 15. Subtitle D, Title 4, Health and Safety Code, 6
is amended by adding Chapter 297 to read as follows: 7
CHAPTER 297. COUNTY HEALTH CARE PROVIDER PARTICIPATION PROGRAM 8
IN CERTAIN COUNTIES CONTAINING A MILITARY BASE 9
SUBCHAPTER A. GENERAL PROVISIONS 10
Sec. 297.001. DEFINITIONS. In this chapter: 11
(1) "Institutional health care provider" means a 12
nonpublic hospital licensed under Chapter 241. 13
(2) "Paying hospital" means an institutional health 14
care provider required to make a mandatory payment under this 15
chapter. 16
(3) "Program" means the county health care provider 17
participation program authorized by this chapter. 18
Sec. 297.002. APPLICABILITY. This chapter applies only to 19
a county: 20
(1) that is not served by a hospital district or a 21
public hospital; 22
(2) on which a military base with more than 30,000 23
military personnel is partially located; and 24
(3) that has a population of more than 300,000. 25
Sec. 297.003. COUNTY HEALTH CARE PROVIDER PARTICIPATION 26
PROGRAM; PARTICIPATION IN PROGRAM. (a) A county health care 27
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40 15.145.3 TJB
provider participation program authorizes a county to collect a 1
mandatory payment from each institutional health care provider 2
located in the county to be deposited in a local provider 3
participation fund established by the county. Money in the fund 4
may be used by the county to fund certain intergovernmental 5
transfers and indigent care programs as provided by this 6
chapter. 7
(b) The commissioners court may adopt an order authorizing 8
a county to participate in the program, subject to the 9
limitations provided by this chapter. 10
SUBCHAPTER B. POWERS AND DUTIES OF COMMISSIONERS COURT 11
Sec. 297.051. LIMITATION ON AUTHORITY TO REQUIRE MANDATORY 12
PAYMENT. The commissioners court of a county may require a 13
mandatory payment authorized under this chapter by an 14
institutional health care provider in the county only in the 15
manner provided by this chapter. 16
Sec. 297.052. MAJORITY VOTE REQUIRED. The commissioners 17
court of a county may not authorize the county to collect a 18
mandatory payment authorized under this chapter without an 19
affirmative vote of a majority of the members of the 20
commissioners court. 21
Sec. 297.053. RULES AND PROCEDURES. After the 22
commissioners court has voted to require a mandatory payment 23
authorized under this chapter, the commissioners court may adopt 24
rules relating to the administration of the mandatory payment. 25
Sec. 297.054. INSTITUTIONAL HEALTH CARE PROVIDER 26
REPORTING; INSPECTION OF RECORDS. (a) The commissioners court 27
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41 15.145.3 TJB
of a county that collects a mandatory payment authorized under 1
this chapter shall require each institutional health care 2
provider to submit to the county a copy of any financial and 3
utilization data required by and reported to the Department of 4
State Health Services under Sections 311.032 and 311.033 and any 5
rules adopted by the executive commissioner of the Health and 6
Human Services Commission to implement those sections. 7
(b) The commissioners court of a county that collects a 8
mandatory payment authorized under this chapter may inspect the 9
records of an institutional health care provider to the extent 10
necessary to ensure compliance with the requirements of 11
Subsection (a). 12
SUBCHAPTER C. GENERAL FINANCIAL PROVISIONS 13
Sec. 297.101. HEARING. (a) Each year, the commissioners 14
court of a county that collects a mandatory payment authorized 15
under this chapter shall hold a public hearing on the amounts of 16
any mandatory payments that the commissioners court intends to 17
require during the year and how the revenue derived from those 18
payments is to be spent. 19
(b) Not later than the 10th day before the date of the 20
hearing required under Subsection (a), the commissioners court 21
of the county shall publish notice of the hearing in a newspaper 22
of general circulation in the county. 23
(c) A representative of a paying hospital is entitled to 24
appear at the time and place designated in the public notice and 25
to be heard regarding any matter related to the mandatory 26
payments authorized under this chapter. 27
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42 15.145.3 TJB
Sec. 297.102. DEPOSITORY. (a) The commissioners court of 1
each county that collects a mandatory payment authorized under 2
this chapter by resolution shall designate one or more banks 3
located in the county as the depository for mandatory payments 4
received by the county. A bank designated as a depository 5
serves for two years or until a successor is designated. 6
(b) All income received by a county under this chapter, 7
including the revenue from mandatory payments remaining after 8
discounts and fees for assessing and collecting the payments are 9
deducted, shall be deposited with the county depository in the 10
county's local provider participation fund and may be withdrawn 11
only as provided by this chapter. 12
(c) All funds under this chapter shall be secured in the 13
manner provided for securing county funds. 14
Sec. 297.103. LOCAL PROVIDER PARTICIPATION FUND; 15
AUTHORIZED USES OF MONEY. (a) Each county that collects a 16
mandatory payment authorized under this chapter shall create a 17
local provider participation fund. 18
(b) The local provider participation fund of a county 19
consists of: 20
(1) all revenue received by the county attributable 21
to mandatory payments authorized under this chapter, including 22
any penalties and interest attributable to delinquent payments; 23
(2) money received from the Health and Human Services 24
Commission as a refund of an intergovernmental transfer from the 25
county to the state for the purpose of providing the nonfederal 26
share of Medicaid supplemental payment program payments, 27
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provided that the intergovernmental transfer does not receive a 1
federal matching payment; and 2
(3) the earnings of the fund. 3
(c) Money deposited to the local provider participation 4
fund may be used only to: 5
(1) fund intergovernmental transfers from the county 6
to the state to provide the nonfederal share of a Medicaid 7
supplemental payment program authorized under the state Medicaid 8
plan, the Texas Healthcare Transformation and Quality 9
Improvement Program waiver issued under Section 1115 of the 10
federal Social Security Act (42 U.S.C. Section 1315), or a 11
successor waiver program authorizing similar Medicaid 12
supplemental payment programs; 13
(2) subsidize indigent programs; 14
(3) pay the administrative expenses of the county 15
solely for activities under this chapter; 16
(4) refund a portion of a mandatory payment collected 17
in error from a paying hospital; and 18
(5) refund to paying hospitals the proportionate 19
share of money received by the county from the Health and Human 20
Services Commission that is not used to fund the nonfederal 21
share of Medicaid supplemental payment program payments. 22
(d) Money in the local provider participation fund may not 23
be commingled with other county funds. 24
(e) An intergovernmental transfer of funds described by 25
Subsection (c)(1) and any funds received by the county as a 26
result of an intergovernmental transfer described by that 27
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44 15.145.3 TJB
subsection may not be used by the county or any other entity to 1
expand Medicaid eligibility under the Patient Protection and 2
Affordable Care Act (Pub. L. No. 111-148) as amended by the 3
Health Care and Education Reconciliation Act of 2010 (Pub. L. 4
No. 111-152). 5
SUBCHAPTER D. MANDATORY PAYMENTS 6
Sec. 297.151. MANDATORY PAYMENTS BASED ON PAYING HOSPITAL 7
NET PATIENT REVENUE. (a) Except as provided by Subsection (e), 8
the commissioners court of a county that collects a mandatory 9
payment authorized under this chapter may require an annual 10
mandatory payment to be assessed quarterly on the net patient 11
revenue of each institutional health care provider located in 12
the county. In the first year in which the mandatory payment is 13
required, the mandatory payment is assessed on the net patient 14
revenue of an institutional health care provider as determined 15
by the data reported to the Department of State Health Services 16
under Sections 311.032 and 311.033 in the fiscal year ending in 17
2013. The county may update the amount of the mandatory payment 18
on an annual basis based on data reported to the Department of 19
State Health Services in a more recent fiscal year. 20
(b) The amount of a mandatory payment authorized under 21
this chapter must be uniformly proportionate with the amount of 22
net patient revenue generated by each paying hospital in the 23
county. A mandatory payment authorized under this chapter may 24
not hold harmless any institutional health care provider, as 25
required under 42 U.S.C. Section 1396b(w). 26
(c) The commissioners court of a county that collects a 27
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mandatory payment authorized under this chapter shall set the 1
amount of the mandatory payment. The amount of the mandatory 2
payment required of each paying hospital may not exceed an 3
amount that, when added to the amount of the mandatory payments 4
required from all other paying hospitals in the county, equals 5
an amount of revenue that exceeds six percent of the aggregate 6
net patient revenue of all paying hospitals in the county. 7
(d) Subject to the maximum amount prescribed by Subsection 8
(c), the commissioners court of a county that collects a 9
mandatory payment authorized under this chapter shall set the 10
mandatory payments in amounts that in the aggregate will 11
generate sufficient revenue to cover the administrative expenses 12
of the county for activities under this chapter, to fund the 13
nonfederal share of a Medicaid supplemental payment program, and 14
to pay for indigent programs, except that the amount of revenue 15
from mandatory payments used for administrative expenses of the 16
county for activities under this chapter in a year may not 17
exceed the lesser of four percent of the total revenue generated 18
from the mandatory payment or $20,000. 19
(e) A paying hospital may not add a mandatory payment 20
required under this section as a surcharge to a patient. 21
Sec. 297.152. ASSESSMENT AND COLLECTION OF MANDATORY 22
PAYMENTS. (a) Except as provided by Subsection (b), the county 23
tax assessor-collector shall collect the mandatory payment 24
authorized under this chapter. The county tax assessor-25
collector shall charge and deduct from mandatory payments 26
collected for the county a fee for collecting the mandatory 27
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46 15.145.3 TJB
payment in an amount determined by the commissioners court of 1
the county, not to exceed the county tax assessor-collector's 2
usual and customary charges. 3
(b) If determined by the commissioners court to be 4
appropriate, the commissioners court may contract for the 5
assessment and collection of mandatory payments in the manner 6
provided by Title 1, Tax Code, for the assessment and collection 7
of ad valorem taxes. 8
(c) Revenue from a fee charged by a county tax assessor-9
collector for collecting the mandatory payment shall be 10
deposited in the county general fund and, if appropriate, shall 11
be reported as fees of the county tax assessor-collector. 12
Sec. 297.153. INTEREST, PENALTIES, AND DISCOUNTS. 13
Interest, penalties, and discounts on mandatory payments 14
required under this chapter are governed by the law applicable 15
to county ad valorem taxes. 16
Sec. 297.154. PURPOSE; CORRECTION OF INVALID PROVISION OR 17
PROCEDURE. (a) The purpose of this chapter is to generate 18
revenue by collecting from institutional health care providers a 19
mandatory payment to be used to provide the nonfederal share of 20
a Medicaid supplemental payment program. 21
(b) To the extent any provision or procedure under this 22
chapter causes a mandatory payment authorized under this chapter 23
to be ineligible for federal matching funds, the county may 24
provide by rule for an alternative provision or procedure that 25
conforms to the requirements of the federal Centers for Medicare 26
and Medicaid Services. 27
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47 15.145.3 TJB
SECTION 16. Sections 775.0355(b) and (c), Health and 1
Safety Code, are amended to read as follows: 2
(b) This section applies only to a district located 3
[wholly in a county]: 4
(1) wholly or partly in a county with a population of 5
more than three million; 6
(2) wholly in a county with a population of more than 7
200,000 that borders Lake Palestine; or 8
(3) wholly in a county with a population of less than 9
200,000 that borders another state and the Gulf Intracoastal 10
Waterway. 11
(c) A person is disqualified from serving as an emergency 12
services commissioner if that person: 13
(1) is related within the third degree of affinity or 14
consanguinity to: 15
(A) a person providing professional services to 16
the district; 17
(B) a commissioner of the same district; or 18
(C) a person who is an employee or volunteer of 19
an emergency services organization providing emergency services 20
to the district unless the emergency services are provided under 21
a mutual aid agreement under Chapter 418, Government Code; 22
(2) is an employee of a commissioner of the same 23
district, attorney, or other person providing professional 24
services to the district; 25
(3) is serving as an attorney, consultant, or 26
architect or in some other professional capacity for the 27
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48 15.145.3 TJB
district or an emergency services organization providing 1
emergency services to the district; or 2
(4) fails to maintain the qualifications required by 3
law to serve as a commissioner. 4
SECTION 17. Effective September 1, 2015, Section 775.0821, 5
Health and Safety Code, is amended by amending Subsection (a) 6
and adding Subsection (e) to read as follows: 7
(a) This section applies only to a district to which 8
Section 775.082 applies that: 9
(1) did not have any outstanding bonds secured by ad 10
valorem taxes or any outstanding liabilities secured by ad 11
valorem taxes having a term of more than one year during the 12
previous fiscal year; 13
(2) did not receive more than a total of $250,000 in 14
gross receipts from operations, loans, taxes, or contributions 15
during the previous fiscal year; and 16
(3) did not have a total of more than $250,000 in 17
cash and temporary investments during the previous fiscal year. 18
(e) A district that files compiled financial statements in 19
accordance with Subsection (b) and that maintains an Internet 20
website shall have posted on the district's website the compiled 21
financial statements for the most recent three years. 22
SECTION 18. Effective September 1, 2015, Section 1001.201, 23
Health and Safety Code, as added by Chapter 1306 (H.B. 3793), 24
Acts of the 83rd Legislature, Regular Session, 2013, is amended 25
by adding Subdivisions (4) and (5) to read as follows: 26
(4) "School district employee" means a principal, 27
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49 15.145.3 TJB
assistant principal, educator, teacher's aide, counselor, nurse, 1
or school bus driver employed by a school district. 2
(5) "School resource officer" has the meaning 3
assigned by Section 1701.601, Occupations Code. 4
SECTION 19. Effective September 1, 2015, Sections 5
1001.203(a) and (c), Health and Safety Code, as added by Chapter 6
1306 (H.B. 3793), Acts of the 83rd Legislature, Regular Session, 7
2013, are amended to read as follows: 8
(a) To the extent funds are appropriated to the department 9
for that purpose, the department shall make grants to local 10
mental health authorities to provide an approved mental health 11
first aid training program, administered by mental health first 12
aid trainers, at no cost to school district employees and school 13
resource officers [educators]. 14
(c) Subject to the limit provided by Subsection (b), out 15
of the funds appropriated to the department for making grants 16
under this section, the department shall grant $100 to a local 17
mental health authority for each school district employee or 18
school resource officer [educator] who successfully completes a 19
mental health first aid training program provided by the 20
authority under this section. 21
SECTION 20. Effective September 1, 2015, Section 1001.205, 22
Health and Safety Code, as added by Chapter 1306 (H.B. 3793), 23
Acts of the 83rd Legislature, Regular Session, 2013, is amended 24
to read as follows: 25
Sec. 1001.205. REPORTS. (a) Not later than August 31 26
[July 1] of each year, a local mental health authority shall 27
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50 15.145.3 TJB
provide to the department the number of: 1
(1) employees and contractors of the authority who 2
were trained as mental health first aid trainers under Section 3
1001.202 during the preceding calendar year; 4
(2) educators, school district employees other than 5
educators, and school resource officers who completed a mental 6
health first aid training program offered by the authority under 7
Section 1001.203 during the preceding calendar year; and 8
(3) individuals who are not school district employees 9
or school resource officers [educators] who completed a mental 10
health first aid training program offered by the authority 11
during the preceding calendar year. 12
(b) Not later than September 30 [August 1] of each year, 13
the department shall compile the information submitted by local 14
mental health authorities as required by Subsection (a) and 15
submit a report to the legislature containing the number of: 16
(1) authority employees and contractors trained as 17
mental health first aid trainers during the preceding calendar 18
year; 19
(2) educators, school district employees other than 20
educators, and school resource officers who completed a mental 21
health first aid training program provided by an authority 22
during the preceding calendar year; and 23
(3) individuals who are not school district employees 24
or school resource officers [educators] who completed a mental 25
health first aid training program provided by an authority 26
during the preceding calendar year. 27
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SECTION 21. Effective September 1, 2015, Subchapter B, 1
Chapter 32, Human Resources Code, is amended by adding Section 2
32.0264 to read as follows: 3
Sec. 32.0264. SUSPENSION, TERMINATION, AND AUTOMATIC 4
REINSTATEMENT OF ELIGIBILITY FOR INDIVIDUALS CONFINED IN COUNTY 5
JAILS. (a) In this section, "county jail" means a facility 6
operated by or for a county for the confinement of persons 7
accused or convicted of an offense. 8
(b) If an individual is confined in a county jail because 9
the individual has been charged with but not convicted of an 10
offense, the commission shall suspend the individual's 11
eligibility for medical assistance during the period the 12
individual is confined in the county jail. 13
(c) If an individual is confined in a county jail because 14
the individual has been convicted of an offense, the commission 15
shall, as appropriate: 16
(1) terminate the individual's eligibility for 17
medical assistance; or 18
(2) suspend the individual's eligibility during the 19
period the individual is confined in the county jail. 20
(d) Not later than 48 hours after the commission is 21
notified of the release from a county jail of an individual 22
whose eligibility for medical assistance has been suspended 23
under this section, the commission shall reinstate the 24
individual's eligibility, provided the individual's eligibility 25
certification period has not elapsed. Following the 26
reinstatement, the individual remains eligible until the 27
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expiration of the period for which the individual was certified 1
as eligible. 2
SECTION 22. Section 118.018, Local Government Code, is 3
amended by adding Subsection (d) to read as follows: 4
(d) If a state agency determines that a marriage license 5
fee was collected for a marriage license that is associated with 6
a union other than a union between one man and one woman, the 7
county clerk shall remit $30 to the comptroller. The 8