By: Menéndez  S.B. No. 1177
         (In the Senate - Filed February 26, 2019; March 7, 2019,
  read first time and referred to Committee on Health & Human
  Services; April 23, 2019, reported adversely, with favorable
  Committee Substitute by the following vote:  Yeas 9, Nays 0;
  April 23, 2019, sent to printer.)
Click here to see the committee vote
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 1177 By:  Perry
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to offering certain evidence-based services in lieu of
  other mental health or substance use disorder 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 services from a list
  approved by the state Medicaid managed care advisory committee and
  included in the contract in lieu of mental health or substance use
  disorder services specified in the state Medicaid plan. A
  recipient is not required to use a service from the list included in
  the contract in lieu of another mental health  or substance use
  disorder service specified in the state Medicaid plan. The
  commission shall:
               (1)  prepare and submit an annual report to the
  legislature on the number of times during the preceding year a
  service from the list included in the contract is used; and
               (2)  take into consideration the actual cost and use of
  any services from the list included in the contract 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.
 
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