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          AN ACT
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        relating to county expenditures for certain health care services. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 61.036, Health and Safety Code, is  | 
      
      
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        amended by adding Subsections (d) and (e) to read as follows: | 
      
      
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               (d)  Regardless of the application, documentation, and  | 
      
      
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        verification procedures or eligibility standards established by  | 
      
      
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        the department under Subchapter A, a county may credit an  | 
      
      
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        intergovernmental transfer to the state toward eligibility for  | 
      
      
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        state assistance if the transfer was made to provide health care  | 
      
      
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        services as part of the Texas Healthcare Transformation and Quality  | 
      
      
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        Improvement Program waiver issued under 42 U.S.C. Section 1315. | 
      
      
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               (e)  A county may credit toward eligibility for state  | 
      
      
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        assistance intergovernmental transfers made under Subsection (d)  | 
      
      
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        that in the aggregate do not exceed four percent of the county's  | 
      
      
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        general revenue levy in any state fiscal year, provided: | 
      
      
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                     (1)  the commissioners court determines that the  | 
      
      
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        expenditure fulfills the county's obligations to provide indigent  | 
      
      
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        health care under this chapter; | 
      
      
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                     (2)  the commissioners court determines that the amount  | 
      
      
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        of care available through participation in the waiver is sufficient  | 
      
      
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        in type and amount to meet the requirements of this chapter; and | 
      
      
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                     (3)  the county receives periodic reports from health  | 
      
      
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        care providers that receive supplemental or incentive payments  | 
      
      
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        under the Texas Healthcare Transformation and Quality Improvement  | 
      
      
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        Program waiver that document the number and types of services  | 
      
      
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        provided to persons who are eligible to receive services under this  | 
      
      
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        chapter. | 
      
      
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               SECTION 2.  Not later than December 1, 2014, the Department  | 
      
      
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        of State Health Services shall submit a report to the governor, the  | 
      
      
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        lieutenant governor, and the speaker of the house of  | 
      
      
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        representatives on the effects of the provisions of this Act on  | 
      
      
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        services rendered to eligible residents under Chapter 61, Health  | 
      
      
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        and Safety Code. | 
      
      
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               SECTION 3.  (a)  The change in law made by this Act to  | 
      
      
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        Section 61.036, Health and Safety Code, applies only to state  | 
      
      
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        assistance for health care services under Chapter 61, Health and  | 
      
      
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        Safety Code, as amended by this Act, that are delivered on or after  | 
      
      
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        the effective date of this Act. | 
      
      
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               (b)  State assistance for health care services under Chapter  | 
      
      
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        61, Health and Safety Code, that are delivered before the effective  | 
      
      
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        date of this Act is governed by the law as it existed immediately  | 
      
      
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        before the effective date of this Act, and that law is continued in  | 
      
      
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        effect for that purpose. | 
      
      
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               SECTION 4.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2013. | 
      
      
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        ______________________________ | 
        ______________________________ | 
      
      
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           President of the Senate | 
        Speaker of the House      | 
      
      
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               I hereby certify that S.B. No. 872 passed the Senate on  | 
      
      
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        April 25, 2013, by the following vote:  Yeas 30, Nays 0; and that  | 
      
      
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        the Senate concurred in House amendment on May 25, 2013, by the  | 
      
      
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        following vote:  Yeas 30, Nays 0. | 
      
      
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        ______________________________ | 
      
      
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        Secretary of the Senate     | 
      
      
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               I hereby certify that S.B. No. 872 passed the House, with  | 
      
      
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        amendment, on May 22, 2013, by the following vote:  Yeas 148,  | 
      
      
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        Nays 0, two present not voting. | 
      
      
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        ______________________________ | 
      
      
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        Chief Clerk of the House    | 
      
      
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        Approved: | 
      
      
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        ______________________________  | 
      
      
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                    Date | 
      
      
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        ______________________________  | 
      
      
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                  Governor |