81R7207 ALB-D
 
  By: Nelson S.B. No. 1881
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the alignment of certain Medicaid procedures regarding
  written orders for diabetic equipment and supplies with comparable
  Medicare written order procedures.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.099 to read as follows:
         Sec. 531.099.  ALIGNMENT OF MEDICAID DIABETIC EQUIPMENT AND
  SUPPLIES WRITTEN ORDER PROCEDURES WITH MEDICARE DIABETIC EQUIPMENT
  AND SUPPLIES WRITTEN ORDER PROCEDURES.  (a) The commission shall
  review forms and requirements under the Medicaid program regarding
  written orders for diabetic equipment and supplies to identify
  variations between permissible ordering procedures under that
  program and ordering procedures available to providers under the
  Medicare program.
         (b)  To the extent practicable, and notwithstanding any
  other state law, after conducting a review under Subsection (a) the
  commission shall modify rules and procedures applicable to written
  orders for diabetic equipment and supplies under the Medicaid
  program to provide for an ordering system that is comparable to the
  ordering system for diabetic equipment and supplies under the
  Medicare program.  The ordering system must permit the following
  persons to complete forms by hand or to enter by electronic format
  medical information or supply orders into any form as necessary to
  provide the information required to dispense diabetic equipment or
  supplies:
               (1)  a physician;
               (2)  a physician assistant;
               (3)  a nurse practitioner;
               (4)  a clinical nurse specialist;
               (5)  a provider of diabetic equipment or supplies; or
               (6)  any staff member or employee designated by a
  person listed in Subdivisions (1)-(5).
         (c)  A provider of diabetic equipment and supplies may bill
  and collect payment for the provider's services if the provider has
  a copy of the form that meets the requirements of Subsection (b) and
  that is signed by a medical practitioner licensed in this state to
  treat diabetic patients.  Additional documentation may not be
  required.
         SECTION 2.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 3.  This Act takes effect September 1, 2009.