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Enrolled Bill Summary

Enrolled Bill Summary

Legislative Session: 82(R)

House Bill 2245

House Author:  Zerwas et al.

Effective:  9-1-11

Senate Sponsor:  Nelson


            House Bill 2245 amends the Government Code to require the Health and Human Services Commission (HHSC) to conduct a study to evaluate physician incentive programs that are administered by health maintenance organizations participating in a Medicaid program and that attempt to reduce hospital emergency room use for non-emergent conditions by Medicaid recipients. The bill requires the HHSC executive commissioner  to report the study's findings to the governor and Legislative Budget Board not later than August 31, 2012, and to establish a physician incentive program to reduce hospital emergency room use for non-emergent conditions by Medicaid recipients, including only the cost-effective program components identified in the study.