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		By: Hinojosa  | 
        S.B. No. 2138 | 
      
      
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               (In the Senate - Filed March 7, 2019; March 21, 2019, read  | 
      
      
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        first time and referred to Committee on Health & Human Services;  | 
      
      
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        April 23, 2019, reported adversely, with favorable Committee  | 
      
      
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        Substitute by the following vote:  Yeas 9, Nays 0; April 23, 2019,  | 
      
      
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        sent to printer.) | 
| Click here to see the committee vote | 
      
      
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        COMMITTEE SUBSTITUTE FOR S.B. No. 2138 | 
        By:  Perry | 
      
    
    
      
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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to the authority of the Health and Human Services  | 
      
      
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        Commission to retain certain money received by the commission to  | 
      
      
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        administer certain Medicaid programs. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Subchapter B, Chapter 531, Government Code, is  | 
      
      
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        amended by adding Section 531.021135 to read as follows: | 
      
      
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               Sec. 531.021135.  COMMISSION'S AUTHORITY TO RETAIN CERTAIN  | 
      
      
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        MONEY TO ADMINISTER CERTAIN MEDICAID PROGRAMS.  (a)  In this  | 
      
      
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        section, "directed payment program" means a delivery system and  | 
      
      
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        provider patient initiative implemented by this state under 42  | 
      
      
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        C.F.R. Section 438.6(c). | 
      
      
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               (b)  This section applies only to money the commission  | 
      
      
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        receives from a source other than the general revenue fund to  | 
      
      
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        operate a waiver program established under Section 1115 of the  | 
      
      
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        federal Social Security Act (42 U.S.C. Section 1315) or a directed  | 
      
      
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        payment program or successor program as determined by the  | 
      
      
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        commission. | 
      
      
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               (c)  The commission may retain from money to which this  | 
      
      
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        section applies an amount equal to the estimated costs necessary to  | 
      
      
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        administer the program for which the money is received, but not to  | 
      
      
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        exceed one percent of the total amount estimated to be received for  | 
      
      
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        the program.  The commission shall spend money retained under this  | 
      
      
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        section as provided by the General Appropriations Act and other  | 
      
      
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        applicable law. | 
      
      
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               (d)  The executive commissioner shall adopt rules necessary  | 
      
      
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        to implement this section. | 
      
      
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               SECTION 2.  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 3.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2019. | 
      
      
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