Bill: HB 2913, 84(R) - 2015
Committee
Senate Intergovernmental Relations
Vote Recommendation
Vote Recommendation |
Economic Freedom |
Property Rights |
Personal Responsibility |
Limited Government |
Individual Liberty |
Neutral |
Neutral |
Neutral |
Neutral |
Neutral |
Neutral |
Author(s)
Jimmie Don Aycock
Bill Caption
Relating to the creation and operations of health care provider participation programs in certain counties.
Fiscal Notes
The nonfederal share of Texas Medicaid supplemental payments is provided largely by local
public funds provided to the Health and Human Services Commission by intergovernmental
transfer. The bill's provisions do not contain any implications for state General Revenue funds.
HHSC reports that there would be no significant fiscal impact to the agency resulting from
implementation of the bill.
Bill Analysis
HB 2913 would allow Bell County to create a Local Provider Participation Fund (LPPF) to collect mandatory payments based on paying hospital net patient revenue to provide the nonfederal share of a Medicaid supplemental payment program.
Under this bill, money deposited to the fund may only be used to:
- fund intergovernmental transfers from the county to the state to provide the nonfederal share of a Medicaid supplemental payment program authorized under the state Medicaid plan, the Texas Healthcare Transformation and Quality Improvement Program waiver issued under Section 1115 of the federal Social Security Act (42 U.S.C. Section 1315), or a successor waiver program authorizing similar Medicaid supplemental payment programs;
- subsidize indigent programs
- pay the administrative expenses of the county solely for activities under this chapter;
- refund a portion of a mandatory payment collected in error from a paying hospital; and
- refund to paying hospitals the proportionate share of money received by the county from the Health and Human Services Commission that is not used to fund the nonfederal share of Medicaid supplemental payment program payments
The county commissioners court may not authorize the county to collect a mandatory payment authorized under this chapter without an affirmative vote of a majority of the members of the commissioners court.
Vote Recommendation Notes
HB 2913 would allow Bell County to create a Local Provider Participation Fund (LPPF) to collect mandatory payments from paying hospitals based on those hospitals net patient revenue to provide the nonfederal share of a Medicaid supplemental payment program. This would provide a mechanism for intergovernmental transfer of funds so that the city can draw down federal federal funds. Since this is largely a local issue that does not increase the cost of government or public debt, we are neutral on this legislation.