Bill not drafted by TLC or Senate E&E.
Line and page numbers may not match official copy.
By Gutierrez H.B. No. 3524
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to the provisions of reimbursement for prescription
1-3 services under the state Medicaid program.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Section 32.028, Human Resources Code, is amended
1-6 by adding a new Subsection (d) and re-lettering the rest of the
1-7 section to read as follows:
1-8 (d) The fee, charge, or rate of reimbursement for all
1-9 medication dispensed under the Texas Department of Health, Vendor
1-10 Drug Program, shall be established by the department to include
1-11 adequate fees for the reimbursement of drug costs, dispensing
1-12 costs, inventory incentives, and delivery fees.
1-13 [(d)] (e) The department in its adoption of reasonable rules
1-14 and standards governing the determination of rates paid for
1-15 inpatient hospital services on a prospective payment basis shall:
1-16 (1) assure that the payment rates are reasonable and
1-17 adequate to meet the costs incurred by the hospital in rendering
1-18 services to Medicaid recipients;
1-19 (2) assure that the prospective payment methodology
1-20 for hospital services sets the hospital-specific standardized
1-21 amount at a minimum level of $1,600; and
1-22 (3) assure that the adjustment in payment rates for
1-23 hospital services furnished by disproportionate share hospitals
1-24 takes into account the essential role of rural hospitals in
2-1 providing access to hospital services to medically indigent persons
2-2 in rural areas of the state.
2-3 SECTION 2. As soon as possible after the effective date of
2-4 this act, the Health and Human Services Commission shall submit an
2-5 amendment to the state's Medicaid plan authorizing the state to
2-6 develop a formula for prescription drug medication in accordance
2-7 with Section 32.028, Human Resources Code, as amended by this Act.
2-8 SECTION 3. This Act takes effect September 1, 1997.
2-9 SECTION 4. The importance of this legislation and the
2-10 crowded condition of the calendars in both houses create an
2-11 emergency and an imperative public necessity that the
2-12 constitutional rule requiring bills to be read on three several
2-13 days in each house be suspended, and this rule is hereby suspended.