By: Zaffirini, Ellis, Truan S.B. No. 79
Moncrief, Patterson
A BILL TO BE ENTITLED
AN ACT
1-1 relating to the requirement that the state develop a system of
1-2 selective contracting with health care providers for the provision
1-3 of certain services to Medicaid recipients.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Subsection (a), Section 32.027, Human Resources
1-6 Code, is amended to read as follows:
1-7 (a) Except as provided by Subsections (f) and (g), a <A>
1-8 recipient of medical assistance authorized in this chapter may
1-9 select any provider authorized by the department to provide medical
1-10 assistance.
1-11 SECTION 2. Section 32.027, Human Resources Code, is amended
1-12 by adding Subsections (f) and (g) to read as follows:
1-13 (f) The department by rule shall develop a system of
1-14 selective contracting with health care providers for the provision
1-15 of nonemergency inpatient hospital services to a recipient of
1-16 medical assistance under this chapter. In implementing this
1-17 subsection, the department shall:
1-18 (1) seek input from consumer representatives and from
1-19 representatives of hospitals licensed under Chapter 241, Health and
1-20 Safety Code, and from organizations representing those hospitals;
1-21 and
1-22 (2) ensure that providers selected under the system
1-23 meet the needs of a recipient of medical assistance under this
1-24 chapter.
2-1 (g) Subsection (f) does not limit the authority of the
2-2 department to implement a system of selective contracting for the
2-3 provision of other medical services to a recipient of medical
2-4 assistance under this chapter.
2-5 SECTION 3. If before implementing Subsection (f) or (g),
2-6 Section 32.027, Human Resources Code, as added by this Act, the
2-7 Health and Human Services Commission determines that a waiver or
2-8 authorization from a federal agency is necessary for
2-9 implementation, the commission shall request the waiver or
2-10 authorization and may authorize a delay in implementing that
2-11 provision until the waiver or authorization is granted.
2-12 SECTION 4. This Act takes effect September 1, 1993.
2-13 SECTION 5. The importance of this legislation and the
2-14 crowded condition of the calendars in both houses create an
2-15 emergency and an imperative public necessity that the
2-16 constitutional rule requiring bills to be read on three several
2-17 days in each house be suspended, and this rule is hereby suspended.