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By: Delisi H.C.R. No. 56
HOUSE CONCURRENT RESOLUTION
WHEREAS, State Medicaid spending currently accounts for
approximately twenty-two percent of total state spending; and
WHEREAS, Under the Federal Medical Assistance Percentage,
the federal share of state Medicaid spending provided to the State
of Texas has decreased by 4.2 percent over the past ten years; and
WHEREAS, Average monthly Medicaid caseloads in the State of
Texas are projected to increase to 2,885,583 by fiscal year 2005
from 2,376,193 in fiscal year 2003; and
WHEREAS, Prescription drug costs are a major factor driving
Medicaid expenditures, and annual Medicaid prescription levels in
the State of Texas are projected to rise to 40,257,515 by fiscal
year 2005, from 33,859,094 in fiscal year 2003; and
WHEREAS, the Congressional Budget Office projects that
Medicaid spending under the current system will more than double by
the year 2012; and
WHEREAS, Section 1115 of the Social Security Act grants the
Secretary of Health and Human Services broad authority to waive
certain laws relating to Medicaid or SCHIP for the purpose of
conducting pilot, experimental or demonstration projects which are "
likely to promote the objectives" of the program; and
WHEREAS, Section 1115 demonstration waivers allow states to
change provisions of their Medicaid or SCHIP programs, including:
eligibility requirements; the scope of services available; the
freedom to choose a provider; a provider's choice to participate in
a plan; the method of reimbursing providers; and the statewide
application of the program; and
WHEREAS, The State of Florida has successfully experimented
with a consumer directed care model under a Section 1115
demonstration waiver; and
WHEREAS, In early 2002, both houses of the legislature of the
State of Florida voted unanimously to continue with a consumer
directed care approach; now, therefore, be it
RESOLVED, That the 78th Legislature of the State of Texas
hereby respectfully urge the Secretary of the United States
Department of Health and Human Services to authorize any section
1115 demonstration waivers, and any other related waivers,
requested by State of Texas for the purposes of implementing a
consumer directed care program under the state medical assistance
program; and be it further
RESOLVED, That the Texas secretary of state forward official
copies of this resolution to the president of the United States, the
speaker of the house of representatives and the president of the
senate of the United States Congress, the secretary of the United
States Department of Health and Human Services and all the members
of the Texas delegation to the congress with the request that this
resolution be officially entered into the Congressional Record of
the United States of America.