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        |  | A BILL TO BE ENTITLED | 
      
        |  | AN ACT | 
      
        |  | relating to access to medication-assisted treatment for opioid use | 
      
        |  | disorder under Medicaid. | 
      
        |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
        |  | SECTION 1.  (a)  In this section, "qualifying practitioner" | 
      
        |  | has the meaning assigned by 21 U.S.C. Section 823(g)(2)(G)(iii). | 
      
        |  | (b)  Not later than November 1, 2019, the Health and Human | 
      
        |  | Services Commission shall amend the commission's Medicaid | 
      
        |  | Substance Use Disorder Services Medical Policy and any other | 
      
        |  | provider or claims payment policy or manual necessary to authorize | 
      
        |  | Medicaid medical benefits reimbursement for the prescribing of | 
      
        |  | buprenorphine for the treatment of an opioid use disorder by an | 
      
        |  | advanced practice registered nurse recognized by the Texas Board of | 
      
        |  | Nursing as a clinical nurse specialist, nurse anesthetist, or nurse | 
      
        |  | midwife, provided that the advanced practice registered nurse: | 
      
        |  | (1)  is a qualifying practitioner; and | 
      
        |  | (2)  has obtained a waiver from registration | 
      
        |  | requirements as provided by 21 U.S.C. Section 823(g). | 
      
        |  | SECTION 2.  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. |