Texas § 526.0301 STRATEGIC PLAN FOR RURAL HOSPITAL SERVICES; REPORT.

Texas Statutes

§ 526.0301 — STRATEGIC PLAN FOR RURAL HOSPITAL SERVICES; REPORT.

Texas § 526.0301

Code GVGovernment Code

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Bluebook

Tex. Government Code Code Ann. § 526.0301 (2026).

Text

Sec. 526.0301. STRATEGIC PLAN FOR RURAL HOSPITAL SERVICES; REPORT.

(a)The commission shall develop and implement a strategic plan to ensure that the citizens in this state residing in rural areas have access to hospital services.

(b)The strategic plan must include:

(1)a proposal for using at least one of the following methods to ensure access to hospital services in the rural areas of this state:

(A)an enhanced cost reimbursement methodology for the payment of rural hospitals participating in the Medicaid managed care program in conjunction with a supplemental payment program for rural hospitals to cover costs incurred in providing services to recipients;

(B)a hospital rate enhancement program applicable only to rural hospitals;

(C)a reduction of punitive actions under Medicaid that

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Sec. 526.0301. STRATEGIC PLAN FOR RURAL HOSPITAL SERVICES; REPORT. (a) The commission shall develop and implement a strategic plan to ensure that the citizens in this state residing in rural areas have access to hospital services.
(b) The strategic plan must include:
(1) a proposal for using at least one of the following methods to ensure access to hospital services in the rural areas of this state:
(A) an enhanced cost reimbursement methodology for the payment of rural hospitals participating in the Medicaid managed care program in conjunction with a supplemental payment program for rural hospitals to cover costs incurred in providing services to recipients;
(B) a hospital rate enhancement program applicable only to rural hospitals;
(C) a reduction of punitive actions under Medicaid that require reimbursement for Medicaid payments made to a rural hospital provider, a reduction of the frequency of payment reductions under Medicaid made to rural hospitals, and an enhancement of payments made under merit-based programs or similar programs for rural hospitals;
(D) a reduction of state regulatory-related costs related to the commission's review of rural hospitals; or
(E) in accordance with rules the Centers for Medicare and Medicaid Services adopts, the establishment of a minimum fee schedule that applies to payments made to rural hospitals by Medicaid managed care organizations;
(2) target dates for achieving goals related to the proposal described by Subdivision (1); and
(3) a rural hospital financial needs assessment and financial vulnerability index quantifying the likelihood that a rural hospital, during the next two-year period, will be able to:
(A) maintain the types of patient services the hospital currently offers at the same level of service;
(B) meet the hospital's current financial obligations; and
(C) remain operational.
(c) Not later than December 1 of each even-numbered year, the State Office of Rural Hospital Finance established under Section 526.0304 shall submit a report regarding the development and implementation of the strategic plan to:
(1) the legislature;
(2) the governor; and
(3) the Legislative Budget Board.

Legislative History

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 1.01, eff. April 1, 2025. Amended by: Acts 2025, 89th Leg., R.S., Ch. 707 (H.B. 18 ), Sec. 2, eff. June 20, 2025.