BILL ANALYSIS

Senate Research Center	S.B. 375
89R4551 MPF-F	By: Miles
	Local Government
	4/25/2025
	As Filed

AUTHOR'S / SPONSOR'S STATEMENT OF INTENT

In 2019, legislation was enacted creating Harris County's Local Provider Participation
Fund. Under this program, nonpublic hospitals agree to impose an assessment on their total
net patient revenues. These funds are matched with federal Medicaid dollars and paid to
the hospitals in the jurisdiction to supplement the below-cost Medicaid payment. Like
most of these programs, the district's program was enacted with a two-year expiration date.
Legislation is needed to continue the program.

S.B. 375 extends the program's expiration date until 2027.

As proposed, S.B. 375 amends current law relating to the continuation of a health care provider participation program by the Harris County Hospital District.

RULEMAKING AUTHORITY

This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.

SECTION BY SECTION ANALYSIS

SECTION 1. Amends Section 299.004, Health and Safety Code, as follows:

Sec. 299.004. EXPIRATION. (a) Provides that the authority of the Harris County Hospital District (district), subject to Section 299.153(d) (relating to authorizing the district to only assess and collect a mandatory payment authorized if a waiver program, uniform rate enhancement, or reimbursement is available to the district), to administer and operate a program under Chapter 299 (Harris County Hospital District Health Care Provider Participation Program) expires December 31, 2027, rather than December 31, 2025.

(b) Makes a conforming change to this subsection.

SECTION 2. Effective date: upon passage or September 1, 2025.