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  82R10499 NAJ-D
 
  By: Coleman H.B. No. 2445
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to fostering collaboration among health care systems to
  provide indigent health care to communities more efficiently.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.098 to read as follows:
         Sec. 531.098.  INDIGENT HEALTH CARE COLLABORATION. (a) The
  executive commissioner shall adopt rules to foster collaboration
  among and within systems that provide indigent health care services
  in the state, including:
               (1)  hospital districts;
               (2)  public hospitals;
               (3)  indigent health care programs provided by
  counties;
               (4)  community-owned health care systems; and
               (5)  federally qualified health centers.
         (b)  The rules must:
               (1)  emphasize community-based care to improve the
  continuity and quality of indigent health care;
               (2)  address the variation in indigent health care
  services provided to urban and rural settings;
               (3)  remove legal and practical barriers to
  collaboration;
               (4)  provide guidance to systems for detecting and
  treating mental illness;
               (5)  facilitate the creation of special programs to
  assist patients in navigating the systems that provide indigent
  health care services; and
               (6)  adopt changes that maximize funding and increase
  the efficiency of indigent health care provided to communities in
  the state.
         (c)  In adopting the rules, the executive commissioner shall
  consider recommending that the systems described by Subsection (a)
  incorporate the following principles:
               (1)  promote patient responsibility and program
  viability;
               (2)  provide a medical home for members;
               (3)  make evidence-based health care decisions;
               (4)  pay providers based on a fee-for-service basis;
               (5)  ensure members receive necessary medication; and
               (6)  develop community partnerships to expand indigent
  health care services.
         SECTION 2.  The executive commissioner of the Health and
  Human Services Commission shall adopt the rules required by Section
  531.098, Government Code, as added by this Act, not later than
  January 1, 2012.
         SECTION 3.  This Act takes effect September 1, 2011.