By: Zaffirini, Moncrief, Madla S.B. No. 1163 A BILL TO BE ENTITLED AN ACT 1-1 relating to information and training about Medicaid managed care. 1-2 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-3 SECTION 1. Subchapter B, Chapter 32, Human Resources Code, 1-4 is amended by adding Section 32.043 to read as follows: 1-5 Sec. 32.043. MANAGED CARE INFORMATION AND TRAINING PLAN. 1-6 (a) The department shall develop a comprehensive plan to provide 1-7 information and training about the requirements of a managed care 1-8 plan to recipients of medical assistance, providers of medical 1-9 assistance, local health and human services agencies, and other 1-10 interested parties in each service area in which the department 1-11 plans to provide medical assistance through a managed care plan. 1-12 (b) The department shall include in the comprehensive plan: 1-13 (1) 180 days of initial information and training in a 1-14 service area beginning not later than the 90th day before the date 1-15 on which the department plans to begin to provide medical 1-16 assistance through a managed care plan in that service area; 1-17 (2) additional information and training at regular 1-18 intervals determined by the department; and 1-19 (3) performance measures to evaluate the effectiveness 1-20 of the information and training. 1-21 (c) In developing the comprehensive plan, the department 1-22 shall consult with the Medicaid medical care advisory committee. 1-23 (d) The department shall submit to the lieutenant governor, 2-1 the speaker of the house of representatives, the Senate Health and 2-2 Human Services Committee, and the House Public Health Committee a 2-3 semiannual report on the effectiveness of the comprehensive plan 2-4 developed under this section. The department may consolidate this 2-5 report with any other report relating to the same subject that the 2-6 department is required to submit under other law. 2-7 (e) In conjunction with the comprehensive plan, the 2-8 department shall establish a pilot project with a duration of not 2-9 less than two years in a location determined by the department to 2-10 test the effectiveness and cost of peer outreach and health 2-11 education designed to: 2-12 (1) inform recipients about the effective use of 2-13 health care resources, including managed care plans and primary 2-14 care providers under those plans; and 2-15 (2) encourage recipients to: 2-16 (A) seek preventive health care regularly, 2-17 including prenatal care and screening through the early and 2-18 periodic screening, diagnosis, and treatment program; 2-19 (B) develop family preventive health care plans; 2-20 (C) follow health care providers' instructions; 2-21 and 2-22 (D) keep health care appointments and follow up 2-23 on missed appointments. 2-24 SECTION 2. The importance of this legislation and the 2-25 crowded condition of the calendars in both houses create an 3-1 emergency and an imperative public necessity that the 3-2 constitutional rule requiring bills to be read on three several 3-3 days in each house be suspended, and this rule is hereby suspended, 3-4 and that this Act take effect and be in force from and after its 3-5 passage, and it is so enacted.