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  H.B. No. 3934
 
 
 
 
AN ACT
  relating to the authority of rural hospitals to establish a health
  care collaborative.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 848.001, Insurance Code, is amended by
  amending Subdivision (2) and adding Subdivision (10) to read as
  follows:
               (2)  "Health care collaborative" means an entity:
                     (A)  that undertakes to arrange for medical and
  health care services for insurers, health maintenance
  organizations, and other payors in exchange for payments in cash or
  in kind;
                     (B)  that accepts and distributes payments for
  medical and health care services;
                     (C)  that consists of:
                           (i)  physicians;
                           (ii)  rural hospitals;
                           (iii) physicians and other health care
  providers;
                           (iv) [(iii)] physicians and insurers or
  health maintenance organizations; or
                           (v) [(iv)]  physicians, other health care
  providers, and insurers or health maintenance organizations; and
                     (D)  that is certified by the commissioner under
  this chapter to lawfully accept and distribute payments to
  physicians and other health care providers using the reimbursement
  methodologies authorized by this chapter.
               (10)  "Rural hospital" means a licensed hospital with
  75 beds or fewer that:
                     (A)  is located in a county with a population of
  50,000 or less; or
                     (B)  has been designated by the Centers for
  Medicare and Medicaid Services as a critical access hospital, rural
  referral center, or sole community hospital.
         SECTION 2.  Section 848.052, Insurance Code, is amended by
  adding Subsection (c-1) to read as follows:
         (c-1)  If the participants in a health care collaborative are
  all rural hospitals, each member of the board of directors must be a
  representative of a participant.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2019.
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
 
         I certify that H.B. No. 3934 was passed by the House on May 3,
  2019, by the following vote:  Yeas 140, Nays 0, 2 present, not
  voting.
 
  ______________________________
  Chief Clerk of the House   
 
 
         I certify that H.B. No. 3934 was passed by the Senate on May
  21, 2019, by the following vote:  Yeas 31, Nays 0.
 
  ______________________________
  Secretary of the Senate    
  APPROVED:  _____________________
                     Date          
   
            _____________________
                   Governor