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79R11663 RMB-F


By:  Hupp                                                         H.B. No. 1912



A BILL TO BE ENTITLED

AN ACT

relating to rates for medical services provided by the Department 
of Assistive and Rehabilitative Services.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:                        
	SECTION 1.  Subchapter D, Chapter 117, Human Resources Code, 
is amended by adding Section 117.074 to read as follows:
	Sec. 117.074.  RATES FOR MEDICAL SERVICES. (a) The executive 
commissioner by rule shall adopt standards governing the 
determination of rates paid for medical services provided under 
this chapter.  The rules must provide for an annual reevaluation of 
the rates.
	(b)  The executive commissioner shall establish a schedule 
of rates based on the standards adopted under Subsection (a).  In 
adopting the rate schedule, the executive commissioner shall:
		(1)  compare the proposed rate schedule to other 
cost-based and resource-based rates for medical services, 
including rates paid under the Medicaid and Medicare programs; and
		(2)  for any rate adopted that exceeds the Medicaid or 
Medicare rate for the same or a similar service, document the 
reasons why the adopted rate reflects consideration of the best 
value, provider availability, and consumer choice.
	(c)  The executive commissioner shall provide notice to 
interested persons and allow those persons to present comments 
before adopting the standards and schedule of rates under 
Subsections (a) and (b).
	SECTION 2.  Sections 91.029, 111.0551, and 111.0552, Human 
Resources Code, are repealed.
	SECTION 3.  This Act takes effect September 1, 2005.