Sec. 22.014.  MEMORANDUM OF UNDERSTANDING ON HOSPITAL AND LONG-TERM CARE SERVICES.  (a)  The commission, the department, and the Department of State Health Services shall enter into a memorandum of understanding that:
(1)  clearly defines the responsibilities of each agency in providing, regulating, and funding hospital or long-term care services; and
(2)  defines the procedures and standards that each agency will use to provide, regulate, and fund hospital or long-term care services.
(b)  The memorandum must provide that no new rules or regulations that would increase the costs of providing the required services or would increase the number of personnel in hospital or long-term care facilities may be promulgated by the executive commissioner unless the executive commissioner certifies that the new rules or regulations are urgent as well as necessary to protect the health or safety of recipients of hospital or long-term care services.
(c)  The memorandum must provide that any rules or regulations proposed by the commission, the department, or the Department of State Health Services which would increase the costs of providing the required services or which would increase the number of personnel in hospital or long-term care facilities must be accompanied by a fiscal note prepared by the agency proposing said rules and submitted to the executive commissioner.  The fiscal note should set forth the expected impact which the proposed rule or regulation will have on the cost of providing the required service and the anticipated impact of the proposed rule or regulation on the number of personnel in hospital or long-term care facilities.  The memorandum must provide that in order for a rule to be finally adopted the commission must provide written verification that funds are available to adequately reimburse hospital or long-term care service providers for any increased costs resulting from the rule or regulation.  The commission is not required to provide written verification if the executive commissioner certifies that a new rule or regulation is urgent as well as necessary to protect the health or safety of recipients of hospital or long-term care services.
(d)  The memorandum must provide that upon final adoption of any rule increasing the cost of providing the required services, the executive commissioner must establish reimbursement rates sufficient to cover the increased costs related to the rule.  The executive commissioner is not required to establish reimbursement rates sufficient to cover the increased cost related to a rule or regulation if the executive commissioner certifies that the rule or regulation is urgent as well as necessary to protect the health or safety of recipients of hospital or long-term care services.
(e)  The memorandum must provide that Subsections (b) through (d) do not apply if the rules are required by state or federal law or federal regulations.
(f)  These agencies in the formulation of this memorandum of understanding shall consult with and solicit input from advocacy and consumer groups.
(g)  Not later than the last month of each state fiscal year, the agencies shall review and update the memorandum.
(h)  The executive commissioner by rule shall adopt the memorandum of understanding and all revisions to the memorandum.
Added by Acts 1987, 70th Leg., ch. 1052, Sec. 1.11(a), eff. Sept. 1, 1987.
Amended by: 
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.020, eff. April 2, 2015.