1-1 By: Zaffirini, Moncrief S.B. No. 1163 1-2 (In the Senate - Filed March 11, 1997; March 17, 1997, read 1-3 first time and referred to Committee on Health and Human Services; 1-4 April 21, 1997, reported adversely, with favorable Committee 1-5 Substitute by the following vote: Yeas 10, Nays 0; April 21, 1997, 1-6 sent to printer.) 1-7 COMMITTEE SUBSTITUTE FOR S.B. No. 1163 By: Zaffirini 1-8 A BILL TO BE ENTITLED 1-9 AN ACT 1-10 relating to information and training about Medicaid managed care. 1-11 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-12 SECTION 1. Subchapter B, Chapter 32, Human Resources Code, 1-13 is amended by adding Section 32.043 to read as follows: 1-14 Sec. 32.043. MANAGED CARE INFORMATION AND TRAINING PLAN. 1-15 (a) The department shall develop a comprehensive plan to provide 1-16 information and training about the requirements of a managed care 1-17 plan to recipients of medical assistance, providers of medical 1-18 assistance, local health and human services agencies, and other 1-19 interested parties in each service area in which the department 1-20 plans to provide medical assistance through a managed care plan. 1-21 (b) The department shall include in the comprehensive plan: 1-22 (1) 180 days of initial information and training in a 1-23 service area beginning not later than the 90th day before the date 1-24 on which the department plans to begin to provide medical 1-25 assistance through a managed care plan in that service area; 1-26 (2) additional information and training at regular 1-27 intervals determined by the department; and 1-28 (3) performance measures to evaluate the effectiveness 1-29 of the information and training. 1-30 (c) In developing the comprehensive plan, the department 1-31 shall consult with the Medicaid medical care advisory committee. 1-32 (d) The department shall submit to the lieutenant governor, 1-33 the speaker of the house of representatives, the Senate Health and 1-34 Human Services Committee, and the House Public Health Committee a 1-35 semiannual report on the effectiveness of the comprehensive plan 1-36 developed under this section. The department may consolidate this 1-37 report with any other report relating to the same subject that the 1-38 department is required to submit under other law. 1-39 (e) In conjunction with the comprehensive plan, the 1-40 department shall establish a pilot project with a duration of not 1-41 less than two years in a location determined by the department to 1-42 test the effectiveness and cost of peer outreach and health 1-43 education designed to: 1-44 (1) inform recipients about the effective use of 1-45 health care resources, including managed care plans and primary 1-46 care providers under those plans; and 1-47 (2) encourage recipients to: 1-48 (A) seek preventive health care regularly, 1-49 including prenatal care and screening through the early and 1-50 periodic screening, diagnosis, and treatment program; 1-51 (B) develop family preventive health care plans; 1-52 (C) follow health care providers' instructions; 1-53 and 1-54 (D) keep health care appointments and follow up 1-55 on missed appointments. 1-56 SECTION 2. The importance of this legislation and the 1-57 crowded condition of the calendars in both houses create an 1-58 emergency and an imperative public necessity that the 1-59 constitutional rule requiring bills to be read on three several 1-60 days in each house be suspended, and this rule is hereby suspended, 1-61 and that this Act take effect and be in force from and after its 1-62 passage, and it is so enacted. 1-63 * * * * *