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A BILL TO BE ENTITLED
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AN ACT
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relating to the provision of certain behavioral health services to |
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children, adolescents, and their families under a contract with a |
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managed care organization. |
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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 533.002552 to read as follows: |
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Sec. 533.002552. TARGETED CASE MANAGEMENT AND PSYCHIATRIC |
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REHABILITATIVE SERVICES FOR CHILDREN, ADOLESCENTS, AND FAMILIES. |
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(a) A provider in the provider network of a managed care |
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organization that contracts with the commission to provide |
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behavioral health services under Section 533.00255 may contract |
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with the managed care organization to provide targeted case |
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management and psychiatric rehabilitative services to children, |
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adolescents, and their families. |
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(b) Commission rules and guidelines concerning contract and |
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training requirements applicable to the provision of behavioral |
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health services may apply to a provider that contracts with a |
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managed care organization under Subsection (a) only to the extent |
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those contract and training requirements are specific to the |
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provision of targeted case management and psychiatric |
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rehabilitative services to children, adolescents, and their |
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families. |
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(c) Commission rules and guidelines applicable to a |
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provider that contracts with a managed care organization under |
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Subsection (a) may not require the provider to provide a behavioral |
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health crisis hotline or a mobile crisis team that operates 24 hours |
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per day and seven days per week. This subsection does not prohibit |
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a managed care organization that contracts with the commission to |
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provide behavioral health services under Section 533.00255 from |
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specifically contracting with a provider for the provision of a |
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behavioral health crisis hotline or a mobile crisis team that |
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operates 24 hours per day and seven days per week. |
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(d) Commission rules and guidelines applicable to a |
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provider that contracts with a managed care organization to provide |
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targeted case management and psychiatric rehabilitative services |
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specific to children and adolescents who are at risk of juvenile |
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justice involvement, expulsion from school, displacement from the |
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home, hospitalization, residential treatment, or serious injury to |
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self, others, or animals may not require the provider to also |
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provide less intensive psychiatric rehabilitative services |
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specified by commission rules and guidelines as applicable to the |
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provision of targeted case management and psychiatric |
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rehabilitative services to children, adolescents, and their |
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families, if that provider has a referral arrangement to provide |
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access to those less intensive psychiatric rehabilitative |
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services. |
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(e) Commission rules and guidelines applicable to a |
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provider that contracts with a managed care organization under |
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Subsection (a) may not require the provider to provide services not |
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covered under Medicaid. |
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SECTION 2. Not later than January 1, 2018, the executive |
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commissioner of the Health and Human Services Commission shall |
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adopt rules and guidelines or amend existing rules and guidelines |
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as necessary to comply with the requirements of Section 533.002552, |
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Government Code, as added by this Act. |
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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. |