By Bivins                                             S.B. No. 1118
       74R8010 GWK-F
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the operation and implementation of the correctional
    1-3  managed health care plan.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Section 501.059, Government Code, as added by
    1-6  Chapter 238, Acts of the 73rd Legislature, Regular Session, 1993,
    1-7  is amended to read as follows:
    1-8        Sec. 501.059.  CORRECTIONAL MANAGED HEALTH CARE ADVISORY
    1-9  COMMITTEE.  (a)  The Correctional Managed Health Care Advisory
   1-10  Committee to the Texas Department of Criminal Justice is
   1-11  established.
   1-12        (b)  The committee consists of:
   1-13              (1)  two members employed full-time by the department,
   1-14  at least one of whom is a physician, appointed by the executive
   1-15  director;
   1-16              (2)  two members employed full-time by The University
   1-17  of Texas Medical Branch at Galveston, at least one of whom is a
   1-18  physician, appointed by the president of the medical branch; and
   1-19              (3)  two members employed full-time by the Texas Tech
   1-20  University Health Sciences Center, at least one of whom is a
   1-21  physician, appointed by the president of the university.
   1-22        (c)  A committee member serves at the pleasure of the
   1-23  appointing official or until termination of the member's employment
   1-24  with the entity the member represents.
    2-1        (d)  An appointment to the committee shall be made without
    2-2  regard to the race, creed, sex, religion, disability, or national
    2-3  origin of the appointee.
    2-4        (e)  A committee member serves without compensation but is
    2-5  entitled to reimbursement for actual and necessary expenses
    2-6  incurred in the performance of the duties of the committee.
    2-7        (f)  The  committee shall meet at least once in each quarter
    2-8  of the calendar year and at any other time at the call of the
    2-9  chairman.
   2-10        (g)  The committee may hire a managed health care
   2-11  administrator and may employ personnel necessary for the
   2-12  administration of the committee's duties.
   2-13        (h) <(g)>  The committee shall develop a managed health care
   2-14  plan for all persons confined by <inmates at> the department
   2-15  <institutional division> that includes:
   2-16              (1)  the establishment of a managed care network of
   2-17  physicians and hospitals that will serve the department
   2-18  <institutional division> as the exclusive health care provider for
   2-19  persons confined in institutions operated by the department
   2-20  <inmates at each facility of the institutional division>;
   2-21              (2)  cost containment studies; and
   2-22              (3)  care case management and utilization management
   2-23  studies performed <exclusively> for the department <institutional
   2-24  division>.
   2-25        (i) <(h)>  To the extent possible the committee shall
   2-26  integrate the managed health care provider network with the public
   2-27  medical schools of this state and the component and affiliated
    3-1  hospitals of those medical schools.
    3-2        (j) <(i)>  For those services for which the public medical
    3-3  schools and their components and affiliates cannot provide, the
    3-4  committee shall initiate a competitive bidding process for
    3-5  contracts with other providers for medical care to persons
    3-6  <inmates> confined by <in> the department <institutional division>.
    3-7        (k) <(j)>  The committee may enter into a contract on behalf
    3-8  of the department to fully implement the managed health care plan
    3-9  under Subsection (h) <(g)>.
   3-10        (l) <(k)>  The department shall pay necessary costs for the
   3-11  operation of the committee, including costs of personnel, from
   3-12  funds appropriated by the legislature to the department.
   3-13        (m) <(l)>  The <managed health care plan, inclusive of the
   3-14  health care administrator and necessary personnel proposed by the>
   3-15  committee<, must cost the state less than what is presently
   3-16  provided, otherwise the status quo> shall evaluate and recommend to
   3-17  the board sites for new medical facilities that appropriately
   3-18  support the managed health care provider network <be maintained>.
   3-19        (n)  The committee may, in addition to providing services to
   3-20  the department, contract with other governmental entities for
   3-21  similar health care services and integrate those services into the
   3-22  managed health care provider network.
   3-23        (o)  To implement the managed health care plan, The
   3-24  University of Texas Medical Branch at Galveston and the Texas Tech
   3-25  Health Sciences Center, for employees who are entitled to retain
   3-26  salary and benefits applicable to employees of the Texas Department
   3-27  of Criminal Justice under Section 9.01, Chapter 238, Acts of the
    4-1  73rd Legislature, Regular Session, 1993, may administer, offer, and
    4-2  report through their payroll systems participation by those
    4-3  employees in the Texas employees uniform group insurance benefits
    4-4  program and the Employees Retirement System of Texas.
    4-5        (p)  The advisory committee may hold a meeting by telephone
    4-6  conference call or other video or broadcast technology.
    4-7        SECTION 2.  The importance of this legislation and the
    4-8  crowded condition of the calendars in both houses create an
    4-9  emergency and an imperative public necessity that the
   4-10  constitutional rule requiring bills to be read on three several
   4-11  days in each house be suspended, and this rule is hereby suspended,
   4-12  and that this Act take effect and be in force from and after its
   4-13  passage, and it is so enacted.