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  By: Burnam H.B. No. 59
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to participation by political subdivisions in federal
  healthcare programs.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 32.021, Human Resources Code, is amended
  by adding Subsection (t) to read as follows:
         (t)  If the state does not authorize the expansion of
  Medicaid as provided under the federal Patient Protection and
  Affordable Care Act then local hospital districts, counties and
  other units of local government created under state law may apply
  directly to the federal government to expand Medicaid contingent on
  their ability to provide local tax funds for the state share of the
  match.
         (t-1)  These entities should be allowed to affiliate with
  other licensed providers in the state (e.g., private hospitals,
  mental health authorities, physicians, etc.) to provide services
  authorized under the Medicaid program.
         (t-2)  The department should promulgate rules defining the
  process by which these entities can apply for the expansion.
         SECTION 2.  This Act takes effect September 1, 2013.