|   | 
      
      
        |   | 
      
      
        |   | 
      
      
        | 
           
			 | 
        
          AN ACT
         | 
      
      
        | 
           
			 | 
        relating to use of district funds by the Nueces County Hospital  | 
      
      
        | 
           
			 | 
        District. | 
      
      
        | 
           
			 | 
               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
        | 
           
			 | 
               SECTION 1.  Section 281.094, Health and Safety Code, is  | 
      
      
        | 
           
			 | 
        amended by amending Subsection (b) and adding Subsection (c) to  | 
      
      
        | 
           
			 | 
        read as follows: | 
      
      
        | 
           
			 | 
               (b)  The board of the Nueces County Hospital District may use  | 
      
      
        | 
           
			 | 
        funds made available to the district from any source to fund: | 
      
      
        | 
           
			 | 
                     (1)  indigent health care; and | 
      
      
        | 
           
			 | 
                     (2)  intergovernmental transfers from the district to  | 
      
      
        | 
           
			 | 
        the state for use as the nonfederal share of Medicaid supplemental  | 
      
      
        | 
           
			 | 
        payment program or waiver program payments for eligible health care  | 
      
      
        | 
           
			 | 
        providers located inside or outside the district's boundaries,  | 
      
      
        | 
           
			 | 
        including, but not limited to, any payments available through a  | 
      
      
        | 
           
			 | 
        waiver granted under Section 1115, Social Security Act (42 U.S.C.  | 
      
      
        | 
           
			 | 
        Section 1315), or other similar payment programs, subject to the  | 
      
      
        | 
           
			 | 
        limitation prescribed by Subsection (c). | 
      
      
        | 
           
			 | 
               (c)  Neither the funds comprising an intergovernmental  | 
      
      
        | 
           
			 | 
        transfer described by Subsection (b)(2) nor any federal funds  | 
      
      
        | 
           
			 | 
        obtained from any such transfer may be used by the board of the  | 
      
      
        | 
           
			 | 
        Nueces County Hospital District or any entity to expand eligibility  | 
      
      
        | 
           
			 | 
        for medical assistance (Medicaid) under the Patient Protection and  | 
      
      
        | 
           
			 | 
        Affordable Care Act (Pub. L. No. 111-148), as amended by the Health  | 
      
      
        | 
           
			 | 
        Care and Education Reconciliation Act of 2010 (Pub. L. No.  | 
      
      
        | 
           
			 | 
        111-152). | 
      
      
        | 
           
			 | 
               SECTION 2.  This Act takes effect immediately if it receives  | 
      
      
        | 
           
			 | 
        a vote of two-thirds of all the members elected to each house, as  | 
      
      
        | 
           
			 | 
        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
        | 
           
			 | 
        Act does not receive the vote necessary for immediate effect, this  | 
      
      
        | 
           		
			 | 
        Act takes effect September 1, 2013. | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
         | 
      
      
        |   | 
      
      
        |   | 
      
      
        |   | 
      
      
        |   | 
        ______________________________ | 
        ______________________________ | 
      
      
        |   | 
           President of the Senate | 
        Speaker of the House      | 
      
      
        |   | 
      
      
        | 
           		
			 | 
               I hereby certify that S.B. No. 1863 passed the Senate on  | 
      
      
        | 
           		
			 | 
        May 8, 2013, by the following vote:  Yeas 30, Nays 0. | 
      
      
        | 
           		
			 | 
         | 
      
      
        |   | 
      
      
        |   | 
        ______________________________ | 
      
      
        |   | 
        Secretary of the Senate     | 
      
      
        |   | 
      
      
        | 
           		
			 | 
               I hereby certify that S.B. No. 1863 passed the House on  | 
      
      
        | 
           		
			 | 
        May 22, 2013, by the following vote:  Yeas 147, Nays 1, two  | 
      
      
        | 
           		
			 | 
        present not voting. | 
      
      
        | 
           		
			 | 
         | 
      
      
        |   | 
      
      
        |   | 
        ______________________________ | 
      
      
        |   | 
        Chief Clerk of the House    | 
      
      
        |   | 
      
      
        | 
           		
			 | 
         | 
      
      
        |   | 
      
      
        | 
           		
			 | 
        Approved: | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
        ______________________________  | 
      
      
        | 
           		
			 | 
                    Date | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
        ______________________________  | 
      
      
        | 
           		
			 | 
                  Governor |