86R9760 LED-D
 
  By: Ortega H.B. No. 2091
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the use of promotoras and community health workers in
  Medicaid managed care.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.032 to read as follows:
         Sec. 533.032.  PROMOTORAS AND COMMUNITY HEALTH WORKERS. (a)
  In this section, "promotora" and "community health worker" have the
  meaning assigned by Section 48.001, Health and Safety Code. 
         (b)  The commission shall allow each managed care
  organization that contracts with the commission to provide health
  care services to recipients under the STAR Medicaid managed care
  program to categorize services provided by a promotora or community
  health worker as a quality improvement cost instead of an
  administrative expense.
         SECTION 2.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         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, 2019.