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A BILL TO BE ENTITLED
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AN ACT
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relating to information sharing among care coordinators and |
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providers participating in the Medicaid managed care program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter A, Chapter 533, Government Code, is |
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amended by adding Section 533.00293 to read as follows: |
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Sec. 533.00293. INFORMATION SHARING. (a) In this section: |
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(1) "Care coordination" means assisting recipients to |
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develop a plan of care, including a service plan, that meets the |
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recipient's needs and coordinating the provision of Medicaid |
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benefits in a manner that is consistent with the plan of care. The |
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term is synonymous with "case management," "service coordination," |
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and "service management." |
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(2) "Care coordinator" means a person, including a |
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case manager, engaged by a Medicaid managed care organization to |
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provide care coordination benefits. |
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(b) To the extent permitted under applicable federal and |
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state law enacted to protect the confidentiality and privacy of |
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patients' health information, managed care organizations under |
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contract with the commission to provide health care services to |
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recipients shall ensure the sharing of information, including |
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recipient medical records, among care coordinators and health care |
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providers as appropriate to provide care coordination benefits. |
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For purposes of implementing this section, a managed care |
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organization may allow a care coordinator to share a recipient's |
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service plan with health care providers, subject to the limitations |
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of this 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 immediately if it receives |
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a 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. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2017. |