BILL ANALYSIS

Senate Research Center	H.B. 4543
86R13430 KFF-F	By: Klick; Raymond (Kolkhorst)
	Health & Human Services
	5/14/2019
	Engrossed

AUTHOR'S / SPONSOR'S STATEMENT OF INTENT

S.B. 7 (83R) carved long-term care Medicaid services into a managed care model. S.B. 7 authorize the Health and Human Services Commission (HHSC) to implement a pilot to best determine the method and approach for carving these services into managed care. HHSC choose not to implement this pilot.

Considering HHSC's decision to not implement a pilot, H.B. 3523 (84R) delayed the roll out for this population from 2017-2018. H.B. 3295 (85R) further delayed the roll out again from 2018-2020. As we approach this date we see that the state is still not ready to roll out managed care to this population.

H.B. 4533 delays implementation of the managed care carve in and allow stakeholders and HHSC more time to determine the best method and approach for carving these services into managed care.

H.B. 4543 amends current law relating to implementation of the system redesign for the delivery of Medicaid benefits to persons with intellectual or developmental disabilities.

RULEMAKING AUTHORITY

This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.

SECTION BY SECTION ANALYSIS

SECTION 1. Reenacts and amends Section 534.053(g), Government Code, as amended by Chapters 837 (S.B. 200), 946 (S.B. 277), and 1117 (H.B. 3523), Acts of the 84th Legislature, Regular Session, 2015, as follows:

(g) Provides that on January 1, 2029, the intellectual and developmental disability redesign advisory committee (advisory committee) is abolished and this section (Intellectual and Developmental Disability Redesign Advisory Committee) expires, rather than providing that on the one-year anniversary of the date the Health and Human Services Commission (HHSC) completes implementation of the transition required under Section 534.202 (Transition of ICF-IID Program Recipients and Certain Other Medicaid Waiver Program Recipients to Integrated Managed Care System), the advisory committee is abolished and this section expires.

SECTION 2. Amends Section 534.054(b), Government Code, to provide that this section (Annual Report on Implementation) expires January 1, 2029, rather than January 1, 2026.

SECTION 3. Amends Section 534.106(a), Government Code, to require HHSC to implement any pilot programs established under this subchapter (Stage One: Programs to Improve Service Delivery Models) not later than September 1, 2022, rather than requiring HHSC and the Department of Aging and Disability Services to implement any pilot programs established under this subchapter not later than September 1, 2017.

SECTION 4. Amends Section 534.111, Government Code, to provide that each pilot program established under this subchapter that is still in operation is required to conclude and this subchapter expires on September 1, 2024, rather than on September 1, 2019.

SECTION 5. Amends Section 534.201(b), Government Code, to change the deadline of certain required actions of HHSC related to transition of provision of Medicaid benefits for certain recipients from September 1, 2020, to September 1, 2025, and to make nonsubstantive changes.

SECTION 6. Amends Section 534.202(b), Government Code, to change the deadline of certain required actions of HHSC related to transition of provision of Medicaid benefits for certain recipients from September 1, 2021, to September 1, 2027, and to make nonsubstantive changes.

SECTION 7. Requires a state agency, if necessary for implementation of a provision of this Act, to request a waiver or authorization from a federal agency, and authorizes a delay of implementation until such a waiver or authorization is granted.

SECTION 8. Effective date: upon passage or September 1, 2019.