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A BILL TO BE ENTITLED
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AN ACT
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relating to the Health and Human Services Commission's procurement |
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and oversight of managed care organization contracts serving |
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individuals in Texas Medicaid with serious mental illness. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 533.0071, Texas Government Code, is |
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amended by adding new subsection "(6)" to read as follows: |
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" (6) To achieve greater administrative efficiency and the |
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greatest value for the state, the Health and Human Services |
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Commission shall evaluate and strengthen its current procurement |
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process for managed care. This may include simultaneously procuring |
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multiple managed care products. |
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The agency shall develop metrics to better hold managed care |
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companies accountable for care of enrollees with serious mental |
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illness, which may include development and procurement of a |
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separate managed care program in at least one service area of the |
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state aimed at serving individuals with serious mental illness, as |
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defined by Section 1355.001, Texas Insurance Code. |
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The Health and Human Services Commission shall measure |
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performance of all managed care programs per Government Code, |
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536.003 and by using other measures that support a continuous |
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quality improvement process and establish accountability at the |
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managed care organization and provider level for performance |
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improvement and cost control. Measures should include national |
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industry standard performance measures for integrated care, jail |
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and emergency department diversion, post-release linkage to care, |
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homelessness reduction, supportive housing, and medication |
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adherence. Metrics also must demonstrate improved outcomes and |
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integration of care and enhanced cost control against an |
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established baseline measurement for the target population of |
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individuals with serious mental illness. |
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If necessary, the Health and Human Services Commission may |
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extend existing managed care contracts to establish a uniform |
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expiration date, provided it does so in a manner consistent with |
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Texas Government Code section 2155.144(c)." |
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SECTION 2. 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. |