HB 1142

86(R) - 2019
House County Affairs
Senate Intergovernmental Relations
House County Affairs
Senate Intergovernmental Relations
Health & Human Services
County Affairs

Vote Recommendation

  • Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral


Stan Lambert


Dawn Buckingham

Bill Caption

Relating to the creation and operations of health care provider participation programs in certain counties.

Fiscal Notes

No significant fiscal implication to the State is anticipated.

Bill Analysis

HB 1142 would allow certain counties (counties with a population between 125,000 and 140,000 which are not served by a public hospital or hospital district and are not adjacent to a population with one million+ population) to create a Local Provider Participation Fund (LPPF) to collect mandatory payments based on paying hospital net patient revenue to provide the non-federal share of a Medicaid supplemental payment program.

Under this bill, money deposited to the fund may only be used to:

  1. Fund intergovernmental transfers from the county to the state to provide the no-federal 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 Social Security Act, or a successor waiver program authorizing similar Medicaid supplemental payment programs;
  2. Subsidize indigent programs;
  3. Pay the administrative expenses of the county solely for activities under this chapter;
  4. Refund a portion of a mandatory payment collected in error from a paying hospital; and 
  5. 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 non-federal 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

Texas Action remains neutral on HB 1142 as it does not affect our liberty principles. Since this is largely a local issue that does not increase the cost of government or public debt, we are neutral on this legislation.