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A BILL TO BE ENTITLED
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AN ACT
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relating to the provision of recovery community organization |
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peer-to-peer services under Medicaid. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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amended by adding Section 531.09991 to read as follows: |
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Sec. 531.09991. RECOVERY COMMUNITY ORGANIZATIONS. (a) In |
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this section, "recovery community organization" means a nonprofit |
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organization that: |
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(1) mobilizes resources inside and outside of a local |
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community to increase the prevalence and quality of long-term |
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recovery for individuals with a substance use disorder and their |
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family members; and |
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(2) is at least partly governed by individuals |
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recovering from a substance use disorder or their family members. |
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(b) The executive commissioner, with input from the work |
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group established under Subsection (c), shall adopt rules to |
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provide Medicaid reimbursement for peer-to-peer services provided |
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by recovery community organizations, which must include: |
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(1) rules that establish training requirements for |
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recovery community organization peer-to-peer service providers; |
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(2) rules that establish certification and |
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supervision requirements for recovery community organizations; |
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(3) rules that define the scope of peer-to-peer |
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services that recovery community organizations may provide; |
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(4) rules that distinguish peer-to-peer services |
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provided by recovery community organizations from other services |
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that a person must hold a license to provide; and |
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(5) any other rules necessary to protect the health |
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and safety of individuals receiving services provided by recovery |
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community organizations. |
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(c) The executive commissioner shall establish a work group |
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to provide input for the adoption of rules under Subsection (b). |
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The work group is composed of at least 9 but not more than 13 members |
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with expertise in substance use disorder recovery or recovery |
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community organizations. The executive commissioner shall ensure |
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that at least half of the work group members are from rural |
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communities in this state. |
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(d) The executive commissioner shall appoint one work group |
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member to serve as presiding officer. |
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(e) The work group is automatically abolished on the |
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adoption of rules under Subsection (b). |
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(f) Subsections (c), (d), and (e) and this subsection expire |
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September 1, 2023. |
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SECTION 2. Effective January 1, 2023, Section 32.024, Human |
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Resources Code, is amended by adding Subsection (pp) to read as |
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follows: |
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(pp) The commission in its rules and standards governing the |
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scope of services provided under the medical assistance program |
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shall include peer-to-peer services provided by recovery community |
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organizations as defined by Section 531.09991, Government Code, to |
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the extent permitted by federal law. |
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SECTION 3. Not later than December 31, 2021, the executive |
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commissioner of the Health and Human Services Commission shall |
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establish the work group required by Section 531.09991, Government |
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Code, as added by this Act. |
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SECTION 4. Not later than December 31, 2022, the executive |
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commissioner of the Health and Human Services Commission shall |
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adopt the rules required by Section 531.09991, Government Code, as |
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added by this Act. |
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SECTION 5. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 6. Except as otherwise provided by this Act, this |
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Act takes effect September 1, 2021. |