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               AN ACT
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            relating to the continuation and operations of a health care  | 
         
         
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            provider participation program by the Harris County Hospital  | 
         
         
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            District. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Section 299.004, Health and Safety Code, is  | 
         
         
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            amended to read as follows: | 
         
         
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                   Sec. 299.004.  EXPIRATION.  (a)  Subject to Section  | 
         
         
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            299.153(d), the authority of the district to administer and operate  | 
         
         
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            a program under this chapter expires December 31, 2023 [2021]. | 
         
         
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                   (b)  This chapter expires December 31, 2023 [2021]. | 
         
         
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                   SECTION 2.  Section 299.151(c), Health and Safety Code, is  | 
         
         
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            amended to read as follows: | 
         
         
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                   (c)  If the board requires a mandatory payment authorized  | 
         
         
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            under this chapter, the board shall set the amount of the mandatory  | 
         
         
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            payment, subject to the limitations of this chapter.  The aggregate  | 
         
         
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            amount of the mandatory payments required of all paying providers  | 
         
         
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            in the district may not exceed six [four] percent of the aggregate  | 
         
         
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            net patient revenue from hospital services provided by all paying  | 
         
         
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            providers in the district. | 
         
         
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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, 2021. | 
         
         
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            ______________________________ | 
            ______________________________ | 
         
         
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               President of the Senate | 
            Speaker of the House      | 
         
         
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                   I certify that H.B. No. 1338 was passed by the House on April  | 
         
         
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            23, 2021, by the following vote:  Yeas 99, Nays 47, 2 present, not  | 
         
         
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            voting; and that the House concurred in Senate amendments to H.B.  | 
         
         
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            No. 1338 on May 24, 2021, by the following vote:  Yeas 100, Nays 43,  | 
         
         
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            2 present, not voting. | 
         
         
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            ______________________________ | 
         
         
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            Chief Clerk of the House    | 
         
         
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                   I certify that H.B. No. 1338 was passed by the Senate, with  | 
         
         
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            amendments, on May 19, 2021, by the following vote:  Yeas 31, Nays  | 
         
         
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            0. | 
         
         
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            ______________________________ | 
         
         
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            Secretary of the Senate    | 
         
         
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            APPROVED: __________________ | 
         
         
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                            Date        | 
         
         
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                     __________________ | 
         
         
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                          Governor        |