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AN ACT
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relating to the delivery of certain Medicaid services to certain |
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persons. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 534.111, Government Code, is amended to |
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read as follows: |
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Sec. 534.111. CONCLUSION OF PILOT PROGRAMS; |
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EXPIRATION. On September 1, 2019 [2018]: |
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(1) each pilot program established under this |
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subchapter that is still in operation must conclude; and |
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(2) this subchapter expires. |
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SECTION 2. Section 534.201(b), Government Code, is amended |
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to read as follows: |
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(b) On September 1, 2020 [2018], the commission shall |
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transition the provision of Medicaid benefits to individuals to |
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whom this section applies to the STAR + PLUS Medicaid managed care |
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program delivery model or the most appropriate integrated capitated |
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managed care program delivery model, as determined by the |
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commission based on cost-effectiveness and the experience of the |
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STAR + PLUS Medicaid managed care program in providing basic |
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attendant and habilitation services and of the pilot programs |
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established under Subchapter C, subject to Subsection (c)(1). |
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SECTION 3. (a) Using existing resources, the Health and |
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Human Services Commission shall: |
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(1) identify and evaluate barriers preventing |
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Medicaid recipients enrolled in the STAR + PLUS Medicaid managed |
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care program or a home and community-based services waiver program |
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from choosing the consumer directed services option and develop |
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recommendations for increasing the percentage of Medicaid |
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recipients enrolled in those programs who choose the consumer |
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directed services option; and |
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(2) study the feasibility of establishing a community |
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attendant registry to assist Medicaid recipients enrolled in the |
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community attendant services program in locating providers. |
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(b) Not later than December 1, 2018, the Health and Human |
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Services Commission shall submit a report containing the |
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commission's findings and recommendations under Subsection (a) of |
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this section to the governor, the legislature, and the Legislative |
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Budget Board. The report required by this subsection may be |
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combined with any other report required by this Act or other law. |
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SECTION 4. (a) The Health and Human Services Commission |
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shall conduct a study of the provision of dental services to adults |
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with disabilities under the Medicaid program, including: |
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(1) the types of dental services provided, including |
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preventive dental care, emergency dental services, and |
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periodontal, restorative, and prosthodontic services; |
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(2) limits or caps on the types and costs of dental |
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services provided; |
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(3) unique considerations in providing dental care to |
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adults with disabilities, including additional services necessary |
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for adults with particular disabilities; and |
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(4) the availability and accessibility of dentists who |
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provide dental care to adults with disabilities, including the |
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availability of dentists who provide additional services necessary |
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for adults with particular disabilities. |
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(b) In conducting the study under Subsection (a) of this |
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section, the Health and Human Services Commission shall: |
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(1) identify the number of adults with disabilities |
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whose Medicaid benefits include limited or no dental services and |
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who, as a result, have sought medically necessary dental services |
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during an emergency room visit; |
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(2) if feasible, estimate the number of adults with |
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disabilities who are receiving services under the Medicaid program |
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and who have access to alternative sources of dental care, |
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including pro bono dental services, faith-based dental services |
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providers, and other public health care providers; and |
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(3) collect data on the receipt of dental services |
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during emergency room visits by adults with disabilities who are |
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receiving services under the Medicaid program, including the |
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reasons for seeking dental services during an emergency room visit |
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and the costs of providing the dental services during an emergency |
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room visit, as compared to the cost of providing the dental services |
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in the community. |
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(c) Not later than December 1, 2018, the Health and Human |
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Services Commission shall submit a report containing the results of |
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the study conducted under Subsection (a) of this section and the |
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commission's recommendations for improving access to dental |
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services in the community for and reducing the provision of dental |
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services during emergency room visits to adults with disabilities |
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receiving services under the Medicaid program to the governor, the |
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legislature, and the Legislative Budget Board. The report required |
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by this subsection may be combined with any other report required by |
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this Act or other law. |
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SECTION 5. 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 6. This Act takes effect September 1, 2017. |
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______________________________ |
______________________________ |
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President of the Senate |
Speaker of the House |
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I certify that H.B. No. 3295 was passed by the House on May 4, |
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2017, by the following vote: Yeas 144, Nays 0, 2 present, not |
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voting; and that the House concurred in Senate amendments to H.B. |
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No. 3295 on May 26, 2017, by the following vote: Yeas 140, Nays 0, |
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2 present, not voting. |
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______________________________ |
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Chief Clerk of the House |
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I certify that H.B. No. 3295 was passed by the Senate, with |
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amendments, on May 24, 2017, by the following vote: Yeas 31, Nays |
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0. |
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______________________________ |
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Secretary of the Senate |
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APPROVED: __________________ |
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Date |
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__________________ |
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Governor |