reglab/statecodes huggingface dataset:
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298G.004. Expiration

Sec. 298G.004.  EXPIRATION.  (a)  Subject to Section 298G.153(d), the authority of the district to administer and operate a program under this chapter expires December 31, 2027.
(b)  This chapter expires December 31, 2027.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 347 (S.B. 849), Sec. 1, eff. June 2, 2023.
Acts 2023, 88th Leg., R.S., Ch. 857 (H.B. 3456), Sec. 6, eff. June 13, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298G.051. Limitation on Authority to Require Mandatory Payment

Sec. 298G.051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The board may require a mandatory payment authorized under this chapter by an institutional health care provider in the district only in the manner provided by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298G.052. Rules and Procedures

Sec. 298G.052.  RULES AND PROCEDURES.  The board may adopt rules relating to the administration of the program, including collection of the mandatory payments, expenditures, audits, and any other administrative aspects of the program.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298G.053. Institutional Health Care Provider Reporting

Sec. 298G.053.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING.  If the board authorizes the district to participate in a program under this chapter, the board shall require each institutional health care provider to submit to the district a copy of any financial and utilization data reported in the provider's Medicare cost report submitted for the previous fiscal year or for the closest subsequent fiscal year for which the provider submitted the Medicare cost report.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298G.101. Hearing

Sec. 298G.101.  HEARING.  (a)  In each year that the board authorizes a program under this chapter, the board shall hold a public hearing on the amounts of any mandatory payments that the board intends to require during the year and how the revenue derived from those payments is to be spent.
(b)  Not later than the fifth day before the date of the hearing required under Subsection (a), the board shall publish notice of the hearing in a newspaper of general circulation in the district.
(c)  A representative of a paying provider is entitled to appear at the public hearing and be heard regarding any matter related to the mandatory payments authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298G.102. Depository

Sec. 298G.102.  DEPOSITORY.  (a)  If the board requires a mandatory payment authorized under this chapter, the board shall designate one or more banks as a depository for the district's local provider participation fund.
(b)  All funds collected under this chapter shall be secured in the manner provided for securing other district funds.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298G.152. Assessment and Collection of Mandatory Payments

Sec. 298G.152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  (a)  The district may designate an official of the district or contract with another person to assess and collect the mandatory payments authorized under this chapter.
(b)  The person charged by the district with the assessment and collection of mandatory payments shall charge and deduct from the mandatory payments collected for the district a collection fee in an amount not to exceed the person's usual and customary charges for like services.
(c)  If the person charged with the assessment and collection of mandatory payments is an official of the district, any revenue from a collection fee charged under Subsection (b) shall be deposited in the district general fund and, if appropriate, shall be reported as fees of the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298G.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 298G.153.  PURPOSE; CORRECTION OF INVALID PROVISION OR PROCEDURE; LIMITATION OF AUTHORITY.  (a)  The purpose of this chapter is to authorize the district to establish a program to enable the district to collect mandatory payments from institutional health care providers to fund the nonfederal share of a Medicaid supplemental payment program or the Medicaid managed care rate enhancements for nonpublic hospitals to support the provision of health care by institutional health care providers to district residents in need of health care.
(b)  This chapter does not authorize the district to collect mandatory payments for the purpose of raising general revenue or any amount in excess of the amount reasonably necessary to:
(1)  fund the nonfederal share of a Medicaid supplemental payment program or Medicaid managed care rate enhancements for nonpublic hospitals; and
(2)  cover the administrative expenses of the district associated with activities under this chapter and other uses of the fund described by Section 298G.103(c).
(c)  To the extent any provision or procedure under this chapter causes a mandatory payment authorized under this chapter to be ineligible for federal matching funds, the board may provide by rule for an alternative provision or procedure that conforms to the requirements of the federal Centers for Medicare and Medicaid Services.  A rule adopted under this section may not create, impose, or materially expand the legal or financial liability or responsibility of the district or an institutional health care provider in the district beyond the provisions of this chapter.  This section does not require the board to adopt a rule.
(d)  The district may only assess and collect a mandatory payment authorized under this chapter if a waiver program, uniform rate enhancement, or reimbursement described by Section 298G.103(c)(1) is available to nonpublic hospitals in the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298G - El Paso County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298G.154. Interest and Penalties

Sec. 298G.154.  INTEREST AND PENALTIES.  The district may impose and collect interest and penalties on delinquent mandatory payments assessed under this chapter in any amount that does not exceed the maximum amount authorized for other delinquent payments owed to the district.
Added by Acts 2023, 88th Leg., R.S., Ch. 347 (S.B. 849), Sec. 2, eff. June 2, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298H.001. Definitions

Sec. 298H.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of directors of the district.
(2)  "District" means the Nacogdoches County Hospital District.
(3)  "Institutional health care provider" means a nonpublic hospital located in the district that provides inpatient hospital services.
(4)  "Paying provider" means an institutional health care provider required to make a mandatory payment under this chapter.
(5)  "Program" means the health care provider participation program authorized by this chapter.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298H.002. Applicability

Sec. 298H.002.  APPLICABILITY.  This chapter applies only to the Nacogdoches County Hospital District.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298H.003. Health Care Provider Participation Program; Participation in Program

Sec. 298H.003.  HEALTH CARE PROVIDER PARTICIPATION PROGRAM; PARTICIPATION IN PROGRAM. (a) The board may authorize the district to participate in a health care provider participation program on the affirmative vote of a majority of the board, subject to the provisions of this chapter.
(b)  The board may not authorize the district to participate in a health care provider participation program under Chapter 300 or 300A.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298H.004. Expiration

Sec. 298H.004.  EXPIRATION.  (a)  Subject to Section 298H.153(d), the authority of the district to administer and operate a program under this chapter expires December 31, 2027.
(b)  This chapter expires December 31, 2027.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298H.051. Limitation on Authority to Require Mandatory Payment

Sec. 298H.051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The board may require a mandatory payment authorized under this chapter by an institutional health care provider located in the district only in the manner provided by this chapter.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298H.052. Rules and Procedures

Sec. 298H.052.  RULES AND PROCEDURES.  The board may adopt rules relating to the administration of the program, including collection of the mandatory payments, expenditures, audits, and other administrative aspects of the program.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298H.053. Institutional Health Care Provider Reporting

Sec. 298H.053.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING.  If the board authorizes the district to participate in a program under this chapter, the board may require each institutional health care provider to submit to the district a copy of any financial and utilization data reported in the provider's Medicare cost report submitted for the most recent fiscal year for which the provider submitted the Medicare cost report.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298H.101. Hearing

Sec. 298H.101.  HEARING.  (a) In each year that the board authorizes a program under this chapter, the board shall hold a public hearing on the amounts of any mandatory payments that the board intends to require during the year and how the revenue derived from those payments is to be spent.
(b)  Not later than the fifth day before the date of the hearing required under Subsection (a), the board shall publish notice of the hearing in a newspaper of general circulation in the district.
(c)  A representative of a paying provider is entitled to appear at the public hearing and be heard regarding any matter related to the mandatory payments authorized under this chapter.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298H.102. Depository

Sec. 298H.102.  DEPOSITORY.  (a)  If the board requires a mandatory payment authorized under this chapter, the board shall designate one or more banks as a depository for the district's local provider participation fund.
(b)  All funds collected under this chapter shall be secured in the manner provided for securing other district funds.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298H.151. Mandatory Payments Based on Paying Provider Net Patient Revenue

Sec. 298H.151.  MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.  (a)  If the board authorizes a health care provider participation program under this chapter, the board may require a mandatory payment to be assessed, either annually or periodically throughout the year at the discretion of the board, on the net patient revenue of each institutional health care provider located in the district.  The board shall provide an institutional health care provider written notice of each assessment under this subsection, and the provider has 30 calendar days following the date of receipt of the notice to make the assessed mandatory payment.  In the first year in which the mandatory payment is required, the mandatory payment is assessed on the net patient revenue of an institutional health care provider, as determined by the provider's Medicare cost report submitted for the most recent fiscal year for which the provider submitted the Medicare cost report.  If the mandatory payment is required, the district shall periodically update the amount of the mandatory payment.
(b)  The amount of a mandatory payment authorized under this chapter must be determined in a manner that ensures the revenue generated qualifies for federal matching funds under federal law, consistent with 42 U.S.C. Section 1396b(w).
(c)  If the board requires a mandatory payment authorized under this chapter, the board shall set the amount of the mandatory payment, subject to the limitations of this chapter.  The aggregate amount of the mandatory payments required of all paying providers in the district may not exceed six percent of the aggregate net patient revenue from hospital services provided in the district.
(d)  Subject to Subsection (c), if the board requires a mandatory payment authorized under this chapter, the board shall set the mandatory payments in amounts that in the aggregate will generate sufficient revenue to cover the administrative expenses of the district for activities under this chapter and to fund an intergovernmental transfer described by Section 298H.103(c)(1). The annual amount of revenue from the mandatory payments used by the district may not exceed $150,000, plus the cost of collateralization of deposits, regardless of actual expenses.
(e)  A paying provider may not add a mandatory payment required under this section as a surcharge to a patient.
(f)  A mandatory payment assessed under this chapter is not a tax for hospital purposes for purposes of Section 9, Article IX, Texas Constitution, or Section 1069.301, Special District Local Laws Code.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298H.152. Assessment and Collection of Mandatory Payments

Sec. 298H.152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  (a)  The district may designate an official of the district or contract with another person to assess and collect the mandatory payments authorized under this chapter.
(b)  The person charged by the district with the assessment and collection of the mandatory payments may not charge the district a fee for assessing and collecting the payments unless the district authorizes the fee in writing.
(c)  If the person charged with the assessment and collection of the mandatory payments is an official of the district, any revenue from a fee authorized under Subsection (b) shall be deposited in the district general fund and, if appropriate, shall be reported as fees of the district.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298H - Nacogdoches County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298H.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 298H.153.  PURPOSE; CORRECTION OF INVALID PROVISION OR PROCEDURE; LIMITATION OF AUTHORITY.  (a)  The purpose of this chapter is to authorize the district to establish a program to enable the district to collect the mandatory payments from institutional health care providers to fund the nonfederal share of a Medicaid supplemental payment program or the Medicaid managed care rate enhancements for nonpublic hospitals to support the provision of health care by institutional health care providers to district residents in need of health care.
(b)  This chapter does not authorize the district to collect the mandatory payments for the purpose of raising general revenue or any amount in excess of the amount reasonably necessary to:
(1)  fund the nonfederal share of a Medicaid supplemental payment program or the Medicaid managed care rate enhancements for nonpublic hospitals; and
(2)  cover the administrative expenses of the district associated with activities under this chapter and other uses of the fund described by Section 298H.103(c).
(c)  To the extent any provision or procedure under this chapter causes a mandatory payment authorized under this chapter to be ineligible for federal matching funds, the board may provide by rule for an alternative provision or procedure that conforms to the requirements of the federal Centers for Medicare and Medicaid Services.  A rule adopted under this section may not create, impose, or materially expand the legal or financial liability or responsibility of the district or an institutional health care provider in the district beyond the provisions of this chapter.  This section does not require the board to adopt a rule.
(d)  The district may only assess and collect a mandatory payment authorized under this chapter if a waiver program, rate enhancement, or reimbursement described by Section 298H.103(c)(1) is available for nonpublic hospitals located in the district.
Added by Acts 2023, 88th Leg., R.S., Ch. 918 (H.B. 4700), Sec. 1, eff. June 17, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 299.001. Definitions

Sec. 299.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of the district.
(2)  "District" means the Harris County Hospital District.
(3)  "Institutional health care provider" means a nonpublic hospital located in the district that provides inpatient hospital services.
(4)  "Paying provider" means an institutional health care provider required to make a mandatory payment under this chapter.
(5)  "Program" means the health care provider participation program authorized by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 299.002. Applicability

Sec. 299.002.  APPLICABILITY.  This chapter applies only to the Harris County Hospital District.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 299.003. Health Care Provider Participation Program; Participation in Program

Sec. 299.003.  HEALTH CARE PROVIDER PARTICIPATION PROGRAM; PARTICIPATION IN PROGRAM.  The board may authorize the district to participate in a health care provider participation program on the affirmative vote of a majority of the board, subject to the provisions of this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 299.004. Expiration

Sec. 299.004.  EXPIRATION.  (a)  Subject to Section 299.153(d), the authority of the district to administer and operate a program under this chapter expires December 31, 2025.
(b)  This chapter expires December 31, 2025.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
Amended by:
Acts 2021, 87th Leg., R.S., Ch. 316 (H.B. 1338), Sec. 1, eff. June 7, 2021.
Acts 2023, 88th Leg., R.S., Ch. 433 (H.B. 1925), Sec. 1, eff. June 9, 2023.
Acts 2023, 88th Leg., R.S., Ch. 857 (H.B. 3456), Sec. 7, eff. June 13, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 299.051. Limitation on Authority to Require Mandatory Payment

Sec. 299.051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The board may require a mandatory payment authorized under this chapter by an institutional health care provider in the district only in the manner provided by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 299.052. Rules and Procedures

Sec. 299.052.  RULES AND PROCEDURES.  The board may adopt rules relating to the administration of the program, including collection of the mandatory payments, expenditures, audits, and any other administrative aspects of the program.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 299.053. Institutional Health Care Provider Reporting

Sec. 299.053.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING.  If the board authorizes the district to participate in a program under this chapter, the board shall require each institutional health care provider to submit to the district a copy of any financial and utilization data as reported in the provider's Medicare cost report submitted for the previous fiscal year or for the closest subsequent fiscal year for which the provider submitted the Medicare cost report.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 299.101. Hearing

Sec. 299.101.  HEARING.  (a)  In each year that the board authorizes a program under this chapter, the board shall hold a public hearing on the amounts of any mandatory payments that the board intends to require during the year and how the revenue derived from those payments is to be spent.
(b)  Not later than the fifth day before the date of the hearing required under Subsection (a), the board shall publish notice of the hearing in a newspaper of general circulation in the district and provide written notice of the hearing to each institutional health care provider in the district.
(c)  A representative of a paying provider is entitled to appear at the public hearing and be heard regarding any matter related to the mandatory payments authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 299.102. Depository

Sec. 299.102.  DEPOSITORY.  (a)  If the board requires a mandatory payment authorized under this chapter, the board shall designate one or more banks as a depository for the district's local provider participation fund.
(b)  All funds collected under this chapter shall be secured in the manner provided for securing other district funds.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 299.152. Assessment and Collection of Mandatory Payments

Sec. 299.152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  (a) The district may designate an official of the district or contract with another person to assess and collect the mandatory payments authorized under this chapter.
(b)  The person charged by the district with the assessment and collection of mandatory payments shall charge and deduct from the mandatory payments collected for the district a collection fee in an amount not to exceed the person's usual and customary charges for like services.
(c)  If the person charged with the assessment and collection of mandatory payments is an official of the district, any revenue from a collection fee charged under Subsection (b) shall be deposited in the district general fund and, if appropriate, shall be reported as fees of the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 299 - Harris County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 299.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 299.153.  PURPOSE; CORRECTION OF INVALID PROVISION OR PROCEDURE; LIMITATION OF AUTHORITY. (a) The purpose of this chapter is to authorize the district to establish a program to enable the district to collect mandatory payments from institutional health care providers to fund the nonfederal share of a Medicaid supplemental payment program or the Medicaid managed care rate enhancements for nonpublic hospitals to support the provision of health care by institutional health care providers to district residents in need of health care.
(b)  This chapter does not authorize the district to collect mandatory payments for the purpose of raising general revenue or any amount in excess of the amount reasonably necessary to:
(1)  fund the nonfederal share of a Medicaid supplemental payment program or Medicaid managed care rate enhancements for nonpublic hospitals; and
(2)  cover the administrative expenses of the district associated with activities under this chapter and other uses of the fund described by Section 299.103(c).
(c)  To the extent any provision or procedure under this chapter causes a mandatory payment authorized under this chapter to be ineligible for federal matching funds, the board may provide by rule for an alternative provision or procedure that conforms to the requirements of the federal Centers for Medicare and Medicaid Services.  A rule adopted under this section may not create, impose, or materially expand the legal or financial liability or responsibility of the district or an institutional health care provider in the district beyond the provisions of this chapter. This section does not require the board to adopt a rule.
(d)  The district may only assess and collect a mandatory payment authorized under this chapter if a waiver program, uniform rate enhancement, or reimbursement described by Section 299.103(c)(1) is available to the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 208 (H.B. 3459), Sec. 1, eff. May 24, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter A. General Provisions › Section 300.0001. Purpose

Sec. 300.0001.  PURPOSE.  The purpose of this chapter is to authorize a hospital district, county, or municipality in this state to administer a health care provider participation program to provide additional compensation to certain hospitals located in the hospital district, county, or municipality by collecting mandatory payments from each of those hospitals to be used to provide the nonfederal share of a Medicaid supplemental payment program and for other purposes as authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter A. General Provisions › Section 300.0002. Definitions

Sec. 300.0002.  DEFINITIONS.  In this chapter:
(1)  "Institutional health care provider" means a nonpublic hospital that provides inpatient hospital services.
(2)  "Local government" means a hospital district, county, or municipality to which this chapter applies.
(3)  "Paying hospital" means an institutional health care provider required to make a mandatory payment under this chapter.
(4)  "Program" means a health care provider participation program authorized by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter A. General Provisions › Section 300.0003. Applicability

Sec. 300.0003.  APPLICABILITY.  (a) Except as provided by Subsection (b), this chapter applies only to:
(1)  a hospital district that is not participating in a health care provider participation program authorized by another chapter of this subtitle; and
(2)  a county or municipality that:
(A)  is not participating in a health care provider participation program authorized by another chapter of this subtitle; and
(B)  is not served by a hospital district or a public hospital.
(b)  This chapter does not apply to a municipality that is located in a county described by Section 292D.002.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 632 (H.B. 4835), Sec. 2, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter A. General Provisions › Section 300.0004. Local Jurisdiction Health Care Provider Participation Program; Order Required for Participation

Sec. 300.0004.  LOCAL JURISDICTION HEALTH CARE PROVIDER PARTICIPATION PROGRAM; ORDER REQUIRED FOR PARTICIPATION.  The governing body of a local government may only adopt an order or ordinance authorizing that local government to participate in a health care provider participation program after an affirmative vote of the majority of the governing body.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter B. Powers and Duties of Governing Body › Section 300.0051. Limitation on Authority to Require Mandatory Payment

Sec. 300.0051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The governing body of a local government may require a mandatory payment authorized under this chapter by an institutional health care provider located in that hospital district, county, or municipality, as applicable, only in the manner provided by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter B. Powers and Duties of Governing Body › Section 300.0052. Rules and Procedures

Sec. 300.0052.  RULES AND PROCEDURES.  The governing body of a local government may adopt rules relating to the administration of the health care provider participation program in the local government, including collection of the mandatory payments, expenditures, audits, and any other administrative aspects of the program.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter B. Powers and Duties of Governing Body › Section 300.0053. Institutional Health Care Provider Reporting

Sec. 300.0053.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING.  If the governing body of a local government authorizes the local government to participate in a health care provider participation program under this chapter, the governing body shall require each institutional health care provider to submit to the local government a copy of any financial and utilization data required by and reported to the Department of State Health Services under Sections 311.032 and 311.033 and any rules adopted by the executive commissioner of the Health and Human Services Commission to implement those sections.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter C. General Financial Provisions › Section 300.0101. Hearing

Sec. 300.0101.  HEARING.  (a)  In each year that the governing body of a local government authorizes a health care provider participation program under this chapter, the governing body shall hold a public hearing on the amounts of any mandatory payments that the governing body intends to require during the year and how the revenue derived from those payments is to be spent.
(b)  Not later than the fifth day before the date of the hearing required under Subsection (a), the governing body shall publish notice of the hearing in a newspaper of general circulation in the hospital district, county, or municipality, as applicable, and provide written notice of the hearing to the chief operating officer of each institutional health care provider located in the hospital district, county, or municipality, as applicable.
(c)  A representative of a paying hospital is entitled to appear at the time and place designated in the public notice and to be heard regarding any matter related to the mandatory payments authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter C. General Financial Provisions › Section 300.0102. Local Provider Participation Fund; Depository

Sec. 300.0102.  LOCAL PROVIDER PARTICIPATION FUND; DEPOSITORY.  (a)  Each governing body of a local government that collects a mandatory payment authorized under this chapter shall create a local provider participation fund.
(b)  If a governing body of a local government creates a local provider participation fund, the governing body shall designate one or more banks as a depository for the mandatory payments received by the local government.
(c)  The governing body of a local government may withdraw or use money in the local provider participation fund of the local government only for a purpose authorized under this chapter.
(d)  All funds collected under this chapter shall be secured in the manner provided for securing other funds of the local government.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter D. Mandatory Payments › Section 300.0152. Assessment and Collection of Mandatory Payments

Sec. 300.0152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  (a)  A hospital district may designate an official of the district or contract with another person to assess and collect the mandatory payments authorized under this chapter.
(b)  A county or municipality may collect or, using a competitive bidding process, contract for the assessment and collection of mandatory payments authorized under this chapter.
(c)  The person charged by the local government with the assessment and collection of mandatory payments shall charge and deduct from the mandatory payments collected for the local government a collection fee in an amount not to exceed the person's usual and customary charges for like services.
(d)  If the person charged with the assessment and collection of mandatory payments is an official of the local government, any revenue from a collection fee charged under Subsection (c) shall be deposited in the local government general fund and, if appropriate, shall be reported as fees of the local government.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter D. Mandatory Payments › Section 300.0153. Correction of Invalid Provision or Procedure

Sec. 300.0153.  CORRECTION OF INVALID PROVISION OR PROCEDURE.  (a)  This chapter does not authorize a local government to collect mandatory payments for the purpose of raising general revenue or any amount in excess of the amount reasonably necessary to fund the nonfederal share of a Medicaid supplemental payment program or Medicaid managed care rate enhancements for nonpublic hospitals and to cover the administrative expenses of the local government associated with activities under this chapter and other uses of the fund described by Section 300.0103(b).
(b)  To the extent any provision or procedure under this chapter causes a mandatory payment authorized under this chapter to be ineligible for federal matching funds, the local government may provide by rule for an alternative provision or procedure that conforms to the requirements of the federal Centers for Medicare and Medicaid Services.  A rule adopted under this section may not create, impose, or materially expand the legal or financial liability or responsibility of the local government or an institutional health care provider in the local hospital district, county, or municipality, as applicable, beyond the provisions of this chapter.  This section does not require the governing body of a local government to adopt a rule.
(c)  The local government may only assess and collect a mandatory payment authorized under this chapter if a waiver program, uniform rate enhancement, or reimbursement described by Section 300.0103(b)(1) is available to the local government.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter D. Mandatory Payments › Section 300.0154. Reporting Requirements

Sec. 300.0154.  REPORTING REQUIREMENTS.  (a)  The governing body of each local government that authorizes a program under this chapter shall report information to the Health and Human Services Commission regarding the program on a schedule determined by the commission.
(b)  The information must include:
(1)  the amount of the mandatory payments required and collected in each year the program is authorized;
(2)  any expenditure of money attributable to mandatory payments collected under this chapter, including:
(A)  any contract with an entity for the administration or operation of a program authorized by this chapter; or
(B)  a contract with a person for the assessment and collection of a mandatory payment as authorized under Section 300.0152; and
(3)  the amount of money attributable to mandatory payments collected under this chapter that is used for any other purpose.
(c)  The executive commissioner of the Health and Human Services Commission shall adopt rules to administer this section.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter D. Mandatory Payments › Section 300.0155. Expiration of Authority

Sec. 300.0155.  EXPIRATION OF AUTHORITY.  The authority of a local government to administer and operate a program under this chapter expires on September 1 following the second anniversary of the date the governing body of the local government adopted the order or ordinance authorizing the local government to participate in the program as provided by Section 300.0004.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300 - Health Care Provider Participation Programs in Certain Political Subdivisions in This State › Subchapter D. Mandatory Payments › Section 300.0156. Authority to Refuse for Violation

Sec. 300.0156.  AUTHORITY TO REFUSE FOR VIOLATION.  The Health and Human Services Commission may refuse to accept money from a local provider participation fund established under this chapter if the commission determines that doing so may violate federal law.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300A - Health Care Provider Participation Program in Districts Composed of Certain Local Governments › Subchapter A. General Provisions › Section 300A.0001. Purpose

Sec. 300A.0001.  PURPOSE.  The purpose of this chapter is to authorize certain local governments to create a district to administer a health care provider participation program to provide additional compensation to certain hospitals in the district by collecting mandatory payments from each of those hospitals in the district to be used to provide the nonfederal share of a Medicaid supplemental payment program and for other purposes as authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 2, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 300A - Health Care Provider Participation Program in Districts Composed of Certain Local Governments › Subchapter A. General Provisions › Section 300A.0002. Definitions

Sec. 300A.0002.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of directors of a district.
(2)  "Director" means a member of the board.
(3)  "District" means a health care provider participation district created under this chapter.
(4)  "Institutional health care provider" means a nonpublic hospital that provides inpatient hospital services.
(5)  "Local government" means a hospital district, county, or municipality to which this chapter applies.
(6)  "Paying hospital" means an institutional health care provider required to make a mandatory payment under this chapter.
(7)  "Program" means a health care provider participation program authorized by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 923 (H.B. 4289), Sec. 2, eff. June 10, 2019.