By Nelson S.B. No. 99 77R989 KKA-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to an evaluation of preauthorization requirements imposed 1-3 by managed care organizations providing health care services to 1-4 recipients of medical assistance. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. Subchapter A, Chapter 533, Government Code, is 1-7 amended by adding Section 533.016 to read as follows: 1-8 Sec. 533.016. EVALUATION OF PREAUTHORIZATION REQUIREMENTS. 1-9 (a) The commission, in cooperation with the Texas Department of 1-10 Insurance, shall: 1-11 (1) evaluate the effectiveness of requiring managed 1-12 care organizations providing health care services to recipients to 1-13 eliminate preauthorization requirements for routine health care 1-14 services that are customarily approved by the managed care 1-15 organizations; 1-16 (2) develop proposed procedures for: 1-17 (A) identifying routine health care services for 1-18 which preauthorization requirements should be eliminated; and 1-19 (B) ensuring that health care providers receive 1-20 notice of health care services for which preauthorization is 1-21 required; 1-22 (3) develop a proposed standard preauthorization form 1-23 to be used by managed care organizations providing health care 1-24 services to recipients; and 2-1 (4) submit a report to the legislature regarding the 2-2 evaluation, proposed procedures, and proposed standard 2-3 preauthorization form. 2-4 (b) This section expires September 1, 2003. 2-5 SECTION 2. The Health and Human Services Commission shall 2-6 submit the report required by Section 533.016, Government Code, as 2-7 added by this Act, not later than November 1, 2002. 2-8 SECTION 3. This Act takes effect immediately if it receives a 2-9 vote of two-thirds of all the members elected to each house, as 2-10 provided by Section 39, Article III, Texas Constitution. If this 2-11 Act does not receive the vote necessary for immediate effect, this 2-12 Act takes effect September 1, 2001.