H.B. 3371 78(R) BILL ANALYSIS H.B. 3371 By: Garza County Affairs Committee Report (Unamended) BACKGROUND AND PURPOSE In 1965, the 59th Legislature established the Hospital District of Maverick County (district) to deliver health care services to the people of Maverick County. In the enabling act, the legislature set forth all of the guidelines and regulations by which the district was to operate. Health care and its delivery system exist in an environment that changes rapidly. Because of this changing environment, the district is faced with an obligation to deliver services under authority that is no longer adequate to meet the needs of Maverick County. To remedy this situation the board of directors of the district has asked that its enabling statute be modified to improve the district's ability to fulfill its obligation to deliver health care services. HB 3371 updates the responsibilities and duties of the Hospital District of Maverick County in an effort to protect the District from financial hardship and gives it appropriate authority to efficiently deliver health care services. RULEMAKING AUTHORITY It is the committee's opinion that this bill does not expressly grant any additional rulemaking authority to a state officer, department, agency, or institution. ANALYSIS Section 1: Amends Section 3, Chapter 172, Acts of the 59th Legislature, Regular Session, 1965, to include the word "needy" in line 12 of page one, and authorizes that the Board of Directors determines is necessary to provide hospital and medical care for the needy inhabitants of the District, rather than provide "all necessary" hospital and medical care. Section 2: Amends Section 11(n), Chapter 172, Acts of the 59th Legislature, Regular Session, 1965, is amended to read as follows: (n) The Board, based on financial feasibility and the financial resources available to the District, may: and adds Subsection (n) (1), (n) (2), (n) (2) (A), and (n) (2) (B) to read as follows: (1) annually determine the type and extent of hospital and medical care services offered by the District; and (2) set annual limit on: (A) the aggregate amount of hospital and medical care services required to be provided by the District to each eligible resident; and (B) the aggregate amount of all hospital and medical care services offered by the District. EFFECTIVE DATE This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2003.