Relating to the creation and operations of a health care provider participation program in certain counties.

Added new Section 292E.054 requiring the commissioners court to inspect institutional health care provider records to ensure compliance with reporting requirements.

Added new Section 292E.151 establishing mandatory payment amounts based on net patient revenue, with a cap of six percent of aggregate revenue.

Added new Section 292E.154 requiring the commissioners court to report information to the Health and Human Services Commission regarding the program.

Added new Section 292E.103(b) detailing specific authorized uses of the local provider participation fund, including administrative expenses and refunds to hospitals.

Added new Section 292E.103(d) prohibiting the use of transferred funds to expand Medicaid eligibility or fund the disproportionate share hospital program.

Added new Section 292E.155 allowing the Health and Human Services Commission to refuse money from the fund if it may violate federal law.

Added Section 3 specifying that the Act takes effect immediately if passed by a two-thirds vote, otherwise on September 1, 2025.

Modified the definition of 'Paying provider' in Section 292E.001(2) to specifically read 'Paying hospital' to align with the rest of the bill.