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A BILL TO BE ENTITLED
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AN ACT
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relating to reimbursement for services provided by advanced |
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practice nurses and physician assistants under the Medicaid |
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program. |
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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 32.0426 to read as follows: |
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Sec. 32.0426. REIMBURSEMENT FOR SERVICES PROVIDED BY |
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ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS. (a) In this |
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section: |
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(1) "Advanced practice nurse" has the meaning assigned |
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by Section 301.152, Occupations Code. |
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(2) "National provider identifier" means the national |
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provider identifier required under Section 1128J(e), Social |
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Security Act (42 U.S.C. Section 1320a-7k(e)). |
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(3) "Physician assistant" means a person who holds a |
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license issued under Chapter 204, Occupations Code. |
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(b) If an advanced practice nurse or a physician assistant |
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provides a service to a recipient under the medical assistance |
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program at the direction or under the supervision of another |
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provider and the advanced practice nurse or physician assistant, as |
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applicable, is the primary provider of the service: |
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(1) the name and associated national provider |
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identifier of the advanced practice nurse or physician assistant, |
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as applicable, must be included as the rendering provider on any |
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claim for reimbursement submitted by a provider; and |
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(2) the department may reimburse the claim only at the |
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provider level established by rule for an advanced practice nurse |
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or physician assistant, as applicable. |
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(c) The executive commissioner of the Health and Human |
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Services Commission may adopt rules necessary to implement this |
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section. |
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SECTION 2. 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 3. This Act takes effect September 1, 2013. |