79R7748 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 medical assistance program under
Chapter 32 and the Medicare program; and
(2) for any rate adopted that exceeds the lower of the
medical assistance 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Resources Code, are repealed.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.