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A BILL TO BE ENTITLED
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AN ACT
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relating to requests for reconsideration of TILE classifications |
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assigned to certain nursing facility residents. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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amended by adding Section 531.089 to read as follows: |
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Sec. 531.089. RECONSIDERATION OF TILE CLASSIFICATION. (a) |
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In this section, "TILE classification" means the classification |
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assigned under the Texas Index for Level of Effort classification |
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system to a nursing facility resident that quantifies the intensity |
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of the care needs of the resident and determines the daily |
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reimbursement rate for that care. |
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(b) If a nursing facility or hospice provider disagrees with |
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the commission's TILE classification of a nursing facility resident |
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and submits a reconsideration request for that classification as |
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provided by commission rules, the commission shall review and make |
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a determination on the request not later than the 30th day after the |
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date the commission receives the request. |
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(c) If the commission does not make a determination on a |
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reconsideration request during the period required by Subsection |
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(b), the TILE classification requested by the nursing facility or |
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hospice provider for the nursing facility resident is considered |
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granted, and that TILE classification and the associated daily |
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reimbursement rate is assigned to the resident retroactively to the |
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effective date of the incorrect TILE classification. |
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SECTION 2. Section 531.089, Government Code, as added by |
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this Act, applies to a request for reconsideration of a Texas Index |
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for Level of Effort classification received by the Health and Human |
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Services Commission on or after the effective date of this Act. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect September 1, 2007. |