79R13684 MSE-F
By: Naishtat H.B. No. 3454
Substitute the following for H.B. No. 3454:
By: Dawson C.S.H.B. No. 3454
A BILL TO BE ENTITLED
AN ACT
relating to requiring hospitals to report the percentage of
emergency room patients who are uninsured to the Department of
State Health Services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 311.033(a), Health and Safety Code, is
amended to read as follows:
(a) A hospital shall submit to the department financial and
utilization data for that hospital, including data relating to the
hospital's:
(1) total gross revenue, including:
(A) Medicare gross revenue;
(B) Medicaid gross revenue;
(C) other revenue from state programs;
(D) revenue from local government programs;
(E) local tax support;
(F) charitable contributions;
(G) other third party payments;
(H) gross inpatient revenue; and
(I) gross outpatient revenue;
(2) total deductions from gross revenue, including:
(A) contractual allowance; and
(B) any other deductions;
(3) charity care;
(4) bad debt expense;
(5) total admissions, including:
(A) Medicare admissions;
(B) Medicaid admissions;
(C) admissions under a local government program;
(D) charity care admissions; and
(E) any other type of admission;
(6) total discharges;
(7) total patient days;
(8) average length of stay;
(9) total outpatient visits;
(10) total assets;
(11) total liabilities;
(12) estimates of unreimbursed costs of subsidized
health services reported separately in the following categories:
(A) emergency care and trauma care;
(B) neonatal intensive care;
(C) free-standing community clinics;
(D) collaborative efforts with local government
or private agencies in preventive medicine, such as immunization
programs; and
(E) other services that satisfy the definition of
"subsidized health services" contained in Section 311.031
[311.031(13)];
(13) donations;
(14) total cost of reimbursed and unreimbursed
research;
(15) total cost of reimbursed and unreimbursed
education separated into the following categories:
(A) education of physicians, nurses,
technicians, and other medical professionals and health care
providers;
(B) scholarships and funding to medical schools,
colleges, and universities for health professions education;
(C) education of patients concerning diseases
and home care in response to community needs;
(D) community health education through
informational programs, publications, and outreach activities in
response to community needs; and
(E) other educational services that satisfy the
definition of "education-related costs" under Section 311.031(6);
and
(16) total emergency department visits, including the
percentage of patients examined or treated in the hospital's
emergency room who are insured and the percentage who are
uninsured.
SECTION 2. Not later than December 1, 2005, the executive
commissioner of the Health and Human Services Commission shall
adopt rules relating to data submission requirements as required by
Section 311.033, Health and Safety Code, as amended by this Act.
SECTION 3. This Act takes effect September 1, 2005.