1-1 AN ACT 1-2 relating to the provision of catastrophic case management services 1-3 under the medical assistance program. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is 1-6 amended by adding Section 32.053 to read as follows: 1-7 Sec. 32.053. CATASTROPHIC CASE MANAGEMENT. (a) The 1-8 department shall develop and implement a catastrophic case 1-9 management system to be used in providing medical assistance to 1-10 persons with catastrophic health problems. 1-11 (b) The system must provide for the assignment of a case 1-12 manager to a recipient of medical assistance with catastrophic 1-13 health problems that are likely to: 1-14 (1) require the services of multiple, specialized 1-15 health care providers; and 1-16 (2) result in major medical costs. 1-17 (c) The department shall identify the services to be 1-18 provided by a case manager assigned under the system. The services 1-19 must include assessment of the recipient's needs and coordination 1-20 of all available medical services and payment options. The 1-21 services may include other support services such as: 1-22 (1) assistance with making arrangements to receive 1-23 care from medical facilities; 1-24 (2) assistance with travel and lodging in connection 2-1 with receipt of medical care; 2-2 (3) education of the recipient and the recipient's 2-3 family members regarding the nature of the recipient's health 2-4 problems; 2-5 (4) referral to appropriate support groups; and 2-6 (5) any other service likely to result in better care 2-7 provided in a cost-effective manner. 2-8 (d) Not later than January 15 of each odd-numbered year, the 2-9 department shall report to the legislature on the implementation of 2-10 the system. The report must include a statement of: 2-11 (1) the number of recipients of medical assistance who 2-12 received catastrophic case management services under the system 2-13 during the preceding two years; and 2-14 (2) the estimated savings under the medical assistance 2-15 program resulting from implementation of the system during the 2-16 preceding two years. 2-17 SECTION 2. If before implementing any provision of this Act 2-18 a state agency determines that a waiver or authorization from a 2-19 federal agency is necessary for implementation of that provision, 2-20 the agency affected by the provision shall request the waiver or 2-21 authorization and may delay implementing that provision until the 2-22 waiver or authorization is granted. 2-23 SECTION 3. This Act takes effect September 1, 2001. _______________________________ _______________________________ President of the Senate Speaker of the House I certify that H.B. No. 1516 was passed by the House on April 20, 2001, by a non-record vote. _______________________________ Chief Clerk of the House I certify that H.B. No. 1516 was passed by the Senate on May 15, 2001, by the following vote: Yeas 30, Nays 0, 1 present, not voting. _______________________________ Secretary of the Senate APPROVED: __________________________ Date __________________________ Governor