By: Kolkhorst H.B. No. 3680
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the allocation of certain Medicaid supplemental
  hospital payments by the Health and Human Services Commission.
         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 32.0283 to read as follows:
         Sec. 32.0283.  ALLOCATION OF SUPPLEMENTAL HOSPITAL
  PAYMENTS.  (a) Definitions.  In this section,
         (1)  "Public hospital" means a hospital that is authorized to
  transfer funds to the state for use as the state share of Medicaid
  payments under a supplemental hospital payment program, including a
  hospital described in Section 32.031(e).
         (2)  "Supplemental hospital payment program" means a program
  administered by the commission pursuant to state or federal law
  that authorizes payments of state and federal funds above standard
  Medicaid payments to eligible hospitals, including, but not limited
  to:
               (A)  the disproportionate share hospital program
  administered pursuant to 42 U.S.C. Section 1396r-4a;
               (B)  a Medicaid Upper Payment Limit program or its
  successor; or
               (C)  a waiver granted by the Secretary of H
  ealth and
  Human Services under the Social Security Act, 42 U.S.C. Section
  1396, et seq., including the Medicaid Transformation Waiver issued
  under § 1115 of the Social Security Act, 42 U.S.C. Section 1315.
         (b)  Out of funds transferred to the state by a public
  hospital, a county, or other unit of local government for purposes
  of supplying the state share of a supplemental hospital payment
  program payment, the commission shall make such payments in the
  following order:
         (1)  disproportionate share hospital program payments, which
  shall be paid to all eligible hospitals before a payment under any
  other supplemental hospital payment program may be made; and
         (2)  payments under the Medicaid Upper Payment Limit program
  or its successor, which shall be paid using Medicaid inpatient days
  or another reliable indicator of Medicaid utilization established
  by the commission.
         SECTION 2.  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 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2013.