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A BILL TO BE ENTITLED
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AN ACT
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relating to the child health plan and medical assistance programs. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0313 to read as follows: |
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Sec. 32.0313. DENIAL OF REIMBURSEMENT FOR CERTAIN |
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PROCEDURES. The department may not reimburse a provider under the |
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medical assistance program for a nonmedically indicated cesarean |
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section or labor induction performed at a hospital on a woman |
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earlier than the 39th week of gestation. |
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SECTION 2. Subchapter D, Chapter 161, Human Resources Code, |
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is amended by adding Section 161.086 to read as follows: |
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Sec. 161.086. ELECTRONIC VISIT VERIFICATION SYSTEM. If it |
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is cost-effective, the department shall implement an Electronic |
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Visit Verification system under appropriate Medicaid programs |
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administered by the department that allows providers to |
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electronically verify and document basic information relating to |
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the delivery of services, including: |
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(1) the provider's name; |
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(2) the recipient's name; |
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(3) the date and time the provider begins and ends the |
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delivery of services; and |
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(4) the location of service delivery. |
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SECTION 3. (a) The Health and Human Services Commission |
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shall conduct a study to assess whether it would be feasible and |
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cost-effective to implement an asthma self-management training |
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program under which children who have asthma and receive benefits |
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under the child health plan program under Chapter 62, Health and |
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Safety Code, or the medical assistance program under Chapter 32, |
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Human Resources Code, may receive home-based asthma education and |
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training from persons qualified to provide the education and |
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training, including respiratory therapists and individuals |
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certified to provide the training by the National Asthma Educator |
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Certification Board. The study must: |
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(1) analyze whether implementing the training program |
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would reduce asthma-related emergency room visits and hospital |
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inpatient stays; |
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(2) explore the possibility of providing: |
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(A) home-based education and training as a |
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benefit under the child health plan and medical assistance |
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programs; and |
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(B) financial incentives through shared savings |
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to providers of home-based education and training; and |
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(3) assess the likelihood that children and their |
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families will use home-based education and training. |
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(b) Not later than December 1, 2012, the Health and Human |
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Services Commission shall submit a written report containing the |
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findings of the study conducted under this section together with |
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the commission's recommendations to the standing committees of the |
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senate and house of representatives having primary jurisdiction |
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over the child health plan and Medicaid programs. |
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SECTION 4. Section 533.0025(e), Government Code, is |
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repealed. |
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SECTION 5. 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 6. This Act takes effect September 1, 2011. |