(a) Subject to Subsection (b), using the data collected under § 536.151 and the diagnosis-related groups (DRG) methodology implemented under § 536.005, if applicable, the commission shall to the extent feasible adjust child health plan and Medicaid reimbursements to hospitals, including payments made under the disproportionate share hospitals and upper payment limit supplemental payment programs, based on the hospital’s performance with respect to exceeding, or failing to achieve, outcome and process measures developed under § 536.003 that address the rates of potentially preventable readmissions and potentially preventable complications.
(b) The commission must provide the report required under § 536.151(b) to a hospital at least one year before the commission adjusts child health plan and Medicaid reimbursements to the hospital under this section.

Text of section effective until April 01, 2025