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. 1-49 * * * * *