1-1     By:  Hunter (Senate Sponsor - Fraser)                 H.B. No. 3693
 1-2           (In the Senate - Received from the House May 3, 1999;
 1-3     May 4, 1999, read first time and referred to Committee on Human
 1-4     Services; May 14, 1999, reported favorably, as amended, by the
 1-5     following vote:  Yeas 5, Nays 0; May 14, 1999, sent to printer.)
 1-6     COMMITTEE AMENDMENT NO. 1                             By:  Gallegos
 1-7           Amend H.B. No. 3693 as follows:
 1-8           (1)  Between SECTION 1 and SECTION 2 of the bill (House
 1-9     engrossment, page 1, between lines 48 and 49), add the following
1-10     new SECTION:
1-11           SECTION 2.  (a)  Notwithstanding Section 32.0213, Human
1-12     Resources Code, as amended by this Act, or any other law relating
1-13     to certification of Medicaid beds in nursing facilities, a person
1-14     is not subject to any limitation controlling the number of Medicaid
1-15     beds in nursing facilities and is entitled to contract with the
1-16     appropriate state agency to participate in the state Medicaid
1-17     program and provide beds in a nursing facility if the person:
1-18                 (1)  holds a state waiver from the limitation on the
1-19     number of Medicaid beds that:
1-20                       (A)  was issued before May 1, 1999; and
1-21                       (B)  authorizes the operation of a 150-bed
1-22     nursing facility;
1-23                 (2)  locates the nursing facility in a municipality
1-24     with a population of more than 900,000;
1-25                 (3)  begins construction of the nursing facility not
1-26     later than December 1, 1999; and
1-27                 (4)  meets all requirements for licensure and
1-28     certification.
1-29           (b)  Subsection (a) of this section authorizes a person to
1-30     contract to provide only the number of Medicaid beds specified in
1-31     the person's waiver described by Subsection (a)(1) of this section.
1-32           (2)  In SECTION 2 of the bill (House engrossment, page 1,
1-33     line 49), strike "2" and substitute "3".
1-34                            A BILL TO BE ENTITLED
1-35                                   AN ACT
1-36     relating to certification under the state Medicaid program of
1-37     nursing home beds in certain nursing facilities.
1-38           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-39           SECTION 1.  Section 32.0213, Human Resources Code, is amended
1-40     by adding Subsection (c) to read as follows:
1-41           (c)  The department may exempt a nursing facility from the
1-42     procedures established under this section if the facility:
1-43                 (1)  is affiliated with a state-supported medical
1-44     school;
1-45                 (2)  is located on land owned or controlled by the
1-46     state-supported medical school; and
1-47                 (3)  serves as a teaching facility for physicians and
1-48     related health care professionals.
1-49           SECTION 2.  The importance of this legislation and the
1-50     crowded condition of the calendars in both houses create an
1-51     emergency and an imperative public necessity that the
1-52     constitutional rule requiring bills to be read on three several
1-53     days in each house be suspended, and this rule is hereby suspended,
1-54     and that this Act take effect and be in force from and after its
1-55     passage, and it is so enacted.
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