By Maxey, Dukes                                       H.B. No. 1910
       74R2329 KKA-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to Medicaid reimbursement of school districts' costs
    1-3  incurred in providing school health-related services to
    1-4  Medicaid-certified students.
    1-5        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-6        SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
    1-7  is amended by adding Sections 32.0242, 32.0243, 32.0244, and
    1-8  32.0245 to read as follows:
    1-9        Sec. 32.0242.  DETERMINATION OF STUDENT MEDICAID ELIGIBILITY.
   1-10  (a)  Every six weeks during a school year:
   1-11              (1)  the department shall provide the Central Education
   1-12  Agency with the name and social security number of each school-aged
   1-13  person eligible to receive Medicaid benefits during the preceding
   1-14  six-week period; and
   1-15              (2)  each school district shall provide the Central
   1-16  Education Agency with the name and social security number of each
   1-17  student enrolled in the district during the preceding six-week
   1-18  period.
   1-19        (b)  On receipt of the information specified in Subsection
   1-20  (a), the Central Education Agency shall promptly:
   1-21              (1)  identify each student enrolled in a school
   1-22  district who was eligible for Medicaid benefits during the period
   1-23  covered by the information provided; and
   1-24              (2)  provide each school district with the name of each
    2-1  student enrolled in the district who is identified under
    2-2  Subdivision (1).
    2-3        (c)  In implementing this section, the department, the
    2-4  Central Education Agency, and each school district shall comply
    2-5  with any state or federal law relating to confidentiality of the
    2-6  identity of a person eligible to receive Medicaid benefits.
    2-7        Sec. 32.0243.  MEDICAID REIMBURSEMENT TRAINING AND ASSISTANCE
    2-8  FOR SCHOOL DISTRICTS.  (a)  The Texas Department of Health and the
    2-9  person with whom the state contracts to administer the state
   2-10  Medicaid program shall periodically provide statewide training to
   2-11  school districts to assist the districts in seeking Medicaid
   2-12  reimbursement for eligible school health-related services provided
   2-13  to students.
   2-14        (b)  The person with whom the state contracts to administer
   2-15  the state Medicaid program shall:
   2-16              (1)  operate toll-free hotlines available to school
   2-17  district employees and representatives answered by persons with
   2-18  knowledge of school health-related services for which school
   2-19  districts may seek Medicaid reimbursement; and
   2-20              (2)  maintain records of the type and frequency of
   2-21  calls received from school district employees and representatives
   2-22  to be used in determining the extent to which reimbursement
   2-23  procedures provide a practical mechanism for reimbursement of the
   2-24  costs of school health-related services.
   2-25        (c)  The Texas Department of Health and the person with whom
   2-26  the state contracts to administer the state Medicaid program shall
   2-27  provide initial training that meets the requirements of Subsection
    3-1  (a) not later than September 30, 1995.  This subsection expires
    3-2  October 1, 1995.
    3-3        Sec. 32.0244.  ASSISTIVE TECHNOLOGY FOR SCHOOL STUDENTS.  (a)
    3-4  The Texas Department of Health and the Central Education Agency
    3-5  shall conduct a study of the costs incurred by school districts in
    3-6  providing assistive technology devices and adaptive equipment,
    3-7  orientation and mobility training, low-vision evaluation, and
    3-8  personal-care attendant services to students.  The Texas Department
    3-9  of Health and the Central Education Agency shall use the
   3-10  information gathered in the study to develop service rate
   3-11  information applicable to a school district's provision of
   3-12  assistive technology devices and adaptive equipment, orientation
   3-13  and mobility training, low-vision evaluation, and personal-care
   3-14  attendant services to students.
   3-15        (b)  The Texas Department of Health and the Central Education
   3-16  Agency shall jointly develop service definitions applicable to a
   3-17  school district's provision of assistive technology devices and
   3-18  adaptive equipment, orientation and mobility training, low-vision
   3-19  evaluation, and personal-care attendant services to students that
   3-20  meet Medicaid requirements.
   3-21        (c)  The Texas Department of Health shall submit a proposed
   3-22  amendment to the state Medicaid plan to include assistive
   3-23  technology devices and adaptive equipment, orientation and mobility
   3-24  training, low-vision evaluation, and personal-care attendant
   3-25  services in the list of school health-related services eligible for
   3-26  Medicaid reimbursement.
   3-27        Sec. 32.0245.  SCHOOL MEDICAID REIMBURSEMENT TASK FORCE.  (a)
    4-1  The School Medicaid Reimbursement Task Force is created to seek
    4-2  ways to simplify the claim filing process used by a school district
    4-3  seeking Medicaid reimbursement of school health-related services.
    4-4        (b)  The task force is composed of at least one
    4-5  representative of:
    4-6              (1)  the Texas Department of Health, appointed by the
    4-7  commissioner of public health;
    4-8              (2)  the Texas Department of Human Services, appointed
    4-9  by the commissioner of human services;
   4-10              (3)  the Central Education Agency, appointed by the
   4-11  commissioner of education;
   4-12              (4)  the person with whom the state contracts to
   4-13  administer the state Medicaid program, selected by the person;
   4-14              (5)  private consultants with expertise regarding
   4-15  reimbursement of school health-related services, appointed by the
   4-16  commissioner of education; and
   4-17              (6)  school districts, appointed by the commissioner of
   4-18  education.
   4-19        (c)  The task force shall select a presiding officer and any
   4-20  other necessary officers.
   4-21        (d)  The task force shall prepare and deliver a report of its
   4-22  recommendations to the governor and the Legislative Budget Board
   4-23  not later than January 1, 1997.
   4-24        (e)  The appointing agency is responsible for the expenses of
   4-25  a member's service on the task force.  Members of the task force
   4-26  receive no additional compensation for serving on the task force.
   4-27        (f)  This section expires August 31, 1997.
    5-1        SECTION 2.  Section 32.0242, Human Resources Code, as added
    5-2  by this Act, applies beginning with the 1995-1996 school year.  As
    5-3  soon as possible after the effective date of this Act, and during
    5-4  the 1995-1996 school year, the contractor described by Section
    5-5  32.0243, Human Resources Code, as added by this Act, shall begin
    5-6  operation of the toll-free hotlines.
    5-7        SECTION 3.  The importance of this legislation and the
    5-8  crowded condition of the calendars in both houses create an
    5-9  emergency and an imperative public necessity that the
   5-10  constitutional rule requiring bills to be read on three several
   5-11  days in each house be suspended, and this rule is hereby suspended,
   5-12  and that this Act take effect and be in force from and after its
   5-13  passage, and it is so enacted.