Bill Text: TX SB1808 | 2013-2014 | 83rd Legislature | Comm Sub
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-Comm_Sub.html
By: Schwertner | S.B. No. 1808 | |
(In the Senate - Filed March 8, 2013; March 18, 2013, read | ||
first time and referred to Committee on Finance; April 29, 2013, | ||
reported adversely, with favorable Committee Substitute by the | ||
following vote: Yeas 9, Nays 3; April 29, 2013, sent to printer.) | ||
COMMITTEE SUBSTITUTE FOR S.B. No. 1808By: | By: Huffman |
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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), 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 and counties in this state will save each state fiscal | ||
year by expanding that eligibility; and | ||
(3) the estimated reduction in uncompensated care | ||
costs to hospital districts and counties that will result from the | ||
expansion of medical assistance eligibility and that would | ||
otherwise be paid from hospital district and county tax revenue. | ||
(c) 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. | ||
(d) 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 | ||
(c). | ||
SECTION 2. Chapter 26, Tax Code, is amended by adding | ||
Section 26.0442 to read as follows: | ||
Sec. 26.0442. TAX RATE ADJUSTMENT FOR EXPANDED ELIGIBILITY | ||
FOR MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE | ||
ACT. In the first tax year in which a hospital district or a county | ||
adopts a tax rate and in which the state 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), the effective tax rate and the rollback | ||
tax rate for the hospital district or the county are decreased by | ||
the rate that, if applied to current total value, would impose an | ||
amount of taxes equal to the reduction in uncompensated care costs | ||
realized by the hospital district or county as identified under | ||
Section 32.02473(b)(3), Human Resources Code, that will result from | ||
the provision of that assistance. | ||
SECTION 3. (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 Subsection (b), | ||
Section 32.02473, Human Resources Code, as added by this Act. | ||
(b) Subsections (c) and (d), Section 32.02473, 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 completes the study required under Subsection | ||
(b), Section 32.02473, Human Resources Code, as added by this Act. | ||
SECTION 4. 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 5. This Act takes effect September 1, 2013. | ||
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