TX HB3505

Adds Chapter 300C to the Health and Safety Code allowing health care provider participation districts created under Chapter 300A to continue operating after their original authority expires, if participating local governments adopt concurrent orders authorizing the transition

Applies specifically to counties with population 80,000-90,000 bordering the Trinity River, counties with population 45,000-55,000 bordering Oklahoma, and hospital districts in counties with population over 30,000 containing a portion of Jim Chapman Lake

Authorizes mandatory payments assessed on net patient revenue of nonpublic hospitals (institutional health care providers) located in the district, capped at 6% of aggregate net patient revenue from all paying hospitals

Funds collected must be used for intergovernmental transfers to provide the nonfederal share of Medicaid supplemental payments (including uncompensated care and uniform rate enhancements), district administrative expenses (capped at $150,000 annually plus collateralization costs), and refunds for erroneous collections

Prohibits using any funds received from intergovernmental transfers to expand Medicaid eligibility under the Affordable Care Act, and requires districts to report program information to the Health and Human Services Commission