1-1     By:  Moncrief                                         S.B. No. 1331
 1-2           (In the Senate - Filed March 11, 1999; March 15, 1999, read
 1-3     first time and referred to Committee on Health Services;
 1-4     April 28, 1999, reported favorably by the following vote:  Yeas 5,
 1-5     Nays 0; April 28, 1999, sent to printer.)
 1-6                            A BILL TO BE ENTITLED
 1-7                                   AN ACT
 1-8     relating to an assessment of the effectiveness of Medicaid managed
 1-9     care contracts.
1-10           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-11           SECTION 1.  Section 2, Chapter 1262, Acts of the 75th
1-12     Legislature, Regular Session, 1997, is amended by adding
1-13     Subsections (i) and (j) to read as follows:
1-14           (i)  Prior to the issuance of a request for application or
1-15     other solicitation document for any additional contracts with
1-16     managed care organizations, the Health and Human Services
1-17     Commission shall assess the effectiveness of current managed care
1-18     contracts.  The assessment shall include an evaluation of the
1-19     impact of the managed care delivery system, including health
1-20     maintenance organizations, prepaid health plans, and primary care
1-21     case management, on the following:
1-22                 (1)  access to services by Medicaid recipients,
1-23     including those with special needs;
1-24                 (2)  quality of health care delivery;
1-25                 (3)  utilization patterns of Medicaid recipients;
1-26                 (4)  Medicaid costs; and
1-27                 (5)  public hospitals, medical schools, and other
1-28     traditional providers of indigent health care.
1-29           (j)  In conducting the assessment required by Subsection (i)
1-30     of this section, the Health and Human Services Commission shall
1-31     consult with Medicaid providers, medical professional
1-32     organizations, managed care organizations, consumers, state
1-33     agencies, and political subdivisions with a constitutional or
1-34     statutory obligation to provide health care for the indigent.
1-35           SECTION 2.  Not later than December 1, 2000, the assessment
1-36     required under Subsection (i), Section 2, Chapter 1262, Acts of the
1-37     75th Legislature, Regular Session, 1997, as added by this Act shall
1-38     be completed and a report shall be submitted to the governor,
1-39     lieutenant governor, speaker of the house of representatives, and
1-40     chairs of the standing committees of the senate and house of
1-41     representatives with primary jurisdiction over health services.
1-42           SECTION 3.  The importance of this legislation and the
1-43     crowded condition of the calendars in both houses create an
1-44     emergency and an imperative public necessity that the
1-45     constitutional rule requiring bills to be read on three several
1-46     days in each house be suspended, and this rule is hereby suspended,
1-47     and that this Act take effect and be in force from and after its
1-48     passage, and it is so enacted.
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