Amend CSSB 10 (House Committee Printing) by adding the 
following appropriately numbered SECTION to the bill and 
renumbering subsequent SECTIONS of the bill accordingly:
	SECTION ____.  (a)  Subchapter B, Chapter 32, Human Resources 
Code, is amended by adding Section 32.072 to read as follows:
	Sec. 32.072.  DIRECT ACCESS TO EYE HEALTH CARE SERVICES.  (a)  
Notwithstanding any other law, a recipient of medical assistance is 
entitled to:
		(1)  select an ophthalmologist or therapeutic 
optometrist who is a medical assistance provider to provide eye 
health care services that are within the scope of:
			(A)  services provided under the medical 
assistance program;  and   
			(B)  the professional specialty practice for 
which the ophthalmologist or therapeutic optometrist is licensed 
and credentialed;  and
		(2)  have direct access to the selected ophthalmologist 
or therapeutic optometrist for the provision of the services 
without any requirement to obtain:
			(A)  a referral from a primary care physician or 
other gatekeeper or health care coordinator;  or
			(B)  any other prior authorization or 
precertification.             
	(b)  The department may require an ophthalmologist or 
therapeutic optometrist selected as provided by this section by a 
recipient of medical assistance who is otherwise required to have a 
primary care physician or other gatekeeper or health care 
coordinator to forward to the recipient's physician, gatekeeper, or 
health care coordinator information concerning the eye health care 
services provided to the recipient.
	(c)  This section may not be construed to expand the scope of 
eye health care services provided under the medical assistance 
program.
	(b)  Subchapter A, Chapter 533, Government Code, is amended 
by adding Section 533.0026 to read as follows:
	Sec. 533.0026.  DIRECT ACCESS TO EYE HEALTH CARE SERVICES 
UNDER MEDICAID MANAGED CARE MODEL OR ARRANGEMENT. Notwithstanding 
any other law, the commission shall ensure that a managed care plan 
offered by a managed care organization that contracts with the 
commission under this chapter and any other Medicaid managed care 
model or arrangement implemented under this chapter allow a 
Medicaid recipient who receives services through the plan or other 
model or arrangement to, in the manner and to the extent required by 
Section 32.072, Human Resources Code:
		(1)  select an ophthalmologist or therapeutic 
optometrist to provide eye health care services;  and
		(2)  have direct access to the selected ophthalmologist 
or therapeutic optometrist for the provision of the services.
	(c)  The changes in law made by Section 533.0026, Government 
Code, as added by this section, apply to a contract between the 
Health and Human Services Commission and a managed care 
organization under Chapter 533, Government Code, that is entered 
into or renewed on or after the effective date of this section.