| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to the establishment and operation of an interdisciplinary |
|
|
group to review services provided by home and community support |
|
|
services agencies. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Chapter 142, Health and Safety Code, is amended |
|
|
by adding Subchapter D to read as follows: |
|
|
SUBCHAPTER D. INTERDISCIPLINARY GROUP MEETINGS |
|
|
Sec. 142.101. DEFINITION. In this subchapter, |
|
|
"interdisciplinary group" and "group" mean a group that meets on |
|
|
the request of a home and community support services agency when |
|
|
that agency identifies a need to discuss service delivery issues or |
|
|
barriers to service delivery for a client served by the agency. |
|
|
Sec. 142.102. MEMBERS OF INTERDISCIPLINARY GROUP. An |
|
|
interdisciplinary group must include the following members: |
|
|
(1) the client who is the subject of the |
|
|
interdisciplinary group discussion, the client's representative, |
|
|
or both the client and the client's representative; |
|
|
(2) a representative of the home and community support |
|
|
services agency that requested the interdisciplinary group |
|
|
meeting; and |
|
|
(3) a commission representative, who must be: |
|
|
(A) a case worker or the case worker's designee; |
|
|
(B) the applicable contract manager or contract |
|
|
manager's designee; or |
|
|
(C) the applicable regional nurse or nurse's |
|
|
designee. |
|
|
Sec. 142.103. INTERDISCIPLINARY GROUP MEETING REQUEST AND |
|
|
SUSPENSION OF CLIENT SERVICES. (a) A home and community support |
|
|
services agency may submit a request to the commission, in the form |
|
|
and manner prescribed by the commission, for an interdisciplinary |
|
|
group meeting for a client served by the agency. |
|
|
(b) The commission must respond to a home and community |
|
|
support services agency's request for an interdisciplinary group |
|
|
meeting not later than 48 hours after the request is received by the |
|
|
commission. |
|
|
(c) Except as otherwise provided by this subsection, a home |
|
|
and community support services agency may suspend the provision of |
|
|
services to a client until a requested interdisciplinary group |
|
|
meeting for that client is conducted and the group makes a final |
|
|
determination regarding the provision of care to the client. This |
|
|
subsection does not apply to a client who has priority status, as |
|
|
determined by executive commissioner rule. |
|
|
Sec. 142.104. METHOD OF MEETING. (a) Except as provided by |
|
|
Subsection (b), an interdisciplinary group shall hold all meetings |
|
|
in person. |
|
|
(b) If holding an in-person interdisciplinary group meeting |
|
|
is not possible, the group may hold the meeting through |
|
|
videoconference. If neither an in-person meeting nor a meeting by |
|
|
videoconference is possible, the group may hold the meeting by |
|
|
telephone conference call. |
|
|
Sec. 142.105. EFFECT OF MEETING. (a) Not later than the |
|
|
fifth business day after the date of an interdisciplinary group |
|
|
meeting, the commission shall: |
|
|
(1) resolve any outstanding issues raised in the |
|
|
meeting; and |
|
|
(2) send a written notice to the home and community |
|
|
support services agency that requested the meeting to notify the |
|
|
agency that: |
|
|
(A) not earlier than the second business day |
|
|
after the date the agency receives the notice, the case created by |
|
|
the meeting request will be closed; and |
|
|
(B) the agency may respond with a request for an |
|
|
additional meeting before the date the case is closed. |
|
|
(b) The commission shall close a case not earlier than the |
|
|
second business day after the date an agency receives notice |
|
|
provided under Subsection (a)(2), if the agency did not request an |
|
|
additional meeting in accordance with Subsection (a)(2)(B). |
|
|
Sec. 142.106. NOTICE OF CLIENT'S PREVIOUSLY SUSPENDED |
|
|
SERVICES. The commission shall notify a home and community support |
|
|
services agency if: |
|
|
(1) the agency provides services to a new client; and |
|
|
(2) the client described by Subdivision (1) was the |
|
|
subject of a previous interdisciplinary group meeting, and the |
|
|
interdisciplinary group determination resulted in the client's |
|
|
previous agency suspending services to the client. |
|
|
SECTION 2. As soon as practicable after the effective date |
|
|
of this Act, the executive commissioner of the Health and Human |
|
|
Services Commission shall adopt any rules necessary to implement |
|
|
Subchapter D, Chapter 142, Health and Safety Code, as added by this |
|
|
Act. |
|
|
SECTION 3. This Act takes effect September 1, 2023. |