Tex. Gov't Code § 543A.0152 · Subchapter D. QUALITY-BASED HOSPITAL REIMBURSEMENT SYSTEM
REIMBURSEMENT ADJUSTMENTS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The commission shall use the data collected under Section 543A.0151 and the diagnosis-related groups (DRG) methodology implemented under Section 543A.0005, if applicable, to adjust, to the extent feasible, child health plan program and Medicaid reimbursements to hospitals, including payments made under the disproportionate share hospitals and upper payment limit supplemental payment programs. The commission shall base an adjustment for a hospital on the hospital's performance with respect to exceeding or failing to achieve outcome and process measures developed under Section 543A.0002 that address the rates of potentially preventable readmissions and potentially preventable complications.
(b) The commission must provide the report required by Section 543A.0151(c) to a hospital at least one year before adjusting child health plan program and Medicaid reimbursements to the hospital under this section.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/GV/htm/GV.543A.htm
- Text hash
- sha256 fbdc238b9ccacb2d1f0f5394e0db0943aa83b5309e551947f7288d733b23fecb
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Government Code
- Tex. Gov't Code § 543A.0002DEVELOPMENT OF OUTCOME AND PROCESS MEASURES; CORRELATION WITH INCREASED REIMBURSEMENT RATES.Printed as Section 543A.0002
- Tex. Gov't Code § 543A.0005PAYMENT METHODOLOGY CONVERSION.Printed as Section 543A.0005
- Tex. Gov't Code § 543A.0151COLLECTING CERTAIN INFORMATION; REPORTS TO CERTAIN HOSPITALS.Printed as Section 543A.0151 | Section 543A.0151(c)
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.