CHAPTER 534. LOCALLY BASED MEDICAID AND OTHER RELATED HEALTH CARE INITIATIVES
GOVERNMENT CODE
TITLE 4. EXECUTIVE BRANCH
SUBTITLE I. HEALTH AND HUMAN SERVICES
CHAPTER 534. LOCALLY BASED MEDICAID AND OTHER RELATED HEALTH CARE
INITIATIVES
For expiration of this chapter, see Section 534.301.
SUBCHAPTER A. GENERAL PROVISIONS
Sec. 534.001. LEGISLATIVE INTENT. It is the intent of the
legislature that certain local governmental entities collaborate
to the extent necessary with other local governmental entities
and small business employers to provide or deliver cost-effective
health care services to persons eligible to participate in the
initiatives established under this chapter.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
Sec. 534.002. DEFINITIONS. In this chapter:
(1) "Local governmental entity" means:
(A) a hospital district created and established under the
authority of Sections 4 through 11, Article IX, Texas
Constitution;
(B) a hospital authority created and established under Chapter
262 or 264, Health and Safety Code, that to some extent uses tax
or other public revenue to provide health care services to
indigent persons;
(C) a hospital owned and operated by a municipality, county, or
hospital authority and created under Chapter 262 or 264, Health
and Safety Code;
(D) a medical school operated by this state;
(E) a medical school that receives state funds under Section
61.093, Education Code, or a chiropractic school that receives
state funds under the General Appropriations Act;
(F) a teaching hospital operated by The University of Texas
System;
(G) a county that provides health care services and assistance
to indigent residents of the county under Subchapter B, Chapter
61, Health and Safety Code;
(H) a governmental entity that provides funds to a public
hospital for the provision of health care services to indigent
persons under Section 61.062, Health and Safety Code;
(I) a county with a population of more than 400,000 that
provides funds to a public hospital and that is not included in
the boundaries of a hospital district;
(J) a hospital owned by a municipality and leased to and
operated by a nonprofit hospital for a public purpose, subject to
federal approval of matching funds from such an entity;
(K) a health services district created and established under
Chapter 287, Health and Safety Code; and
(L) a statewide rural health care system established under
Chapter 20C or 845, Insurance Code.
(2) "Managed care organization" means a person who is authorized
or otherwise permitted by law to arrange for or provide a managed
care plan.
(3) "Managed care plan" means a plan under which a person
undertakes to provide, arrange for, pay for, or reimburse any
part of the cost of any health care services. A part of the plan
must consist of arranging for or providing health care services
as distinguished from indemnification against the cost of those
services on a prepaid basis through insurance or otherwise. The
term includes a primary care case management provider network.
The term does not include a plan that indemnifies a person for
the cost of health care services through insurance.
(4) "Task force" means the task force on local health care
initiatives established under Section 534.101.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
Sec. 534.003. RULES. (a) The commission shall adopt rules as
necessary to implement this chapter.
(b) The commission may require the Texas Department of Human
Services or any other health and human services agency to adopt,
with the approval of the commission, any rules that may be
necessary to implement this chapter.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
SUBCHAPTER B. TASK FORCE
Sec. 534.101. TASK FORCE ON LOCAL HEALTH CARE INITIATIVES. (a)
The commissioner shall establish a task force on local health
care initiatives.
(b) The commissioner shall appoint as members of the task force:
(1) 10 representatives of local governmental entities, at least
seven of whom must be representatives of local governmental
entities located in counties or municipalities with a population
of 500,000 or more and one of whom represents the interests of
local governmental entities in rural areas;
(2) two representatives of health care providers, including one
member who represents the interests of private nonprofit health
benefit plans;
(3) one representative of small business owners;
(4) one physician licensed under Subtitle B, Title 3,
Occupations Code; and
(5) one public member.
(c) The members of the task force serve staggered two-year terms
with as near as possible to half of the members' terms expiring
February 1 of each year. The members shall draw lots at the first
task force meeting to determine the length of each member's
initial term and the members' terms that expire each year.
(d) The commissioner shall designate a member of the task force
to serve as presiding officer.
(e) A member of the task force is not entitled to compensation
for service on the task force and is not entitled to
reimbursement for travel expenses.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
Sec. 534.102. POWERS AND DUTIES. (a) The task force may, in
conjunction with the commission, develop one or both of the
demonstration projects authorized under Subchapter C.
(b) The task force shall:
(1) advise the commission on local health care issues and
concerns affecting local governmental entities selected to
participate in a demonstration project developed under Subchapter
C;
(2) assist the commission with the preparation of a report that
may be required by Section 534.203;
(3) if one or both of the demonstration projects authorized
under Subchapter C are established, identify administrative costs
that the commission may incur with regard to the implementation
of each of the demonstration projects that is established and
develop a mechanism to provide for the reimbursement of those
costs by the participating local governmental entities; and
(4) perform any other duty or function prescribed by this
chapter or other law.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
Sec. 534.103. MEETINGS. The task force shall meet at the call
of the presiding officer.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.
SUBCHAPTER C. DEMONSTRATION PROJECTS TO PROVIDE HEALTH CARE
COVERAGE TO LOW-INCOME PARENTS OF CHILDREN RECEIVING MEDICAID
SUBCHAPTER D. MISCELLANEOUS PROVISIONS
Sec. 534.301. EXPIRATION. This chapter expires September 1,
2011.
Added by Acts 2003, 78th Leg., ch. 1139, Sec. 1, eff. Sept. 1,
2003.