HBA-MPM S.B. 1331 76(R)    BILL ANALYSIS


Office of House Bill AnalysisS.B. 1331
By: Moncrief
Public Health
5/11/1999
Engrossed



BACKGROUND AND PURPOSE 

With the rollout of Medicaid managed care in Texas, the state has yet to
evaluate the impact of managed care on both quality of care and costs.
S.B.1331 requires that the state to evaluate the success and data of Texas
Medicaid Managed Care programs.  

RULEMAKING AUTHORITY

It is the opinion of the Office of House Bill Analysis that this bill does
not expressly delegate any additional rulemaking authority to a state
officer, department, agency, or institution. 

SECTION BY SECTION ANALYSIS

SECTION 1. Amends Section 2, Chapter 1262, Acts of the 75th Legislature,
Regular Session 1997, by adding Subsections (i) and (j), as follows: 

(i)  Requires the Health and Human Services Commission (HHSC) to assess the
effectiveness of current managed care contracts, prior to the issuance of a
request for application or other solicitation document for any additional
contracts with managed care organizations.  Requires the assessment to
include an evaluation of the impact of the managed care delivery system,
including health maintenance organizations, prepaid health plans, and
primary care case management with respect to certain related issues.  

(j)  Requires HHSC to consult with certain entities, state agencies and
political subdivisions with a constitutional or statutory obligation to
provide health care for the indigent. 

SECTION 2. Requires the assessment required under this Act to be completed
and a report to be submitted to the governor, lieutenant governor, speaker
of the house of representatives, and chairs of the standing committees of
the senate and house of representatives with primary jurisdiction over
health services no later than December 1, 2000.   

SECTION 3.  Makes this Act take effect only if a specific appropriation for
its implementation is provided in H.B. 1 (General Appropriations Act), Acts
of the 76th Legislature, Regular Session, 1999.  Provides that if no
appropriation is made under that Act, this Act has no effect. 

SECTION 4.Emergency clause.
  Effective date: upon passage.