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.