Texas Register Table of Contents
Texas Health and Human Services Commission
Proposed Rules
The Executive Commissioner of the Texas Health and Human Services Commission (HHSC) proposes an amendment to §355.8058, concerning Inpatient Direct Graduate Medical Education (GME) Reimbursement.
Currently, HHSC makes Medicaid GME supplemental payments to two classes of hospitals: state-owned hospitals and non-state government-owned and operated hospitals. First, five state-owned teaching hospitals are eligible: University of Texas (UT) Medical Branch at Galveston, UT Health Science Center at Tyler, UT MD Anderson, UT Southwestern – Zale Lipshy, and UT Southwestern – Clements. The non-federal share for these GME payments comes from appropriations or patient revenues belonging to the state-owned teaching hospitals that are transferred to HHSC. HHSC draws down the federal match and makes quarterly interim Medicaid GME payments directly to the hospitals based on resident full-time equivalents (FTEs) and inpatient days reported by the hospital. Second, effective October 1, 2018, HHSC also makes Medicaid GME supplemental payments to nine non-state government-owned and operated teaching hospitals. The source of the non-federal share of these GME payments are intergovernmental transfers (IGTs) from the local governmental entities that own and operate the hospitals.The proposed amendment will allow teaching hospitals owned or operated by non-governmental entities to receive Medicaid GME supplemental payments, provided that the non-federal share is provided by a local governmental entity. This amendment will allow for the remaining teaching hospitals in the state to participate in this program. As is the case for the non-state government-owned and operated teaching hospitals, the payment will be based on the number of full-time equivalent medical residents and the Medicare per resident amount (PRA) reported on CMS Form 2552-10 and the Medicaid inpatient utilization percentage.
Texas Board of Chiropractic Examiners
Transferred Rule
22 TAC §75.4 Code of Ethics, moved to 22 TAC §75.1, Code of Ethics
Under Texas Occupations Code §201.152 and §201.1525, the Texas Board of Chiropractic Examiners (Board) is authorized to promulgate necessary rules to regulate the practice of chiropractic. As part of its ongoing rule review process, the Board has determined that one rule is out of place within its current chapter, and that applicants, licensees, and the public find it difficult to locate. Therefore, the Board finds that a transfer of this existing rule is needed to make it easier for readers to find the information they seek.
Texas Board of Chiropractic Examiners
Transferred Rule
22 TAC §75.4 Code of Ethics, moved to 22 TAC §75.1, Code of Ethics
Under Texas Occupations Code §201.152 and §201.1525, the Texas Board of Chiropractic Examiners (Board) is authorized to promulgate necessary rules to regulate the practice of chiropractic. As part of its ongoing rule review process, the Board has determined that one rule is out of place within its current chapter, and that applicants, licensees, and the public find it difficult to locate. Therefore, the Board finds that a transfer of this existing rule is needed to make it easier for readers to find the information they seek.