| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to a county's liability for the costs of basic health care |
|
|
services. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 61.028, Health and Safety Code, is |
|
|
amended to read as follows: |
|
|
Sec. 61.028. BASIC HEALTH CARE SERVICES. (a) A county |
|
|
shall, in accordance with department rules adopted under Section |
|
|
61.006, provide the following basic health care services: |
|
|
(1) primary and preventative services designed to meet |
|
|
the needs of the community, including: |
|
|
(A) immunizations; |
|
|
(B) medical screening services; and |
|
|
(C) annual physical examinations; |
|
|
(2) inpatient and outpatient hospital services; |
|
|
(3) rural health clinics; |
|
|
(4) laboratory and X-ray services; |
|
|
(5) family planning services; |
|
|
(6) physician services; |
|
|
(7) payment for not more than three prescription drugs |
|
|
a month; [and] |
|
|
(8) skilled nursing facility services, regardless of |
|
|
the patient's age; |
|
|
(9) ambulatory surgical center services; |
|
|
(10) diabetic and colostomy medical supplies and |
|
|
equipment; |
|
|
(11) durable medical equipment; |
|
|
(12) home and community health care services; |
|
|
(13) social work services; |
|
|
(14) psychological counseling services; |
|
|
(15) services provided by physician assistants, nurse |
|
|
practitioners, certified nurse midwives, clinical nurse |
|
|
specialists, and certified registered nurse anesthetists; |
|
|
(16) dental care; |
|
|
(17) vision care, including eyeglasses; |
|
|
(18) services provided by federally qualified health |
|
|
centers, as defined by 42 U.S.C. Section 1396d(l)(2)(B); |
|
|
(19) emergency medical services; and |
|
|
(20) any other appropriate health care service |
|
|
identified by board rule that may be determined to be |
|
|
cost-effective. |
|
|
(b) The county may provide additional health care services, |
|
|
but may not credit the assistance toward eligibility for state |
|
|
assistance, except as provided by Subsection (c) [Section 61.0285]. |
|
|
(c) A county must notify the department of the county's |
|
|
intent to provide services other than the services listed under |
|
|
Subsection (a). If the services are approved by the department |
|
|
under Section 61.006, or if the department fails to notify the |
|
|
county of the department's disapproval before the 31st day after |
|
|
the date the county notifies the department of its intent to provide |
|
|
the services, the county may credit the services toward eligibility |
|
|
for state assistance under this subchapter. |
|
|
SECTION 2. Section 61.0285, Health and Safety Code, is |
|
|
repealed. |
|
|
SECTION 3. This Act takes effect immediately if it receives |
|
|
a vote of two-thirds of all the members elected to each house, as |
|
|
provided by Section 39, Article III, Texas Constitution. If this |
|
|
Act does not receive the vote necessary for immediate effect, this |
|
|
Act takes effect September 1, 2009. |