1-1     By:  Carona, Moncrief, Bernsen                         S.B. No. 812
 1-2           (In the Senate - Filed February 21, 2001; February 22, 2001,
 1-3     read first time and referred to Committee on Health and Human
 1-4     Services; March 20, 2001, reported adversely, with favorable
 1-5     Committee Substitute by the following vote:  Yeas 8, Nays 0;
 1-6     March 20, 2001, sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 812                   By:  Carona
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to establishing a demonstration project to expand access
1-11     to women's health care services.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
1-14     is amended by adding Section 32.0247 to read as follows:
1-15           Sec. 32.0247.  DEMONSTRATION PROJECT FOR WOMEN'S HEALTH CARE
1-16     SERVICES.  (a)  The department shall establish a five-year
1-17     demonstration project through the medical assistance program to
1-18     expand access to preventive health and family planning services for
1-19     women.  A woman eligible under Subsection (b) to participate in the
1-20     demonstration project may receive preventive health and family
1-21     planning services including:
1-22                 (1)  medical history;
1-23                 (2)  physical examinations;
1-24                 (3)  counseling and education on contraceptive methods;
1-25                 (4)  provision of contraceptives;
1-26                 (5)  health screenings, including screening for:
1-27                       (A)  diabetes;
1-28                       (B)  cervical cancer;
1-29                       (C)  breast cancer;
1-30                       (D)  sexually transmitted diseases;
1-31                       (E)  hypertension;
1-32                       (F)  cholesterol; and
1-33                       (G)  tuberculosis;
1-34                 (6)  risk assessment; and
1-35                 (7)  referral of medical problems to appropriate
1-36     providers.
1-37           (b)  A woman is eligible to participate in the demonstration
1-38     project if the woman:
1-39                 (1)  is of childbearing age, as determined by the
1-40     department;
1-41                 (2)  has a net family income that is at or below 185
1-42     percent of the federal poverty level; and
1-43                 (3)  is not otherwise eligible for the medical
1-44     assistance program.
1-45           (c)  The department shall develop procedures for determining
1-46     and certifying presumptive eligibility for a woman eligible under
1-47     Subsection (b).  The department shall integrate these procedures
1-48     with current procedures to minimize duplication of effort by
1-49     providers, the department, and other state agencies.
1-50           (d)  The department shall provide for continuous eligibility
1-51     for a woman eligible under Subsection (b) for the duration of the
1-52     demonstration project.
1-53           (e)  The department shall compile a list of potential funding
1-54     sources a client can use to help pay for treatment for health
1-55     problems:
1-56                 (1)  identified using services provided to the client
1-57     under the demonstration project; and
1-58                 (2)  for which the client is not eligible to receive
1-59     treatment under the medical assistance program.
1-60           (f)  Not later than December 1 of each even-numbered year,
1-61     the department shall submit a report to the legislature regarding
1-62     the department's progress in establishing and operating the
1-63     demonstration project.
1-64           (g)  This section expires September 1, 2006.
 2-1           SECTION 2.  The state agency responsible for implementing the
 2-2     demonstration project required by Section 32.0247, Human Resources
 2-3     Code, as added by this Act, shall request and actively pursue any
 2-4     necessary waivers or authorizations from the Health Care Financing
 2-5     Administration or other appropriate entities to enable the agency
 2-6     to implement the demonstration project not later than September 1,
 2-7     2002.  The agency may delay implementing the demonstration project
 2-8     until the necessary waivers or authorizations are granted.
 2-9           SECTION 3.  This Act takes effect immediately if it receives
2-10     a vote of two-thirds of all the members elected to each house, as
2-11     provided by Section 39, Article III, Texas Constitution.  If this
2-12     Act does not receive the vote necessary for immediate effect, this
2-13     Act takes effect September 1, 2001.
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