Relating to the continuation and operation of a health care provider participation district created by certain local governments to administer a health care provider participation program.

SB 1443 creates a new legal framework (Chapter 300C) for certain counties and hospital districts in Texas to continue operating health care provider participation districts. These districts require specific nonpublic hospitals within their boundaries to make mandatory payments, which fund the state's share of Medicaid supplemental payments for those hospitals. The bill applies only to counties meeting strict population and geographic criteria (e.g., bordering the Trinity River or Oklahoma) or hospital districts near Jim Chapman Lake. It outlines governance rules for district boards and ensures districts can transition from an older program (Chapter 300A) to this new structure.