SRC-JEC S.B. 284 77(R) BILL ANALYSIS Senate Research Center S.B. 284 77R987 KLA-DBy: Nelson Health & Human Services 4/17/2001 As Filed DIGEST AND PURPOSE The current Medicaid managed care reporting system can be onerous and difficult to navigate due to the number of health plans involved in the delivery of services. As proposed, S.B. 284 requires the Health and Human Services Commission to study methods to streamline the reports required of health care providers to reduce the administrative burden placed on providers' practices, and to make recommendations to implement certain practices. RULEMAKING AUTHORITY This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Chapter 533A, Government Code, to add Sections 533.0055 and 533.016, as follows: Sec. 533.0055. EVALUATION OF REPORTING REQUIREMENTS AND INSPECTION PROCEDURES. (a) Requires the Health and Human Services Commission or an agency operating part of the state Medicaid managed care program, as appropriate (commission), to: (1) evaluate on-site inspection procedures of managed care organizations contracting with the commission under this chapter and evaluate methods to streamline those procedures to assist the commission in determining necessary and effective quality control measures and required data; (2) evaluate methods to streamline reporting requirements for managed care organizations contracting with the commission under this chapter, including certain methods; and (3) require managed care organizations contracting with the commission under this chapter to evaluate reporting requirements for health care providers to identify methods of reducing the administrative burden placed on the providers, including certain methods. (b) Requires the commission to submit a report to the legislature regarding the evaluation of and methods for streamlining on-site inspection procedures and reporting requirements for managed care organizations and health care providers providing health care services to recipients. Requires the report to include recommendations on which methods should be implemented and a schedule for implementation. (c) Provides that this section expires September 1, 2002. Sec. 533.016. INTERAGENCY SHARING OF INFORMATION. Requires the commission to require a health and human services agency implementing the Medicaid managed care program to provide to each other health and human services agency implementing the Medicaid managed care program information reported to that agency by a managed care organization or health care provider providing services to recipients. SECTION 2. Requires the Health and Human Services Commission to submit the report to the legislature as required by this Act not later than November 1, 2002. SECTION 3. Effective date: upon passage or September 1, 2001.