Amend SB 2138 on third reading as follows:
(1)  Add the following appropriately numbered SECTIONS to the bill and renumber subsequent SECTIONS of the bill accordingly:
SECTION ____.  Section 531.0216(f), Government Code, is amended to read as follows:
(f)  Not later than December 1 of each even-numbered year, the commission shall report to the speaker of the house of representatives and the lieutenant governor on the effects of telemedicine medical services, telehealth services, and home telemonitoring services on Medicaid in the state, including the number of physicians, health professionals, and licensed health care facilities using telemedicine medical services, telehealth services, or home telemonitoring services, the geographic and demographic disposition of the physicians and health professionals, the number of patients receiving telemedicine medical services, telehealth services, and home telemonitoring services, the types of services being provided, [and] the cost of utilization, and the cost savings of telemedicine medical services, telehealth services, and home telemonitoring services to Medicaid.
SECTION ____.  Effective September 1, 2019, Section 531.02164, Government Code, is amended by adding Subsection (c-1) to read as follows:
(c-1)  Notwithstanding Subsection (c)(1), the program required under this section must also provide that home telemonitoring services are available to pediatric persons who:
(1)  are diagnosed with end-stage solid organ disease;
(2)  have received an organ transplant; or
(3)  require mechanical ventilation.
SECTION ____.  Section 531.02176, Government Code, is repealed.
SECTION ____.  The executive commissioner of the Health and Human Services Commission shall adopt the rules necessary to implement Section 531.02164(c-1), Government Code, as added by this Act, not later than December 1, 2019.
(2)  Strike the SECTION of the bill providing the effective date and substitute the following appropriately numbered SECTION:
SECTION ____.  Except as otherwise provided by this Act:
(1)  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; and
(2)  if this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2019.