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A BILL TO BE ENTITLED
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AN ACT
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relating to reimbursement rates for Medicaid acute care therapy |
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services; making an appropriation. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. (a) In addition to other amounts appropriated to |
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the Health and Human Services Commission for the state fiscal |
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biennium ending August 31, 2019, $112,020,886 is appropriated from |
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the economic stabilization fund and $148,492,803 is appropriated |
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from federal funds to the Health and Human Services Commission for |
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that state fiscal biennium to: |
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(1) fully reverse the reductions made during the state |
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fiscal biennium ending August 31, 2017, to reimbursement rates for |
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Medicaid acute care therapy services that are not reversed in |
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accordance with Rider 218, S.B. 1, Acts of the 85th Legislature, |
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Regular Session, 2017 (the General Appropriations Act), to the bill |
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pattern of the appropriations to the commission; and |
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(2) provide funding to make unnecessary the |
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implementation during the state fiscal biennium ending August 31, |
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2019, of adopted reductions in reimbursement rates paid to therapy |
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assistants for the provision of Medicaid acute care therapy |
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services. |
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(b) It is the intent of the legislature that the Health and |
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Human Services Commission ensure that money appropriated by this |
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section is fully reflected in the reimbursement rates paid to |
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providers of Medicaid acute care therapy services in both the |
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Medicaid fee-for-service and managed care delivery models. |
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SECTION 2. Rider 218, S.B. 1, Acts of the 85th Legislature, |
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Regular Session, 2017 (the General Appropriations Act), to the bill |
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pattern of the appropriations to the Health and Human Services |
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Commission is amended to read as follows: |
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218. Adjustment of Therapy Rate Reductions. Funds |
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appropriated above in the strategies in Goal A, Medicaid Client |
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Services, include $11,850,000 in General Revenue Funds and |
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$15,593,261 in Federal Funds ($27,443,261 in All Funds) for fiscal |
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year 2018 and $12,555,500 in General Revenue Funds and $16,834,045 |
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in Federal Funds ($29,389,045 in All Funds) for fiscal year 2019 to |
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restore approximately 25 percent of the reductions made to |
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reimbursement rates for acute care therapy services during the |
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2016-17 biennium. The Health and Human Services Commission is |
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directed to allocate the restorations among provider types and |
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procedure codes to preserve access to care for clients served under |
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Medicaid fee-for-service and managed care models. It is the intent |
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of the Legislature that HHSC shall ensure any funds restored |
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through this rider are fully reflected in reimbursement rates paid |
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to providers of acute care therapy services in both fee-for-service |
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and managed care models. |
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Additionally, funds appropriated above in Goal A, Medicaid |
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Client Services, include $14,100,000 in General Revenue Funds and |
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$18,554,006 in Federal Funds ($32,654,006 in All Funds) for fiscal |
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year 2018 for the payment of reimbursements to [phase-in and delay
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the reduction of rates for] therapy assistants for the provision of |
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Medicaid acute care therapy services. [Appropriated amounts assume
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the reductions will not begin until December 1, 2017 and that rates
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will remain at 85 percent of the rate paid to a licensed therapist
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from that date until September 1, 2018. Appropriated amounts assume
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rates for therapy assistants will be reduced to 70 percent of the
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rate paid to a licensed therapist beginning September 1, 2018.] |
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SECTION 3. (a) Subject to Subsection (b) of this section: |
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(1) this Act takes effect immediately if it receives a |
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vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution; and |
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(2) if this Act does not receive the vote necessary for |
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immediate effect, this Act takes effect on the 91st day after the |
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last day of the legislative session. |
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(b) This Act takes effect only if it receives a vote of |
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two-thirds of the members present in each house of the legislature, |
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as provided by Section 49-g(m), Article III, Texas Constitution. |