By: Lucio S.B. No. 1500
A BILL TO BE ENTITLED
AN ACT
relating to the allocation of federal funds directed to be used to
support graduate medical education in connection with the state
Medicaid program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 32.0315, Human Resources Code, is
amended by amending Subsection (b) and adding Subsections (a-1) and
(a-2) to read as follows:
(a-1) For purposes of allocating funds to a teaching
hospital under this section, the department shall establish a
separate formula for funds used to support the training of resident
physicians in an accredited residency program for a primary care
field of allopathic or osteopathic medicine that:
(1) is sponsored by or affiliated with a public
university in this state; and
(2) includes clinical training of resident physicians
in:
(A) a federally qualified health center, as
defined by 42 U.S.C. Section 1395x(aa)(4); and
(B) a hospital that:
(i) is located within 20 miles of the
international border with Mexico; and
(ii) serves patients residing in a rural
area, as defined by 42 U.S.C. Section 1395ww(d)(2)(D).
(a-2) In establishing the formula required by Subsection
(a-1), the department:
(1) may not place a limit on the number of physician
residency training slots; and
(2) must recognize direct and indirect medical
expenditures of the residency program eligible for reimbursement
under the medical assistance program to the same extent those
direct and indirect medical expenditures are recognized under the
Medicare program.
(b) The department shall allocate the funds in the manner
the department determines most effectively and equitably achieves
the purposes for which those federal funds are received, consistent
with the needs of this state for graduate medical education and the
training of resident physicians in accredited residency programs in
appropriate fields and specialties, taking into account other money
available to support graduate medical education. In determining
the needs of this state for graduate medical education, the
department shall give primary emphasis to graduate medical
education in primary care specialties and shall also give emphasis
to graduate medical education in a residency program described by
Subsection (a-1).
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2005.