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

description

HB2977 Substitute

Transcript of HB2977 Substitute

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    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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    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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    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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 43 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

  • 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

  • 45 15.145.3 TJB

    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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 51 15.145.3 TJB

    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

  • 52 15.145.3 TJB

    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