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A BILL TO BE ENTITLED
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AN ACT
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relating to the creation of a select interim committee to undertake |
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a comprehensive review of the provision of public health care |
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services in this state. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. CREATION OF SELECT INTERIM COMMITTEE. (a) A |
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select interim committee is created to study and review statutes |
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and regulations, including model laws and regulations, related to |
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the provision of health care services in this state. |
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(b) The committee shall convene at the call of the presiding |
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officer. |
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(c) The committee has all other powers and duties provided |
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to a special or select committee by the rules of the senate, |
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Subchapter B, Chapter 301, Government Code, and policies of the |
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senate committee on administration. |
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SECTION 2. INTERIM STUDY REGARDING THE PROVISION OF HEALTH |
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CARE SERVICES. (a) The committee created by Section 1 of this Act |
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shall study the concept of providing health insurance coverage for |
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acute care and home health care services for Medicaid recipients in |
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the private insurance market through a capitated or block grant |
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funding system and, with respect to a program based on that concept |
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or other similar program: |
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(1) the requirements to obtain any waiver necessary to |
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implement and administer the program; |
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(2) the cost of implementing and administering the |
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program; |
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(3) the feasibility of implementing and administering |
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a cost-sharing and sliding scale subsidy program for the Medicaid |
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recipients served by the program; |
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(4) the implementation and administration of health |
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savings accounts for the Medicaid recipients served by the program; |
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(5) minimum coverage requirements; |
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(6) eligibility requirements, including asset test |
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requirements; |
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(7) options for programs to reinsure participating |
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health benefit plan issuers; and |
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(8) any other issue related to the feasibility, |
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implementation, and administration of the program. |
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(b) The committee created by Section 1 of this Act shall |
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also study: |
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(1) health care models and programs to address health |
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care spending in this state related to the Medicaid program, |
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veterans affairs, hospital districts, charity care, uncompensated |
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care, private pay insurance, self-insurance, and other health care |
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spending; |
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(2) long-term and short-term models and programs with |
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proven cost savings, including cost savings for private health care |
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and other health care systems, criminal justice systems, child |
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welfare systems, and other social and welfare services provided by |
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the federal government or this state; and |
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(3) health care models and programs that promote |
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coordinated collaboration between local and regional communities |
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to serve low-income and indigent individuals by providing |
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wraparound services resulting in cost-sharing, improved outcomes, |
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and a reduction in administrative costs. |
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SECTION 3. TEXAS HEALTH CARE ADVISORY COUNCIL. (a) The |
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committee established under Section 1 of this Act shall establish |
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the Texas Health Care Advisory Council to advise the committee as |
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requested on issues related to the subject matter under study and |
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review in accordance with this Act. |
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(b) The council authorized by Subsection (a) of this section |
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is composed of a uniform number of individual members who represent |
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the following interests: |
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(1) the managed care organization community; |
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(2) primary care physicians; |
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(3) local mental health authorities; |
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(4) hospitals; |
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(5) mental health professionals; |
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(6) the nursing community; |
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(7) health care charity organizations; |
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(8) the intellectual and developmental disability |
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community; |
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(9) the dental community; |
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(10) the law enforcement community; and |
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(11) the judicial community. |
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(c) In addition to the members described by Subsection (b) |
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of this section, the Texas Health Care Advisory Council must |
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include a member appointed by the executive commissioner of the |
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Health and Human Services Commission to represent the interests of |
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the commission. |
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SECTION 4. COMMITTEE FINDINGS AND RECOMMENDATIONS. (a) |
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Not later than January 15, 2017, the committee shall report the |
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committee's findings and recommendations to the lieutenant |
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governor and the governor. The committee shall include in its |
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recommendations specific statutory and regulatory changes that |
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appear necessary from the results of the committee's study under |
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Section 2 of this Act. |
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(b) Not later than the 60th day after the effective date of |
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this Act, the lieutenant governor shall appoint the members of the |
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committee created under Section 1 of this Act. |
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SECTION 5. ABOLITION OF COMMITTEE AND COUNCIL. The |
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committee and the council are abolished and this Act expires |
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January 20, 2017. |
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SECTION 6. EFFECTIVE DATE. This Act takes effect |
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immediately if it receives a vote of two-thirds of all the members |
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elected to each house, as provided by Section 39, Article III, Texas |
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Constitution. If this Act does not receive the vote necessary for |
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immediate effect, this Act takes effect September 1, 2015. |