1-1 By: Janek (Senate Sponsor - Nelson) H.B. No. 1285 1-2 (In the Senate - Received from the House April 23, 1999; 1-3 April 26, 1999, read first time and referred to Committee on Human 1-4 Services; May 3, 1999, rereferred to Committee on Health Services; 1-5 May 13, 1999, reported favorably, as amended, by the following 1-6 vote: Yeas 4, Nays 0; May 13, 1999, sent to printer.) 1-7 COMMITTEE AMENDMENT NO. 1 By: Nelson 1-8 Amend H.B. No. 1285 as follows: 1-9 (1) In SECTION 1 of the bill, in the introductory language 1-10 (House engrossment, page 1, lines 34 and 35), strike "Section 1-11 32.024(s), Human Resources Code, is amended" and substitute 1-12 "Section 32.024, Human Resources Code, is amended by amending 1-13 Subsection (s) and adding Subsection (s-1)". 1-14 (2) In SECTION 1 of the bill, immediately following amended 1-15 Section 32.024(s), Human Resources Code (House engrossment, page 1, 1-16 between lines 50 and 51), insert the following: 1-17 (s-1) Subsection (s)(2) does not apply to services provided 1-18 by a school health clinic, Head Start program, or child-care 1-19 facility, as defined by Section 42.002, if the clinic, program, or 1-20 facility: 1-21 (1) obtains written consent to the services from the 1-22 child's parent or guardian within the one-year period preceding the 1-23 date on which the services are provided, and that consent has not 1-24 been revoked; and 1-25 (2) encourages parental involvement in and management 1-26 of the health care of children receiving services from the clinic, 1-27 program, or facility. 1-28 A BILL TO BE ENTITLED 1-29 AN ACT 1-30 relating to requiring attendance of a child's parent, guardian, or 1-31 other authorized adult at well-child examinations under the state 1-32 Medicaid program. 1-33 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-34 SECTION 1. Section 32.024(s), Human Resources Code, is 1-35 amended to read as follows: 1-36 (s) The department, in its rules governing the early and 1-37 periodic screening, diagnosis, and treatment program, shall: 1-38 (1) revise the periodicity schedule to allow for 1-39 periodic visits at least as often as the frequency recommended by 1-40 the American Academy of Pediatrics and allow for interperiodic 1-41 screens without prior approval when there are indications that it 1-42 is medically necessary; and 1-43 (2) require, as a condition for eligibility for 1-44 reimbursement under the program for the cost of services provided 1-45 at a visit or screening, that a child younger than 15 years of age 1-46 be accompanied at the visit or screening by: 1-47 (A) the child's parent or guardian; or 1-48 (B) another adult, including an adult related to 1-49 the child, authorized by the child's parent or guardian to 1-50 accompany the child. 1-51 SECTION 2. If before implementing any provision of this Act 1-52 a state agency determines that a waiver or authorization from a 1-53 federal agency is necessary for implementation, the state agency 1-54 shall request the waiver or authorization and may delay 1-55 implementing that provision until the waiver or authorization is 1-56 granted. 1-57 SECTION 3. This Act takes effect September 1, 1999. 1-58 SECTION 4. The importance of this legislation and the 1-59 crowded condition of the calendars in both houses create an 1-60 emergency and an imperative public necessity that the 1-61 constitutional rule requiring bills to be read on three several 1-62 days in each house be suspended, and this rule is hereby suspended. 2-1 * * * * *