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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to authority of the Health and Human Services Commission  | 
      
      
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        to retain portion of appropriated funds to pay for implementation  | 
      
      
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        of certain health care programs under the Medicaid program. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subchapter B, Chapter 531, Government Code, is  | 
      
      
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        amended by adding Section 531.021135 to read as follows: | 
      
      
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               Sec. 531.021135.  AUTHORITY TO RETAIN PORTION OF FUNDS TO PAY  | 
      
      
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        FOR IMPLEMENTATION OF CERTAIN PROGRAMS UNDER THE MEDICAID PROGRAM.   | 
      
      
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        (a)  The commission may retain and spend as provided by general  | 
      
      
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        appropriation an amount not to exceed one percent of the funds  | 
      
      
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        received for the operation of Section 1115 waiver programs and  | 
      
      
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        directed payment programs as authorized by federal law, as well as  | 
      
      
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        any successor programs as determined by the commission, to pay for  | 
      
      
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        implementation of those health care programs. | 
      
      
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               (b)  The executive commissioner shall adopt rules to  | 
      
      
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        implement this section. | 
      
      
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               SECTION 2.  If before implementing any provision of this Act  | 
      
      
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        a state agency determines that a waiver or authorization from a  | 
      
      
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        federal agency is necessary for implementation of that provision,  | 
      
      
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        the agency affected by the provision shall request the waiver or  | 
      
      
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        authorization and may delay implementing that provision until the  | 
      
      
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        waiver or authorization is granted. | 
      
      
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               SECTION 3.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2019. |