By: Moncrief S.B. No. 1331 A BILL TO BE ENTITLED AN ACT 1-1 relating to an assessment of the effectiveness of Medicaid managed 1-2 care contracts. 1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-4 SECTION 1. Section 2, Chapter 1262, Acts of the 75th 1-5 Legislature, Regular Session, 1997, is amended by adding 1-6 Subsections (i) and (j) to read as follows: 1-7 (i) Prior to the issuance of a request for application or 1-8 other solicitation document for any additional contracts with 1-9 managed care organizations, the Health and Human Services 1-10 Commission shall assess the effectiveness of current managed care 1-11 contracts. The assessment shall include an evaluation of the 1-12 impact of the managed care delivery system, including health 1-13 maintenance organizations, prepaid health plans, and primary care 1-14 case management, on the following: 1-15 (1) access to services by Medicaid recipients, 1-16 including those with special needs; 1-17 (2) quality of health care delivery; 1-18 (3) utilization patterns of Medicaid recipients; 1-19 (4) Medicaid costs; and 1-20 (5) public hospitals, medical schools, and other 1-21 traditional providers of indigent health care. 1-22 (j) In conducting the assessment required by Subsection (i) 1-23 of this section, the Health and Human Services Commission shall 1-24 consult with Medicaid providers, medical professional 2-1 organizations, managed care organizations, consumers, state 2-2 agencies, and political subdivisions with a constitutional or 2-3 statutory obligation to provide health care for the indigent. 2-4 SECTION 2. Not later than December 1, 2000, the assessment 2-5 required under Subsection (i), Section 2, Chapter 1262, Acts of the 2-6 75th Legislature, Regular Session, 1997, as added by this Act shall 2-7 be completed and a report shall be submitted to the governor, 2-8 lieutenant governor, speaker of the house of representatives, and 2-9 chairs of the standing committees of the senate and house of 2-10 representatives with primary jurisdiction over health services. 2-11 SECTION 3. This Act takes effect only if a specific 2-12 appropriation for the implementation of this Act is provided in 2-13 H.B. No. 1 (General Appropriations Act), Acts of the 76th 2-14 Legislature, Regular Session, 1999. If no specific appropriation 2-15 is provided in H.B. No. 1, the General Appropriations Act, this Act 2-16 has no effect. 2-17 SECTION 4. The importance of this legislation and the 2-18 crowded condition of the calendars in both houses create an 2-19 emergency and an imperative public necessity that the 2-20 constitutional rule requiring bills to be read on three several 2-21 days in each house be suspended, and this rule is hereby suspended, 2-22 and that this Act take effect and be in force from and after its 2-23 passage, and it is so enacted.