BILL ANALYSIS

C.S.H.B. 3295

By: Klick

Human Services

Committee Report (Substituted)

BACKGROUND AND PURPOSE

Interested parties note that recent legislation postponed the deadline for implementation of certain pilot programs to improve Medicaid service delivery models with regard to individuals with an intellectual or developmental disability but did not change the date on which such programs must conclude, causing inconsistency with the 24-month period state law allows for program operation. C.S.H.B. 3295 seeks to address this inconsistency by postponing the date on which such pilot programs must conclude.

CRIMINAL JUSTICE IMPACT

It is the committee's opinion that this bill does not expressly create a criminal offense, increase the punishment for an existing criminal offense or category of offenses, or change the eligibility of a person for community supervision, parole, or mandatory supervision.

RULEMAKING AUTHORITY

It is the committee's opinion that this bill does not expressly grant any additional rulemaking authority to a state officer, department, agency, or institution.

ANALYSIS

C.S.H.B. 3295 amends the Government Code to postpone the date on which a pilot program established under statutory provisions related to pilot programs to improve Medicaid service delivery models with regard to individuals with an intellectual or developmental disability must conclude and those statutory provisions expire from September 1, 2018, to September 1, 2019. The bill changes the date on which the Health and Human Services Commission (HHSC) is required to transition the provision of Medicaid benefits to individuals with an intellectual or developmental disability who are receiving long-term services and supports under the Texas home living (TxHmL) waiver program to the STAR + PLUS Medicaid managed care program delivery model or the most appropriate integrated capitated managed care program delivery model as determined by HHSC from September 1, 2018, to September 1, 2020.

EFFECTIVE DATE

September 1, 2017.

COMPARISON OF ORIGINAL AND SUBSTITUTE

While C.S.H.B. 3295 may differ from the original in minor or nonsubstantive ways, the following comparison is organized and formatted in a manner that indicates the substantial differences between the introduced and committee substitute versions of the bill.

INTRODUCED	HOUSE COMMITTEE SUBSTITUTE
SECTION 1.  Section 534.106(b), Government Code, is amended to read as follows: (b)  A pilot program established under this subchapter must [may] operate for at least [up to] 24 months. A pilot program may cease operation if the pilot program service provider terminates the contract with the commission before the agreed-to termination date.	No equivalent provision.
SECTION 2.  Section 534.111, Government Code, is amended.	SECTION 1. Same as introduced version.
SECTION 3.  Section 534.201(b), Government Code, is amended.	SECTION 2. Same as introduced version.
SECTION 4.  If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted.	SECTION 3. Same as introduced version.
SECTION 5.  This Act takes effect September 1, 2017.	SECTION 4. Same as introduced version.