S.B. No. 602
AN ACT
1-1 relating to the development and implementation of a computer
1-2 database to reduce fraud and abuse in the Medicaid program.
1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-4 SECTION 1. Article 4413(502), Revised Statutes, is amended
1-5 by adding Section 16A to read as follows:
1-6 Sec. 16A. MEDICAID DATA COLLECTION SYSTEM. (a) The
1-7 commission and each health and human services agency that
1-8 administers a part of the state Medicaid program shall jointly
1-9 develop a system to coordinate and integrate state Medicaid
1-10 databases to:
1-11 (1) facilitate the comprehensive analysis of Medicaid
1-12 data; and
1-13 (2) detect fraud perpetrated by a program provider or
1-14 client.
1-15 (b) To minimize cost and duplication of activities, the
1-16 commission shall assist and coordinate:
1-17 (1) the efforts of the agencies that are participating
1-18 in the development of the system required by Subsection (a); and
1-19 (2) the efforts of those agencies with the efforts of
1-20 other agencies involved in a statewide health data collection
1-21 system provided for by legislation enacted by the 74th Legislature,
1-22 including avoiding duplication of expenditure of state funds for
1-23 computer hardware, staff, or services.
1-24 (c) On the request of the commissioner, a state agency that
2-1 administers any part of the state Medicaid program shall assist the
2-2 commission in developing the system required by this section.
2-3 (d) The commission shall develop the database system in a
2-4 manner that will enable a complete analysis of the use of
2-5 prescription medications, including information relating to:
2-6 (1) Medicaid clients for whom more than three
2-7 medications have been prescribed; and
2-8 (2) the medical effect denial of Medicaid coverage for
2-9 more than three medications has had on Medicaid clients.
2-10 SECTION 2. This Act takes effect September 1, 1995.
2-11 SECTION 3. The importance of this legislation and the
2-12 crowded condition of the calendars in both houses create an
2-13 emergency and an imperative public necessity that the
2-14 constitutional rule requiring bills to be read on three several
2-15 days in each house be suspended, and this rule is hereby suspended.