Amend CSSB 563 (house committee printing) by adding the
following appropriately numbered section to read as follows and
renumbering subsequent sections accordingly:
SECTION ___. (a) Section 531.1063, Government Code, is
amended by amending Subsection (g) and adding Subsections (h) and
(i) to read as follows:
(g) The commission shall implement [may extend] the program
statewide as provided by Subsection (h) [to additional counties] if
the commission determines that statewide implementation
[expansion] would be cost-effective.
(h) The commission shall adopt a plan to implement the
program statewide in phases and shall terminate the statewide
implementation at any stage of the process if the commission
determines that statewide implementation would not be
cost-effective. The plan must include for each phase:
(1) a description of the policies and procedures to be
tested concerning the handling of lost, forgotten, or stolen cards
carrying a fingerprint image or situations in which a fingerprint
match cannot be confirmed;
(2) a determination of whether the commission will
require children or persons who are elderly or disabled to
participate in the phase and the reason or reasons for including
children or persons who are elderly or disabled in the phase; and
(3) a description of the manner and location in which
the fingerprint images will be initially collected.
(i) In developing the plan required by Subsection (h), the
commission shall seek comments from recipients, providers, and
other stakeholders in the state Medicaid program.
(b) The Health and Human Services Commission, before
implementing a phase of the Medicaid fraud reduction pilot program
required by Section 531.1063, Government Code, as amended by this
section, that requires mandatory participation by Medicaid
recipients or health care providers, shall submit a report
regarding the phase to the governor, lieutenant governor, speaker
of the house of representatives, and presiding officer of each
standing committee of the senate and house of representatives
having jurisdiction over the state Medicaid program. The report
must include a description of each component of the plan for that
phase, as required by Subsection (h), Section 531.1063, Government
Code, as added by this section.
(c) In addition to the report required by Subsection (c),
Section 2.23, Chapter 198, Acts of the 78th Legislature, Regular
Session, 2003, the Health and Human Services Commission shall
report, not later than December 1, 2006, on the status and progress
of the Medicaid fraud reduction pilot program required by Section
531.1063, Government Code, as amended by this section, to the
governor, lieutenant governor, speaker of the house of
representatives, and presiding officer of each standing committee
of the senate and house of representatives having jurisdiction over
the state Medicaid program. The report must include:
(1) a continued evaluation of the benefits of the
program;
(2) an evaluation of the strengths and weaknesses of
the policies and procedures tested in each phase required by
Subsection (h), Section 531.1063, Government Code, as added by this
section;
(3) information concerning the cost-effectiveness of
the program;
(4) if the program has been implemented statewide, any
significant problems encountered; and
(5) if the Health and Human Services Commission
requires participation by children or persons who are elderly or
disabled, the reason or reasons for including children or persons
who are elderly or disabled in the program.
(d) If before implementing any provision of this section a
state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.