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House Bill 4533 |
House Author: Klick et al. |
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Effective: 9-1-19 |
Senate Sponsor: Kolkhorst |
House Bill 4533 amends the Government Code to make changes to the system redesign for the delivery of Medicaid acute care services and long‑term services and supports to persons with an intellectual or developmental disability to delay the date set to transition the delivery of certain Medicaid services for such recipients to a managed care delivery model until such time when a pilot program established by the bill can be completed and its results analyzed. Among other provisions, the bill does the following with respect to the administration and operation of Medicaid:
· requires the Health and Human Services Commission (HHSC) to standardize Medicaid grievance data reporting and tracking and to establish a certain procedure for expedited resolution of such grievances;
· provides for public access to certain Medicaid data;
· requires Medicaid managed care plans to be nationally accredited;
· requires the executive commissioner of HHSC to determine and report on the feasibility of providing Medicaid benefits to children enrolled in the STAR Kids managed care program under an accountable care organization model or a certain alternative model; and
· contingent on it being cost effective, requires the executive commissioner to seek a waiver or authorization from the appropriate federal agency to provide Medicaid benefits to certain high-cost medically fragile individuals who are 21 years of age or older.
Implementation of a provision of the bill by HHSC is mandatory only if a specific appropriation is made for that purpose.