By Nelson                                              S.B. No. 284
         77R987 KLA-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to streamlining reporting requirements and inspection
 1-3     procedures under the Medicaid managed care program.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Subchapter A, Chapter 533, Government Code, is
 1-6     amended by adding Sections 533.0055 and 533.016 to read as follows:
 1-7           Sec. 533.0055.  EVALUATION OF REPORTING REQUIREMENTS AND
 1-8     INSPECTION PROCEDURES. (a)  The commission shall:
 1-9                 (1)  evaluate on-site inspection procedures of managed
1-10     care organizations contracting with the commission under this
1-11     chapter and evaluate methods to streamline those procedures to
1-12     assist the commission in determining necessary and effective
1-13     quality control measures and required data;
1-14                 (2)  evaluate methods to streamline reporting
1-15     requirements for managed care organizations contracting with the
1-16     commission under this chapter, including:
1-17                       (A)  combining information required to be
1-18     reported into a quarterly management report;
1-19                       (B)  eliminating unnecessary or duplicative
1-20     reporting requirements; and
1-21                       (C)  requiring managed care organizations to use
1-22     uniform forms developed by the commission for referrals for
1-23     services and credentialing of health care providers providing
1-24     health care services to recipients; and
 2-1                 (3)  require managed care organizations contracting
 2-2     with the commission under this chapter to evaluate reporting
 2-3     requirements for health care providers to identify methods of
 2-4     reducing the administrative burden placed on the providers,
 2-5     including:
 2-6                       (A)  reducing the complexity of forms health care
 2-7     providers are required to complete; and
 2-8                       (B)  eliminating unnecessary or duplicative
 2-9     reporting requirements.
2-10           (b)  The commission shall submit a report to the legislature
2-11     regarding the evaluation of and methods for streamlining on-site
2-12     inspection procedures and reporting requirements for managed care
2-13     organizations and health care providers providing health care
2-14     services to recipients.  The report must include recommendations on
2-15     which methods should be implemented and a schedule for
2-16     implementation.
2-17           (c)  This section expires September 1, 2002.
2-18           Sec. 533.016.  INTERAGENCY SHARING OF INFORMATION. The
2-19     commission shall require a health and human services agency
2-20     implementing the Medicaid managed care program to provide to each
2-21     other health and human services agency implementing the Medicaid
2-22     managed care program information reported to that agency by a
2-23     managed care organization or health care provider providing
2-24     services to recipients.
2-25           SECTION 2.  The Health and Human Services Commission shall
2-26     submit the report required by Section 533.0055(b), Government Code,
2-27     as added by this Act, not later than November 1, 2002.
 3-1           SECTION 3.  This Act takes effect immediately if it receives
 3-2     a vote of two-thirds of all the members elected to each house, as
 3-3     provided by Section 39, Article III, Texas Constitution.  If this
 3-4     Act does not receive the vote necessary for immediate effect, this
 3-5     Act takes effect September 1, 2001.