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               AN ACT
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            relating to the content of an application for Medicaid. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  Section 32.025, Human Resources Code, is amended  | 
         
         
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            by amending Subsection (g) and adding Subsection (h) to read as  | 
         
         
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            follows: | 
         
         
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                   (g)  The application form, including a renewal form, adopted  | 
         
         
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            under this section must include: | 
         
         
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                         (1)  for an applicant who is pregnant, a question  | 
         
         
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            regarding whether the pregnancy is the woman's first gestational  | 
         
         
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            pregnancy; [and] | 
         
         
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                         (2)  for all applicants, a question regarding the  | 
         
         
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            applicant's preferences for being contacted by a managed care  | 
         
         
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            organization or health plan provider that provides the applicant  | 
         
         
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            with the option to be contacted[, as follows: | 
         
         
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                               ["If you are determined eligible for benefits,  | 
         
         
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            your managed care organization or health plan provider may contact  | 
         
         
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            you] by telephone, text message, or e-mail about health care  | 
         
         
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            matters, including reminders for appointments and information  | 
         
         
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            about immunizations or well check visits; and | 
         
         
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                         (3)  language that: | 
         
         
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                               (A)  notifies the applicant that, if determined  | 
         
         
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            eligible for benefits, all preferred contact methods listed on the  | 
         
         
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            application and renewal forms will be shared with the applicant's  | 
         
         
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            managed care organization or health plan provider; | 
         
         
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                               (B)  allows the applicant to consent to being  | 
         
         
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            contacted through the preferred contact methods by the applicant's  | 
         
         
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            managed care organization or health plan provider; and | 
         
         
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                               (C)  explains the security risks of electronic  | 
         
         
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            communication.  [All preferred methods of contact listed on this  | 
         
         
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            application will be shared with your managed care organization or  | 
         
         
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            health plan provider.  Please indicate below your preferred methods  | 
         
         
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            of contact in order of preference, with the number 1 being the most  | 
         
         
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            preferable method: | 
         
         
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                         [(1)  By telephone (if contacted by cellular telephone,  | 
         
         
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            the call may be autodialed or prerecorded, and your carrier's usage  | 
         
         
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            rates may apply)? Yes No | 
         
         
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                         [Telephone number: _____________ | 
         
         
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                         [Order of preference: 1 2 3 (circle a number) | 
         
         
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                         [(2)  By text message (a free autodialed service, but  | 
         
         
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            your carrier may charge message and data rates)? Yes No | 
         
         
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                         [Cellular telephone number: ______________ | 
         
         
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                         [Order of preference: 1 2 3 (circle a number) | 
         
         
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                         [(3)  By e-mail? Yes No | 
         
         
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                         [E-mail address: __________________ | 
         
         
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                         [Order of preference: 1 2 3 (circle a number)".] | 
         
         
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                   (h)  For purposes of Subsections (g)(2) and (3), the  | 
         
         
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            commission shall implement a process to: | 
         
         
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                         (1)  transmit the applicant's preferred contact methods  | 
         
         
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            and consent to the managed care organization or health plan  | 
         
         
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            provider; | 
         
         
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                         (2)  allow an applicant to change the applicant's  | 
         
         
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            preferences in the future, including providing for an option to opt  | 
         
         
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            out of electronic communication; and | 
         
         
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                         (3)  communicate updated information to the managed  | 
         
         
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            care organization or health plan provider.  | 
         
         
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                   SECTION 2.  Not later than January 1, 2022, the executive  | 
         
         
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            commissioner of the Health and Human Services Commission shall  | 
         
         
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            adopt a revised application form for medical assistance benefits  | 
         
         
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            that conforms to the requirements of Section 32.025(g), Human  | 
         
         
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            Resources Code, as amended by this Act. | 
         
         
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                   SECTION 3.  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 4.  This Act takes effect immediately if it receives  | 
         
         
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            a vote of two-thirds of all the members elected to each house, as  | 
         
         
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            provided by Section 39, Article III, Texas Constitution.  If this  | 
         
         
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            Act does not receive the vote necessary for immediate effect, this  | 
         
         
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            Act takes effect September 1, 2021. | 
         
         
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            ______________________________ | 
            ______________________________ | 
         
         
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               President of the Senate | 
            Speaker of the House      | 
         
         
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                   I hereby certify that S.B. No. 1911 passed the Senate on  | 
         
         
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            April 29, 2021, by the following vote:  Yeas 31, Nays 0; and that  | 
         
         
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            the Senate concurred in House amendment on May 28, 2021, by the  | 
         
         
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            following vote:  Yeas 31, Nays 0. | 
         
         
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            ______________________________ | 
         
         
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            Secretary of the Senate     | 
         
         
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                   I hereby certify that S.B. No. 1911 passed the House, with  | 
         
         
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            amendment, on May 13, 2021, by the following vote:  Yeas 147,  | 
         
         
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            Nays 0, one present not voting. | 
         
         
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            ______________________________ | 
         
         
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            Chief Clerk of the House    | 
         
         
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            Approved: | 
         
         
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            ______________________________  | 
         
         
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                        Date | 
         
         
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            ______________________________  | 
         
         
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                      Governor |