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A BILL TO BE ENTITLED
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AN ACT
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relating to the use of home telemonitoring services under the |
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Medicaid program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 531.02164, Government Code, is amended |
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by amending Subsection (c) and adding Subsection (f) to read as |
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follows: |
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(c) The program required under this section must: |
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(1) provide that home telemonitoring services are |
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available only to a person [persons] who: |
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(A) is [are] diagnosed with a condition for which |
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the commission makes an evidence-based determination that |
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monitoring through the use of home telemonitoring services is |
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cost-effective and feasible [one or more of the following
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conditions:
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[(i) pregnancy;
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[(ii) diabetes;
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[(iii) heart disease;
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[(iv) cancer;
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[(v)
chronic obstructive pulmonary
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disease;
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[(vi) hypertension;
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[(vii) congestive heart failure;
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[(viii)
mental illness or serious emotional
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disturbance;
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[(ix) asthma;
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[(x) myocardial infarction; or
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[(xi) stroke]; and |
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(B) exhibits [exhibit] two or more of the |
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following risk factors: |
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(i) two or more hospitalizations in the |
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prior 12-month period; |
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(ii) frequent or recurrent emergency room |
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admissions; |
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(iii) a documented history of poor |
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adherence to ordered medication regimens; |
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(iv) a documented history of falls in the |
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prior six-month period; |
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(v) limited or absent informal support |
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systems; |
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(vi) living alone or being home alone for |
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extended periods of time; and |
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(vii) a documented history of care access |
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challenges; |
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(2) ensure that clinical information gathered by a |
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home health agency or hospital while providing home telemonitoring |
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services is shared with the patient's physician; and |
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(3) ensure that the program does not duplicate disease |
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management program services provided under Section 32.057, Human |
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Resources Code. |
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(f) The commission may conduct pilot projects to collect |
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evidence regarding the effectiveness of using home telemonitoring |
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services to monitor certain conditions. |
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SECTION 2. Section 531.02176, Government Code, is amended |
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to read as follows: |
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Sec. 531.02176. EXPIRATION OF MEDICAID REIMBURSEMENT FOR |
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PROVISION OF HOME TELEMONITORING SERVICES. Notwithstanding any |
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other law, the commission may not reimburse providers under the |
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Medicaid program for the provision of home telemonitoring services |
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on or after September 1, 2021 [2015]. |
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SECTION 3. As soon as practicable after the effective date |
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of this Act, the executive commissioner of the Health and Human |
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Services Commission shall adopt necessary rules to implement the |
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changes in law made by this Act. |
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SECTION 4. 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 5. This Act takes effect September 1, 2015. |