S.B. No. 73
  relating to providing access to local public health entities and
  certain health service regional offices under Medicaid.
         SECTION 1.  Section 32.003, Human Resources Code, is amended
  by adding Subdivisions (2), (3), (3-a), and (5) to read as follows:
               (2)  "Local health department" means a local health
  department established under Subchapter D, Chapter 121, Health and
  Safety Code.
               (3)  "Local health unit" means a local health unit
  described by Section 121.004, Health and Safety Code.
               (3-a)  "Local public health entity" means:
                     (A)  a local health unit;
                     (B)  a local health department; and
                     (C)  a public health district.
               (5)  "Public health district" means a public health
  district established under Subchapter E, Chapter 121, Health and
  Safety Code.
         SECTION 2.  Section 32.024, Human Resources Code, is amended
  by adding Subsection (ll) to read as follows:
         (ll)  The executive commissioner shall establish a separate
  provider type for a local public health entity for purposes of
  enrollment as a provider for and reimbursement under the medical
  assistance program.
         SECTION 3.  Section 32.101(2), Human Resources Code, is
  amended to read as follows:
               (2)  "Health care provider" means a person, other than
  a physician, who:
                     (A)  is licensed or otherwise authorized to
  provide a health care service in this state, including:
                           (i)  a pharmacist, dentist, optometrist,
  mental health counselor, social worker, advanced practice nurse,
  physician assistant, or durable medical equipment supplier; [or]
                           (ii)  a pharmacy, hospital, or other
  institution or organization; or
                           (iii)  a local public health entity;
                     (B)  is wholly owned or controlled by:
                           (i)  a health care provider or a group of
  health care providers described by Paragraph (A); or
                           (ii)  one or more hospitals and physicians,
  including a physician-hospital organization;
                     (C)  is a professional association of physicians
  organized under the Texas Professional Association Law, as
  described by Section 1.008, Business Organizations Code;
                     (D)  is an approved nonprofit health corporation
  certified under Chapter 162, Occupations Code;
                     (E)  is a medical and dental unit, as defined by
  Section 61.003, Education Code, a medical school, as defined by
  Section 61.501, Education Code, or a health science center
  described by Subchapter K, Chapter 74, Education Code, that employs
  or contracts with physicians to teach or provide medical services,
  or employs physicians and contracts with physicians in a practice
  plan; or
                     (F)  is another person wholly owned by physicians.
         SECTION 4.  The Health and Human Services Commission and the
  Department of State Health Services are required to implement a
  provision of this Act only if the legislature appropriates money
  specifically for that purpose.  If the legislature does not
  appropriate money specifically for that purpose, the commission and
  the department may, but are not required to, implement a provision
  of this Act using other appropriations that are available for that
         SECTION 5.  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 6.  This Act takes effect September 1, 2021.
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
         I hereby certify that S.B. No. 73 passed the Senate on
  April 12, 2021, by the following vote: Yeas 28, Nays 3; and that
  the Senate concurred in House amendments on May 27, 2021, by the
  following vote: Yeas 31, Nays 0.
  Secretary of the Senate    
         I hereby certify that S.B. No. 73 passed the House, with
  amendments, on May 24, 2021, by the following vote: Yeas 109,
  Nays 36, one present not voting.
  Chief Clerk of the House