Bill

SB 2286

86(R) - 2019
House County Affairs
House County Affairs

Vote Recommendation

Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral

Author(s)

Pat Fallon

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

SB 2322 would allow Wichita County to create a Local Provider Participation Fund (LPPF) in order 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:

  1. Fund intergovernmental transfers from the municipality 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;
  2. Subsidize indigent programs;
  3. Pay the administrative expenses of the municipality 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 municipality from the Health and Human Services Commission that is not used to fund the nonfederal share of Medicaid supplemental payment program payments

The governing body of a municipality may not authorize the municipality to collect a mandatory payment authorized under this chapter without an affirmative vote of a majority of the members of the governing body. 

Vote Recommendation Notes

Due to the local nature of this bill, Texas Action remains neutral on SB 2286. This bill would allow a county that is currently not served by a hospital district 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 funds. Since this is largely a local issue that does not increase the cost of government or public debt, we remain neutral on this legislation.