FY 2019 Uncompensated Trauma Care Fund Distribution (SB500) – May 2021

The Texas Department of State Health Services (DSHS) Office of EMS & Trauma Systems is pleased to announce the disbursement for the FY 2019 Uncompensated Trauma Care Fund distributions to trauma facilities are occurring the week of May 17, 2021.


Background Info:


Senate Bill (SB) 500 Funds for Hospitals in Harvey-Affected Regions

Out of the 86th Texas Legislature, Regular Session, Senate Bill (SB) 500 provided supplemental appropriations to the Department of State Health Services (DSHS) from the economic stabilization fund for increasing trauma capacity and improving related trauma response infrastructure under EMS and Trauma Care Systems. The appropriated funds may be used only to provide funding in accordance with Section 780.004, Health and Safety Code, to hospitals that demonstrate regional need and the ability to efficiently and effectively increase trauma capacity and improve related trauma response infrastructure.  Based on the direction provided by SB 500, DSHS is allocating not more than 40 percent of the appropriated amount to provide funding to hospitals located in a region directly affected by Hurricane Harvey.

Pursuant to his powers as Governor of the State of Texas, Greg Abbott issued a proclamation stating that a state of disaster continues to exist in Texas as a result of catastrophic damage caused by Hurricane Harvey in the following counties:
Angelina, Aransas, Atascosa, Austin, Bastrop, Bee, Bexar, Brazoria, Brazos, Burleson, Caldwell, Calhoun, Cameron, Chambers, Colorado, Comal, DeWitt, Fayette, Fort Bend, Galveston, Goliad, Gonzales, Grimes, Guadalupe, Hardin, Harris, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kerr, Kleberg, Lavaca, Lee, Leon, Liberty, Live Oak, Madison, Matagorda, Milam, Montgomery, Newton, Nueces, Orange, Polk, Refugio, Sabine, San Patricio, San Augustine, San Jacinto, Trinity, Tyler, Victoria, Walker, Waller, Washington, Wharton, Willacy, and Wilson. 

Senate Bill (SB) 500 Funds for Hospitals in Rural Counties Not Affected by Hurricane Harvey

Out of the 86th Texas Legislature, Regular Session, Senate Bill (SB) 500 provided supplemental appropriations to the Department of State Health Services (DSHS) from the economic stabilization fund for increasing trauma capacity and improving related trauma response infrastructure under EMS and Trauma Care Systems. Of the amount appropriated, $15,000,000 may be used only to provide funding in accordance with Section 780.004, Health and Safety Code, to hospitals that demonstrate regional need and the ability to efficiently and effectively increase trauma capacity and improve related trauma response infrastructure.  The Department of State Health Services shall allocate not more than 20 percent of the appropriation remaining to provide funding to hospitals located in rural counties in Texas that were not affected by Hurricane Harvey.

Pursuant to definition described in Texas Administrative Code, Title 25, Part 1, Chapter 157, Sub-Chapter G, Rules 157.130 and 157.131, the Department of State Health Services, Office of EMS/Trauma Systems has deemed following counties as rural: 
Andrews, Archer, Armstrong, Bailey, Bandera, Baylor, Blanco, Borden, Bosque, Brewster, Briscoe, Brooks, Brown, Burnet, Callahan, Camp, Carson, Cass, Castro, Childress, Clay, Cochran, Coke, Coleman, Collingsworth, Comanche, Concho, Cooke, Cottle, Crane, Crockett, Crosby, Culberson, Dallam, Dawson, Deaf Smith, Delta, Dickens, Dimmit, Donley, Duval, Eastland, Edwards, Erath, Falls, Fannin, Fisher, Floyd, Foard, Franklin, Freestone, Frio, Gaines, Garza, Gillespie, Glasscock, Gray, Hale, Hall, Hamilton, Hansford, Hardeman, Hartley, Haskell, Hemphill, Hill, Hockley, Hopkins, Houston, Howard, Hudspeth, Hutchinson, Irion, Jack, Jeff Davis, Jim Hogg, Jones, Kendall, Kenedy, Kent, Kimble, King, Kinney, Knox, La Salle, Lamar, Lamb, Lampasas, Limestone, Lipscomb, Llano, Loving, Lynn, Marion, Martin, Mason, McCulloch, McMullen, Medina, Menard, Mills, Mitchell, Montague, Moore, Morris, Motley, Navarro, Nolan, Ochiltree, Oldham, Palo Pinto, Panola, Parmer, Pecos, Presidio, Rains, Reagan, Real, Red River, Reeves, Roberts, Robertson, Runnels, San Saba, Schleicher, Scurry, Shackelford, Shelby, Sherman, Somervell, Stephens, Sterling, Stonewall, Sutton, Swisher, Terrell, Terry, Throckmorton, Titus, Tyler, Upshur, Upton, Uvalde, Val Verde, Ward, Wheeler, Wilbarger, Winkler, Wood, Yoakum, Young, Zapata, and Zavala


Uncompensated Trauma Care Disbursement Methodology:


Calculations are made in the following manner:

  • Calendar Year (CY) 2017 uncompensated trauma care charges reported by eligible hospitals on the Fiscal Year (FY) 2019 Uncompensated Trauma Care Fund Application (Hospital Allocation) were used in the funding formula.
  • Fifteen percent (15%) of the total amount of funds available was divided equally amongst all eligible applicants.
  • The remaining eighty-five percent (85%) was distributed to eligible applicants based on the percentage of uncompensated trauma care a hospital provided in relation to the total uncompensated trauma care provided by all the eligible hospitals that applied.

Funding Information: The disbursement amounts can be viewed by clicking on the Excel spreadsheet below:

SB500 Funds for Hospitals in Harvey-Affected Regions Distributions
SB500 Funds for Hospitals in Rural Counties Distributions


Questions:

Please contact DSHS EMS/Trauma Systems at fundingapp@dshs.texas.gov if you have any questions about the uncompensated trauma care funding.