79R13343 KLA-D
By: Guillen, Escobar H.B. No. 1252
Substitute the following for H.B. No. 1252:
By: Truitt C.S.H.B. No. 1252
A BILL TO BE ENTITLED
AN ACT
relating to providing services for persons with chronic kidney
disease under the medical assistance program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.009(a), Government Code, is amended
to read as follows:
(a) The commission shall ensure that managed care
organizations under contract with the commission to provide health
care services to recipients develop and implement special disease
management programs to manage a disease or other chronic health
conditions, such as heart disease, chronic kidney disease and its
medical complications, respiratory illness, including asthma,
diabetes, end-stage renal disease, HIV infection, or AIDS, and with
respect to which the commission identifies populations for which
disease management would be cost-effective.
SECTION 2. Section 32.059(a), Human Resources Code, as
added by Chapter 208, Acts of the 78th Legislature, Regular
Session, 2003, is amended to read as follows:
(a) The department shall request contract proposals from
providers of disease management programs to provide program
services to recipients of medical assistance who:
(1) have a disease or other chronic health condition,
such as heart disease, hemophilia, chronic kidney disease and its
medical complications, diabetes, respiratory illness, end-stage
renal disease, HIV infection, or AIDS, that the department
determines is a disease or condition that needs disease management;
and
(2) are not eligible to receive those services under a
Medicaid managed care plan.
SECTION 3. Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.069 to read as follows:
Sec. 32.069. CHRONIC KIDNEY DISEASE MANAGEMENT INITIATIVE.
A provider of disease management programs under Section 32.059, as
added by Chapter 208, Acts of the 78th Legislature, Regular
Session, 2003, shall develop a program to provide screening for and
diagnosis and treatment of chronic kidney disease and its medical
complications under the medical assistance program. The program
must use generally recognized clinical practice guidelines and
laboratory assessments that identify chronic kidney disease on the
basis of impaired kidney function or the presence of kidney damage.
SECTION 4. To provide program services to persons with
chronic kidney disease under the medical assistance program, the
Health and Human Services Commission may modify an existing
contract between the commission and a provider of a disease
management program under the medical assistance program.
SECTION 5. If before implementing any provision of this Act
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.
SECTION 6. This Act takes effect September 1, 2005.