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A BILL TO BE ENTITLED
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AN ACT
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relating to offering certain evidence-based practices in lieu of |
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other mental health services by a Medicaid managed care |
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organization. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 533.005, Government Code, is amended by |
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adding Subsection (g) to read as follows: |
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(g) In addition to the requirements specified by Subsection |
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(a), a contract described by that subsection must contain language |
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permitting a managed care organization to offer medically |
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appropriate, cost-effective, evidence-based practices, authorized |
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by the commission under the contract, in lieu of mental health |
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services specified in the state Medicaid plan. A recipient is not |
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required to use a practice authorized under this subsection in lieu |
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of another mental health service specified in the state Medicaid |
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plan. The commission shall take into consideration the actual cost |
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and use of any practices described by this subsection that are |
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offered by a managed care organization when setting the capitation |
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rates for that organization under the contract. |
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SECTION 2. Section 533.005, Government Code, as amended by |
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this Act, applies to a contract entered into or renewed on or after |
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the effective date of this Act. A contract entered into or renewed |
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before that date is governed by the law in effect on the date the |
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contract was entered into or renewed, and that law is continued in |
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effect for that purpose. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect September 1, 2019. |