85R2634 GCB-D
 
  By: Nelson S.B. No. 74
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of certain behavioral health services to
  children, adolescents, and their families under a contract with a
  managed care organization.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.002552 to read as follows:
         Sec. 533.002552.  TARGETED CASE MANAGEMENT AND PSYCHIATRIC
  REHABILITATIVE SERVICES FOR CHILDREN, ADOLESCENTS, AND FAMILIES.
  (a) A provider in the provider network of a managed care
  organization that contracts with the commission to provide
  behavioral health services under Section 533.00255 may contract
  with the managed care organization to provide targeted case
  management and psychiatric rehabilitative services to children,
  adolescents, and their families.
         (b)  Commission rules and guidelines concerning contract and
  training requirements applicable to the provision of behavioral
  health services may apply to a provider that contracts with a
  managed care organization under Subsection (a) only to the extent
  those contract and training requirements are specific to the
  provision of targeted case management and psychiatric
  rehabilitative services to children, adolescents, and their
  families. 
         (c)  Commission rules and guidelines applicable to a
  provider that contracts with a managed care organization under
  Subsection (a) may not require the provider to provide a behavioral
  health crisis hotline or a mobile crisis team that operates 24 hours
  per day and seven days per week. This subsection does not prohibit
  a managed care organization that contracts with the commission to
  provide behavioral health services under Section 533.00255 from
  specifically contracting with a provider for the provision of a
  behavioral health crisis hotline or a mobile crisis team that
  operates 24 hours per day and seven days per week. 
         (d)  Commission rules and guidelines applicable to a
  provider that contracts with a managed care organization to provide
  targeted case management and psychiatric rehabilitative services
  specific to children and adolescents who are at risk of juvenile
  justice involvement, expulsion from school, displacement from the
  home, hospitalization, residential treatment, or serious injury to
  self, others, or animals may not require the provider to also
  provide less intensive psychiatric rehabilitative services
  specified by commission rules and guidelines as applicable to the
  provision of targeted case management and psychiatric
  rehabilitative services to children, adolescents, and their
  families, if that provider has a referral arrangement to provide
  access to those less intensive psychiatric rehabilitative
  services.
         (e)  Commission rules and guidelines applicable to a
  provider that contracts with a managed care organization under
  Subsection (a) may not require the provider to provide services not
  covered under Medicaid.
         SECTION 2.  Not later than January 1, 2018, the executive
  commissioner of the Health and Human Services Commission shall
  adopt rules and guidelines or amend existing rules and guidelines
  as necessary to comply with the requirements of Section 533.002552,
  Government Code, as added by this Act.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2017.