H.B. No. 2722
  relating to the state Medicaid program as the payor of last resort.
         SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.04242 to read as follows:
         Sec. 32.04242.  PAYOR OF LAST RESORT.  The executive
  commissioner of the Health and Human Services Commission shall
  adopt rules to ensure, to the extent allowed by federal law, that
  the Medicaid program:
               (1)  is the payor of last resort; and
               (2)  provides reimbursement for services, including
  long-term care services, only if, and to the extent, other adequate
  public or private sources of payment are not available.
         SECTION 2.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2011.
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
         I certify that H.B. No. 2722 was passed by the House on May
  13, 2011, by the following vote:  Yeas 121, Nays 10, 2 present, not
  Chief Clerk of the House   
         I certify that H.B. No. 2722 was passed by the Senate on May
  25, 2011, by the following vote:  Yeas 31, Nays 0.
  Secretary of the Senate    
  APPROVED:  _____________________