1-1 By: Nelson S.B. No. 283
1-2 (In the Senate - Filed January 18, 2001; January 22, 2001,
1-3 read first time and referred to Committee on Health and Human
1-4 Services; April 20, 2001, reported favorably by the following vote:
1-5 Yeas 7, Nays 0; April 20, 2001, sent to printer.)
1-6 A BILL TO BE ENTITLED
1-7 AN ACT
1-8 relating to special disease management programs for certain
1-9 recipients of medical assistance under the Medicaid managed care
1-10 program.
1-11 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-12 SECTION 1. Section 533.009, Government Code, is amended to
1-13 read as follows:
1-14 Sec. 533.009. SPECIAL DISEASE MANAGEMENT. (a) The
1-15 commission shall[, to the extent possible,] ensure that managed
1-16 care organizations under contract with the commission to provide
1-17 health care services to recipients develop and implement special
1-18 disease management programs to address chronic health conditions,
1-19 including asthma and diabetes, and use outcome measures to assess
1-20 the programs.
1-21 (b) The commission shall [may] study[, in conjunction with
1-22 an academic center,] the benefits and costs of applying disease
1-23 management principles in the delivery of Medicaid managed care
1-24 services to recipients with chronic health conditions. In
1-25 conducting the study, the commission shall evaluate the
1-26 effectiveness of those principles in:
1-27 (1) reducing long-term health care costs under the
1-28 Medicaid managed care program;
1-29 (2) improving patient care, including the coordination
1-30 of that care; and
1-31 (3) improving utilization patterns of recipients.
1-32 (c) The commission may conduct the study under Subsection
1-33 (b) in conjunction with an academic center.
1-34 SECTION 2. If before implementing any provision of this Act
1-35 a state agency determines that a waiver or authorization from a
1-36 federal agency is necessary for implementation of that provision,
1-37 the agency affected by the provision shall request the waiver or
1-38 authorization and may delay implementing that provision until the
1-39 waiver or authorization is granted.
1-40 SECTION 3. This Act takes effect September 1, 2001.
1-41 * * * * *