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