BILL ANALYSIS

H.B. 4543

By: Klick

Human Services

Committee Report (Unamended)

BACKGROUND AND PURPOSE

It has been noted that recent legislation postponed the deadline for implementation of certain pilot programs to improve Medicaid service delivery models with regard to individuals with an intellectual or developmental disability. Additionally, there are concerns that the state is not prepared to meet the 2020 date set to transition the delivery of certain Medicaid services for recipients with physical and intellectual disabilities to a managed care delivery model. H.B. 4543 seeks to postpone the deadline for implementation of those pilot programs and to delay the implementation of such a transition.

CRIMINAL JUSTICE IMPACT

It is the committee's opinion that this bill does not expressly create a criminal offense, increase the punishment for an existing criminal offense or category of offenses, or change the eligibility of a person for community supervision, parole, or mandatory supervision.

RULEMAKING AUTHORITY

It is the committee's opinion that this bill does not expressly grant any additional rulemaking authority to a state officer, department, agency, or institution.

ANALYSIS

H.B. 4543 reenacts 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, to conform to changes made by Chapter 1117 (H.B. 3523) and amends the Government Code to continue the Intellectual and Developmental Disability System Redesign Advisory Committee until January 1, 2029, the date on which provisions governing the advisory committee and provisions providing for a report to the legislature regarding the implementation of the system redesign expire. The bill postpones the deadline by which any pilot programs that test one or more service delivery models involving a managed care strategy based on capitation to deliver long-term services and supports under Medicaid to individuals with an intellectual or developmental disability are required to be implemented from September 1, 2017, to September 1, 2022. The bill postpones the date on which each pilot program must conclude and those statutory provisions expire from September 1, 2019, to September 1, 2024.

H.B. 4543 changes the date on which the Health and Human Services Commission (HHSC) is required to transition the provision of Medicaid benefits to individuals with an intellectual or developmental disability who are receiving long-term services and supports under the Texas home living (TxHmL) waiver program to the STAR+PLUS Medicaid managed care program delivery model or the most appropriate integrated capitated managed care program delivery model as determined by HHSC from September 1, 2020 to September 1, 2025. The bill changes the date on which HHSC must transition ICF-IID program recipients or recipients of a Medicaid waiver program other than the TxHmL program to the STAR+PLUS program or the most appropriate delivery model from September 1, 2021, to September 1, 2027. 

EFFECTIVE DATE

On passage, or, if the bill does not receive the necessary vote, September 1, 2019.