reglab/statecodes huggingface dataset:
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298B - Tarrant County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298B.154. Federal Disallowance

Sec. 298B.154.  FEDERAL DISALLOWANCE.  Notwithstanding any other provision of this chapter, if the Centers for Medicare and Medicaid Services issues a disallowance of federal matching funds for a purpose for which intergovernmental transfers described by Section 298B.103(c)(1) were made and the Health and Human Services Commission demands repayment from the district of federal funds paid to the district for that purpose, the district may require and collect mandatory payments from each paying provider that received those federal funds in an amount sufficient to satisfy the repayment demand made by the commission.  The percentage limitation prescribed by Section 298B.151(c) does not apply to a mandatory payment required under this section.
Added by Acts 2017, 85th Leg., R.S., Ch. 457 (S.B. 1462), Sec. 28, eff. June 12, 2017.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298C.001. Definitions

Sec. 298C.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of the district.
(2)  "District" means the Nueces County Hospital District.
(3)  "Institutional health care provider" means a hospital that is not owned and operated by a federal or state government and 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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298C.002. Applicability

Sec. 298C.002.  APPLICABILITY.  This chapter applies only to the Nueces County Hospital District.
Added by Acts 2019, 86th Leg., R.S., Ch. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298C.003. Health Care Provider Participation Program; Participation in Program

Sec. 298C.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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298C.051. Limitation on Authority to Require Mandatory Payment

Sec. 298C.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 2019, 86th Leg., R.S., Ch. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298C.052. Rules and Procedures

Sec. 298C.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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298C.053. Institutional Health Care Provider Reporting

Sec. 298C.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 located in the district to submit to the district 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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298C.101. Hearing

Sec. 298C.101.  HEARING.  (a)  In each fiscal 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 located in the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298C.102. Depository

Sec. 298C.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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298C.152. Assessment and Collection of Mandatory Payments

Sec. 298C.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. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298C - Nueces County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298C.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 298C.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 hospitals to support the provision of health care by institutional health care providers located in the district.
(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 fund the nonfederal share of a Medicaid supplemental payment program or Medicaid managed care rate enhancements for hospitals and to cover the administrative expenses of the district associated with activities under this chapter.
(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 298C.103(c)(1) is available to at least one institutional health care provider located in the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 694 (S.B. 2315), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298D.001. Purpose

Sec. 298D.001.  PURPOSE.  The purpose of this chapter is to authorize the district to administer a health care provider participation program to provide additional compensation to nonpublic hospitals by collecting mandatory payments from each nonpublic hospital 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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298D.002. Definitions

Sec. 298D.002.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of the district.
(2)  "District" means the Lubbock County Hospital District of Lubbock County, Texas.
(3)  "Institutional health care provider" means a nonpublic hospital located in the district that provides inpatient hospital services.
(4)  "Paying hospital" 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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298D.003. Applicability

Sec. 298D.003.  APPLICABILITY.  This chapter applies only to the Lubbock County Hospital District of Lubbock County, Texas.
Added by Acts 2019, 86th Leg., R.S., Ch. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298D.004. Health Care Provider Participation Program; Participation in Program

Sec. 298D.004.  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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298D.051. Limitation on Authority to Require Mandatory Payment

Sec. 298D.051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The board may require a mandatory payment authorized under this chapter from 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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298D.052. Institutional Health Care Provider Reporting

Sec. 298D.052.  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 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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298D.053. Rules and Procedures

Sec. 298D.053.  RULES AND PROCEDURES.  The board may adopt rules relating to the administration of the health care provider participation 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. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298D.101. Hearing

Sec. 298D.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 the chief operating officer of each institutional health care provider in the district.
(c)  The board's determination of the amount of mandatory payments to be collected during the year must be shown to be based on reasonable estimates of the amount of revenue necessary to fund intergovernmental transfers from the district to the state providing the nonfederal share of payments described by Section 298D.103(b)(1) that is otherwise unfunded.
Added by Acts 2019, 86th Leg., R.S., Ch. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
Amended by:
Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.002(13), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298D.102. Local Provider Participation Fund; Depository

Sec. 298D.102.  LOCAL PROVIDER PARTICIPATION FUND; DEPOSITORY.  (a)  If the board collects a mandatory payment authorized under this chapter, the board shall create a local provider participation fund in one or more banks located in the district that are designated by the district as a depository for public funds.
(b)  All money received by the district under this chapter, including the amount of revenue from mandatory payments remaining after deducting any discounts and fees for assessing and collecting the payments, shall be deposited with a depository designated under Subsection (a).
(c)  The board may withdraw or use money in the fund only for a purpose authorized under this chapter.
(d)  All funds collected under this chapter shall be secured in the manner provided by Chapter 1053, Special District Local Laws Code, for securing public funds of the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298D.152. Assessment and Collection of Mandatory Payments

Sec. 298D.152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  The district may collect or contract for the assessment and collection of mandatory payments authorized under this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298D - Lubbock County Hospital District of Lubbock County, Texas: Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298D.153. Correction of Invalid Provision or Procedure

Sec. 298D.153.  CORRECTION OF INVALID PROVISION OR PROCEDURE.  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.
Added by Acts 2019, 86th Leg., R.S., Ch. 454 (S.B. 2448), Sec. 1, eff. June 4, 2019.
Redesignated by Acts 2021, 87th Leg., R.S., Ch. 915 (H.B. 3607), Sec. 21.001(56), eff. September 1, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter A. General Provisions › Section 298E.001. Definitions

Sec. 298E.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of a district.
(2)  "District" means a hospital district to which this chapter applies.
(3)  "Institutional health care provider" means a hospital that is not owned and operated by a federal, state, or local government and 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 a health care provider participation program authorized by this chapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter A. General Provisions › Section 298E.002. Applicability

Sec. 298E.002.  APPLICABILITY.  This chapter applies only to a hospital district created in a county with a population of more than 1.2 million that was not included in the boundaries of a hospital district before September 1, 2003.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 93, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter A. General Provisions › Section 298E.003. Health Care Provider Participation Program; Participation in Program

Sec. 298E.003.  HEALTH CARE PROVIDER PARTICIPATION PROGRAM; PARTICIPATION IN PROGRAM.  The board of a district 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. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter A. General Provisions › Section 298E.004. Expiration

Sec. 298E.004.  EXPIRATION.  (a)  Subject to Section 298E.153(d), the authority of a 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. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 77 (S.B. 699), Sec. 1, eff. September 1, 2023.
Acts 2023, 88th Leg., R.S., Ch. 857 (H.B. 3456), Sec. 4, eff. June 13, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter B. Powers and Duties of Board › Section 298E.051. Limitation on Authority to Require Mandatory Payment

Sec. 298E.051.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  The board of a district 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 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter B. Powers and Duties of Board › Section 298E.052. Rules and Procedures

Sec. 298E.052.  RULES AND PROCEDURES.  The board of a district 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. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter B. Powers and Duties of Board › Section 298E.053. Institutional Health Care Provider Reporting

Sec. 298E.053.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING.  If the board of a district authorizes the district to participate in a program under this chapter, the board shall require each institutional health care provider located in the district to submit to the district 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. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter C. General Financial Provisions › Section 298E.101. Hearing

Sec. 298E.101.  HEARING.  (a)  In each year that the board of a district 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 located in the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter C. General Financial Provisions › Section 298E.102. Depository

Sec. 298E.102.  DEPOSITORY.  (a)  If the board of a district 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 by a district under this chapter shall be secured in the manner provided for securing other funds of the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter D. Mandatory Payments › Section 298E.151. Mandatory Payments Based on Paying Provider Net Patient Revenue

Sec. 298E.151.  MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.  (a)  Except as provided by Subsection (e), if the board of a district authorizes a health care provider participation program under this chapter, the board may require an annual mandatory payment to be assessed on the net patient revenue of each institutional health care provider located in the district.  The board may provide for the mandatory payment to be assessed quarterly.  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 reported in the provider's Medicare cost report submitted for the most recent fiscal year for which the provider submitted a Medicare cost report.  If the mandatory payment is required, the district shall update the amount of the mandatory payment on an annual basis.
(b)  The amount of a mandatory payment assessed under this chapter by the board of a district must be uniformly proportionate with the amount of net patient revenue generated by each paying provider in the district as permitted under federal law.  A health care provider participation program authorized under this chapter may not hold harmless any institutional health care provider located in the district, as required under 42 U.S.C. Section 1396b(w).
(c)  If the board of a district 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 by all paying providers in the district.
(d)  Subject to Subsection (c), if the board of a district 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 298E.103(c)(1).  The annual amount of revenue from mandatory payments that shall be paid for administrative expenses by the district is $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 4, Article IX, Texas Constitution, or Section 281.045 of this code.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter D. Mandatory Payments › Section 298E.152. Assessment and Collection of Mandatory Payments

Sec. 298E.152.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  (a)  A 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. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298E - Health Care Provider Participation Program in Certain Hospital Districts › Subchapter D. Mandatory Payments › Section 298E.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 298E.153.  PURPOSE; CORRECTION OF INVALID PROVISION OR PROCEDURE; LIMITATION OF AUTHORITY.  (a)  The purpose of this chapter is to authorize a 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 hospitals to support the provision of health care by institutional health care providers located in the district to district residents in need of health care.
(b)  This chapter does not authorize a district 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 hospitals and to cover the administrative expenses of the district associated with activities under this chapter.
(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 of a district 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)  A 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 298E.103(c)(1) is available to the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 304 (H.B. 1142), Sec. 2, eff. May 31, 2019.
Added by Acts 2019, 86th Leg., R.S., Ch. 345 (S.B. 1350), Sec. 1, eff. May 31, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298F.001. Definitions

Sec. 298F.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of the district.
(2)  "District" means the Bexar 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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298F.002. Applicability

Sec. 298F.002.  APPLICABILITY.  This chapter applies only to the Bexar County Hospital District.
Added by Acts 2019, 86th Leg., R.S., Ch. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298F.003. Health Care Provider Participation Program; Participation in Program

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter A. General Provisions › Section 298F.004. Expiration

Sec. 298F.004.  EXPIRATION.  (a)  Subject to Section 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 202 (S.B. 1155), Sec. 1, eff. May 24, 2023.
Acts 2023, 88th Leg., R.S., Ch. 857 (H.B. 3456), Sec. 5, eff. June 13, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298F.051. Limitation on Authority to Require Mandatory Payment

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298F.052. Rules and Procedures

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter B. Powers and Duties of Board › Section 298F.053. Institutional Health Care Provider Reporting

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298F.101. Hearing

Sec. 298F.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 paying 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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter C. General Financial Provisions › Section 298F.102. Depository

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298F.152. Assessment and Collection of Mandatory Payments

Sec. 298F.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. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298F.153. Purpose; Correction of Invalid Provision or Procedure; Limitation of Authority

Sec. 298F.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 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 district associated with activities under this chapter and other amounts for which the fund may be used as described by Section 298F.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, reimbursement, or other payment described by Section 298F.103(c)(1) is available to nonpublic hospitals in the district.
Added by Acts 2019, 86th Leg., R.S., Ch. 639 (S.B. 1545), Sec. 1, eff. June 10, 2019.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 298F - Bexar County Hospital District Health Care Provider Participation Program › Subchapter D. Mandatory Payments › Section 298F.154. Interest and Penalties

Sec. 298F.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. 202 (S.B. 1155), Sec. 2, eff. May 24, 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 A. General Provisions › Section 298G.001. Definitions

Sec. 298G.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of hospital managers of the district.
(2)  "District" means the El Paso 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. 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 A. General Provisions › Section 298G.002. Applicability

Sec. 298G.002.  APPLICABILITY.  This chapter applies only to the El Paso County Hospital 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 A. General Provisions › Section 298G.003. Health Care Provider Participation Program; Participation in Program

Sec. 298G.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. 347 (S.B. 1751), Sec. 1, eff. May 31, 2019.