1. The 82 nd Legislative Session Ben G. Raimer, MD Senior Vice President Health Policy and Legislative Affairs The University of Texas Medical Branch bgraimer@utmb.edu 409-771-0529 (cell)

2. Legislative Agenda (Sustaining our Mission) Tuition Revenue Bond (TRB) -- Construction of JSH Replacement Base Funding – maintains UTMB’s adjusted base from 81 st session Correctional Managed Health Care – obtain a new contract Supplemental Appropriations Request (SAR) Issues o Correctional Managed Care – UTMB and TTUHSC requested a $57M SAR to cover shortfalls for FY10-11. o Potential Ike Recovery Issue – The 81 st Legislature’s House Bill 4586 appropriated $150 million for Hurricane Ike recovery; the appropriation expired June 19, 2011. 2

3. Two Differing Points Of View House Bill 1 Hospital - 25% reduction Formula - 10% reduction TRB - no debt service Ike Recovery - nothing CMC - 24% reduction Indigent Care Fund - reduced Special item reductions (25%) Senate Bill 1 Hospital - 15% reduction Formula - 5% reduction TRB - no debt service Ike Recovery - nothing CMC - 24% reduction* Indigent Care Fund - reduced Special item reductions (25%) 3 *Added $200 million back on April 12, 2011

4. Conference Committee Outcomes House Bill 1 Hospital - 25% reduction Formula - 10% reduction TRB - no debt service Ike Recovery - nothing CMC – House 24% & Senate 10% reduction Indigent Care Fund - reduced from $10M/yr Special item reductions (25%) HB1 + HB4 (Conference) Hospital - 15% reduction Formula - 5% reduction TRB - Funded debt service Ike Recovery - 2 year extension of access to $150 million fund CMC - 14% reduction Indigent Care Fund - reduced to $5.75M per year Special item reductions (20%) $9+M to operations adjustment 4

5. Legislative Agenda (Sustaining our Mission) Tuition Revenue Bond (TRB) – Approved Base Funding – Used 10-11 base, reduced but still better than 08-09 Correctional Managed Health Care – new contract with TDCJ now responsible for deficits; UTMB’s role will be as vendor for care Supplemental Appropriations Request (SAR) Issues o Correctional Managed Care – UTMB and TTUHSC requested a $57M SAR to cover shortfalls for FY10-11. The full $57M was funded in HB 4. o Potential Ike Recovery Issue – The 81 st Legislature’s House Bill 4586 appropriated $150 million for Hurricane Ike recovery; the appropriation expired June 19, 2011. Legislature approved TWO additional years of access to recovery funds. 5