Bill Text: TX SB1808 | 2013-2014 | 83rd Legislature | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2013-04-30 - Co-author authorized [SB1808 Detail]
Download: Texas-2013-SB1808-Introduced.html
Bill Title: Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2013-04-30 - Co-author authorized [SB1808 Detail]
Download: Texas-2013-SB1808-Introduced.html
83R10316 JSL-D | ||
By: Schwertner | S.B. No. 1808 |
|
||
|
||
relating to the cost effects of expanding eligibility for medical | ||
assistance under the federal Patient Protection and Affordable Care | ||
Act. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter B, Chapter 32, Human Resources Code, | ||
is amended by adding Section 32.02473 to read as follows: | ||
Sec. 32.02473. COST EFFECTS OF EXPANDED ELIGIBILITY FOR | ||
MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE | ||
ACT. (a) In this section, "commission" means the Health and Human | ||
Services Commission. | ||
(b) If the commission expands eligibility for medical | ||
assistance in accordance with and provides medical assistance using | ||
federal matching funds made available under the Patient Protection | ||
and Affordable Care Act (Pub. L. No. 111-148) as amended by the | ||
Health Care and Education Reconciliation Act of 2010 (Pub. L. No. | ||
111-152) to provide that assistance, the commission, in cooperation | ||
with the comptroller and Legislative Budget Board, shall conduct a | ||
study regarding the cost effects of that expanded eligibility. The | ||
study must identify: | ||
(1) the estimated amount of uncompensated care costs | ||
the state will save each state fiscal year by expanding that | ||
eligibility; | ||
(2) the estimated amount of health care costs hospital | ||
districts in this state will save each state fiscal year by | ||
expanding that eligibility; and | ||
(3) based on the estimated cost savings identified | ||
under Subdivision (2), the appropriate reduction of hospital | ||
district tax rates that would reflect the reduced need for hospital | ||
district tax revenue to support uncompensated care because of | ||
expanding medical assistance eligibility. | ||
(c) The commission shall report to the legislature the | ||
information regarding the reduction of hospital district tax rates | ||
identified in Subsection (b)(3) for consideration and appropriate | ||
action by the legislature. | ||
(d) The commission shall ensure that cost savings | ||
identified under Subsection (b)(1) are reflected in each biennial | ||
legislative appropriations request submitted to the Legislative | ||
Budget Board by the commission or a health and human services | ||
agency. | ||
(e) In preparing a general appropriations bill as required | ||
by Section 322.008, Government Code, the Legislative Budget Board | ||
shall ensure that any proposed appropriation for providing health | ||
care to residents of this state reflects the cost savings | ||
identified under Subsection (b)(1) and the legislative | ||
appropriations requests prepared in accordance with Subsection | ||
(d). | ||
SECTION 2. (a) Not later than the first anniversary of the | ||
effective date of expanded eligibility criteria implemented in | ||
accordance with the Patient Protection and Affordable Care Act | ||
(Pub. L. No. 111-148) as amended by the Health Care and Education | ||
Reconciliation Act of 2010 (Pub. L. No. 111-152) for the Medicaid | ||
program, the Health and Human Services Commission, in cooperation | ||
with the comptroller of public accounts and the Legislative Budget | ||
Board, shall complete the study required under Section 32.02473(b), | ||
Human Resources Code, as added by this Act, and make the report to | ||
the legislature as required under Section 32.02473(c), Human | ||
Resources Code, as added by this Act. | ||
(b) Sections 32.02473(d) and (e), Human Resources Code, as | ||
added by this Act, apply only to legislative appropriations | ||
requests and general appropriations bills, respectively, prepared | ||
on or after the date the Health and Human Services Commission | ||
submits the report required by Section 32.02473(c), Human Resources | ||
Code, as added by this Act. | ||
SECTION 3. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 4. This Act takes effect September 1, 2013. |