By: Schwertner S.J.R. No. 61
         (In the Senate - Filed March 8, 2013; March 18, 2013, read
  first time and referred to Committee on Finance; April 29, 2013,
  reported adversely, with favorable Committee Substitute by the
  following vote:  Yeas 9, Nays 3; April 29, 2013, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.J.R. No. 61 By:  Nelson
 
 
SENATE JOINT RESOLUTION
 
 
  proposing a constitutional amendment requiring the reduction of
  amounts paid by Texans to provide health care to the uninsured if
  Medicaid eligibility is expanded in accordance with the federal
  Patient Protection and Affordable Care Act; requiring hospital
  district and county tax rate reductions.
         BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Article III, Texas Constitution, is amended by
  adding Section 51-b to read as follows:
         Sec. 51-b.  If this state expands eligibility for medical
  assistance in accordance with and provides medical assistance using
  federal matching funds made available under the Patient Protection
  and Affordable Care Act (Pub. L. No. 111-148) as amended by the
  Health Care and Education Reconciliation Act of 2010 (Pub. L. No.
  111-152) to provide that assistance, the legislature shall:
               (1)  by law prescribe appropriate rate reductions for
  taxes imposed by hospital districts and counties in this state that
  reflect the reduction of health care costs of those districts and
  counties resulting from the receipt of additional federal funds for
  providing that assistance; and
               (2)  reduce the amount of money appropriated for
  providing uncompensated care to residents of this state to reflect
  the reduced need for that care.
         SECTION 2.  This proposed constitutional amendment shall be
  submitted to the voters at an election to be held November 5, 2013.
  The ballot shall be printed to provide for voting for or against the
  proposition:  "The constitutional amendment requiring the
  reduction of amounts paid by Texans to provide health care to the
  uninsured if Medicaid eligibility is expanded in accordance with
  the federal Patient Protection and Affordable Care Act; requiring
  hospital district and county tax rate reductions."
 
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