86R10418 JG-D
 
  By: Menéndez S.B. No. 1177
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to offering certain evidence-based practices in lieu of
  other mental health services by a Medicaid managed care
  organization.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 533.005, Government Code, is amended by
  adding Subsection (g) to read as follows:
         (g)  In addition to the requirements specified by Subsection
  (a), a contract described by that subsection must contain language
  permitting a managed care organization to offer medically
  appropriate, cost-effective, evidence-based practices, authorized
  by the commission under the contract, in lieu of mental health
  services specified in the state Medicaid plan. A recipient is not
  required to use a practice authorized under this subsection in lieu
  of another mental health service specified in the state Medicaid
  plan. The commission shall take into consideration the actual cost
  and use of any practices described by this subsection that are
  offered by a managed care organization when setting the capitation
  rates for that organization under the contract.
         SECTION 2.  Section 533.005, Government Code, as amended by
  this Act, applies to a contract entered into or renewed on or after
  the effective date of this Act. A contract entered into or renewed
  before that date is governed by the law in effect on the date the
  contract was entered into or renewed, and that law is continued in
  effect for that purpose.
         SECTION 3.  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 4.  This Act takes effect September 1, 2019.