Honorable Joe Straus, Speaker of the House, House of Representatives
FROM:
Ursula Parks, Director, Legislative Budget Board
IN RE:
HB2476 by Guerra (Relating to the operations of health care funding districts in certain counties located on the Texas-Mexico border.), As Passed 2nd House
No significant fiscal implication to the State is anticipated.
The bill would repeal the expiration of Chapter 288 of the Health and Safety Code, which authorizes the creation of hospital districts for certain counties located on the Texas-Mexico border. The bill amends the definition of "institutional health care provider". Hospital districts could continue to establish local provider participation fund consisting of tax revenue; refunds from the Health and Human Services Commission (HHSC) of federally unmatched intergovernmental transfers originally intended to pay the nonfederal share Medicaid supplemental payments, and the earnings of the fund. The repeal would also continue to authorize that money in the fund may be used to provide the nonfederal share for Medicaid supplemental payments.
The nonfederal share of Texas Medicaid supplemental payments is provided largely by local public funds provided to HHSC by intergovernmental transfer. The repeal does not contain any implications for state General Revenue funds. It is not anticipated that the bill will result in a fiscal impact to HHSC.
Local Government Impact
Because the bill would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government.