November 17, 2020 - 2:00pm

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Hearing. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on November 17, 2020, at 2:00 p.m., to receive comment on proposed amendment to §355.8201, relating to Waiver Payments to Hospitals for Uncompensated Care.

Due to the declared state of disaster stemming from COVID-19, this hearing will be conducted online only. No physical entry to the hearing will be permitted.

Please register here for the HHSC Public Hearing for Proposed Amendment to Waiver Payments to Hospitals for Uncompensated Care to be held on November 17, 2020, 2:00 p.m. CST.

After registering, you will receive a confirmation email containing information about joining the webinar.

HHSC will broadcast the public hearing. The broadcast will be archived for access on demand and can be accessed here.

Proposal. HHSC proposes to amend §355.8201, relating to Waiver Payments to Hospitals for Uncompensated Care.  The proposed amendment was published in the November 6, 2020 issue of the Texas Register.

Background and Purpose. The purpose of the proposal is to revise the secondary reconciliation process applied to hospitals that requested an adjustment to their interim hospital-specific limit (HSL) for purposes of calculating uncompensated care (UC) payments in demonstration years 6 through 8 (October 1, 2016 to September 30, 2019), and to describe the methodology HHSC will use to redistribute recouped funds. The amendment to the secondary reconciliation process is in response to a petition for rulemaking.

Written Comments. Written comments regarding the proposal may be sent by U.S. mail to HHSC, Mail Code H400, P.O. Box 13247, Austin, Texas 78711-3247, or by e-mail to

To be considered, comments must be (1) postmarked or shipped before December 7, 2020; (2) hand-delivered before 5:00 p.m. on December 7, 2020; or (3) e-mailed before midnight on December 7, 2020. When e-mailing comments, please indicate "Comments on Proposed Rule 21R012" in the subject line.

Preferred Communication. During the current state of disaster due to COVID-19, physical forms of communication are checked with less frequency than during normal business operations. Therefore, please submit comments by email if possible.

Persons with disabilities who wish to attend the hearing and require auxiliary aids or services should contact Fiscal Program Coordination at (512) 695-4122 at least 72 hours prior to the hearing so appropriate arrangements can be made.