88R6817 SRA-F
 
  By: Ashby H.B. No. 3456
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the operation of certain health care provider
  participation programs in this state.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 292C.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 292C.004.  EXPIRATION.  The authority of a county to
  administer and operate a program under this chapter expires
  December 31, 2027 [2023].
         SECTION 2.  Section 298A.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 298A.004.  EXPIRATION.  (a)  Subject to Section
  298A.153(d), the authority of the district to administer and
  operate a program under this chapter expires December 31, 2027
  [2025].
         (b)  This chapter expires December 31, 2027 [2025].
         SECTION 3.  Section 298B.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 298B.004.  EXPIRATION OF AUTHORITY.  (a)  Subject to
  Sections 298B.153(d) and 298B.154, the authority of the district to
  administer and operate a program under this chapter expires
  December 31, 2027 [2025].
         (b)  Subsection (a) does not affect the authority of the
  district to require and collect a mandatory payment under Section
  298B.154 after December 31, 2027 [2025], if necessary.
         SECTION 4.  Section 298E.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 298E.004.  EXPIRATION.  (a)  Subject to Section
  298E.153(d), the authority of a district to administer and operate
  a program under this chapter expires December 31, 2027 [2023].
         (b)  This chapter expires December 31, 2027 [2023].
         SECTION 5.  Section 298F.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 298F.004.  EXPIRATION.  (a)  Subject to Section
  298F.153(d), the authority of the district to administer and
  operate a program under this chapter expires December 31, 2027
  [2023].
         (b)  This chapter expires December 31, 2027 [2023].
         SECTION 6.  Section 298G.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 298G.004.  EXPIRATION.  (a)  Subject to Section
  298G.153(d), the authority of the district to administer and
  operate a program under this chapter expires December 31, 2027
  [2023].
         (b)  This chapter expires December 31, 2027 [2023].
         SECTION 7.  Section 299.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 299.004.  EXPIRATION.  (a)  Subject to Section
  299.153(d), the authority of the district to administer and operate
  a program under this chapter expires December 31, 2025 [2023].
         (b)  This chapter expires December 31, 2025 [2023].
         SECTION 8.  Section 300.0003, Health and Safety Code, is
  amended to read as follows:
         Sec. 300.0003.  APPLICABILITY.  This chapter applies only
  to:
               (1)  a hospital district that is not authorized to
  create [participating in] a health care provider participation
  program under [authorized by] another chapter of this subtitle; and
               (2)  a county or municipality that[:
                     [(A)]  is not authorized to create [participating
  in] a health care provider participation program under [authorized
  by] another chapter of this subtitle[; and
                     [(B)  is not served by a hospital district or a
  public hospital].
         SECTION 9.  Subtitle D, Title 4, Health and Safety Code, is
  amended by adding Chapter 300B to read as follows:
  CHAPTER 300B.  PROVISIONS GENERALLY APPLICABLE TO HEALTH CARE
  PROVIDER PARTICIPATION PROGRAMS
         Sec. 300B.0001.  DEFINITION. In this chapter, "qualifying
  local government" means: 
               (1)  a county, municipality, or hospital district that
  is participating in a health care provider participation program
  authorized by another chapter of this subtitle;
               (2)  a health care funding district created under
  Chapter 288; or
               (3)  a health care provider participation district
  created under Chapter 300A.
         Sec. 300B.0002.  PERMISSIVE POWERS; LIMITATIONS. (a) A
  qualifying local government is not required to exercise the powers
  granted by this chapter.
         (b)  A qualifying local government may only exercise the
  powers granted by this chapter for the health care provider
  participation program that the qualifying local government
  administers.
         (c)  Before a qualifying local government exercises a power
  granted by this chapter, the qualifying local government must
  comply with procedural requirements relating to the setting of the
  amount of mandatory payments applicable to the health care provider
  participation program administered by the qualifying local
  government, including all applicable public notice and hearing
  requirements.
         Sec. 300B.0003.  ASSESSMENT BASIS. (a)  The governing body
  of a qualifying local government may require mandatory payments to
  be assessed against each institutional health care provider located
  in the qualifying local government on the basis of either:
               (1)  the assessment basis required by the laws
  applicable to the health care provider participation program
  administered by the qualifying local government; or
               (2)  any other basis permitted by 42 U.S.C. Section
  1396b(w)(3).
         (b)  This section may not be construed to affect the
  authority of a qualifying local government to assess or use
  mandatory payments in the manner authorized by the laws applicable
  to the health care provider participation program administered by
  the qualifying local government.
         (c)  The aggregate amount of the mandatory payments required
  of all paying providers in the health care provider participation
  program administered by the qualifying local government may not
  exceed six percent of the aggregate net patient revenue from
  hospital services provided in the qualifying local government's
  jurisdiction.
         (d)  This section does not authorize a qualifying local
  government to assess a mandatory payment that would qualify as a bed
  tax or any other tax under the laws of this state.
         Sec. 300B.0004.  ADDITIONAL REPORTING. The governing body
  of a qualifying local government that is unable to assess mandatory
  payments in a manner consistent with the requirements of 42 U.S.C.
  Section 1396b(w) and 42 C.F.R. Section 433.68 using information
  reported to the governing body by an institutional health care
  provider may require the institutional health care provider to
  submit additional information to the governing body as necessary to
  ensure mandatory payments are assessed in a manner consistent with
  those requirements.
         Sec. 300B.0005.  REQUEST FOR CERTAIN RELIEF. (a)  The
  governing body of a qualifying local government may request that
  the Health and Human Services Commission submit a request to the
  Centers for Medicare and Medicaid Services for relief under 42
  C.F.R. Section 433.72 for purposes of assuring the qualifying local
  government's health care provider participation program is
  administered efficiently, transparently, and in a manner that
  complies with federal law.
         (b)  If the request for relief under Subsection (a) is
  granted, the qualifying local government may act in compliance with
  the terms of the relief.  To the extent of a conflict between the
  terms of the relief and another law, including a provision of this
  subtitle requiring mandatory payments be assessed in a uniform or
  broad-based manner, the terms of the relief prevail.
         Sec. 300B.0006.  INTEREST AND PENALTIES.  A qualifying local
  government may impose and collect interest and penalties on
  delinquent mandatory payments assessed by the qualifying local
  government under the health care provider participation program it
  administers in any amount that does not exceed the maximum amount
  authorized for other payments that are owed to the qualifying local
  government and are delinquent.
         SECTION 10.  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, 2023.