87R9866 KKR-D
 
  By: Martinez H.B. No. 3161
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the establishment of community paramedicine programs to
  coordinate health care services and improve health care provision.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle B, Title 9, Health and Safety Code, is
  amended by adding Chapter 776 to read as follows:
  CHAPTER 776. COMMUNITY PARAMEDICINE PROGRAM
         Sec. 776.001.  DEFINITIONS. In this chapter:
               (1)  "Emergency medical services personnel" has the
  meaning assigned by Section 773.003.
               (2)  "ET3 program" means the federal Emergency Triage,
  Treat, and Transport program of the Centers for Medicare and
  Medicaid Services.
               (3)  "Executive commissioner" means the executive
  commissioner of the Health and Human Services Commission.
               (4)  "Paramedicine program" means a collaborative
  program between health care practitioners, health care facilities,
  and emergency medical services personnel established under this
  chapter.
         Sec. 776.002.  PROGRAM PURPOSE. The purpose of a
  paramedicine program is to create collaborative relationships
  between health care practitioners, health care facilities, and
  emergency medical services personnel to improve patient care access
  and management, patient health outcomes, cost-effectiveness in the
  use of health care services, and community population health.
         Sec. 776.003.  ESTABLISHMENT OF PROGRAM. (a) A municipality
  or county may establish a paramedicine program under this chapter.
         (b)  The municipality or county may structure the program in
  a manner to qualify for federal funding under the ET3 program.
         Sec. 776.004.  COLLABORATIVE PARTNERSHIPS. (a) Under a
  paramedicine program, health care practitioners, health care
  facilities, and emergency medical services personnel may establish
  partnerships and develop and implement a plan for providing
  collaborative health services to at-risk individuals living in the
  community, including providing services to:
               (1)  prevent:
                     (A)  emergencies;
                     (B)  avoidable use of emergency rooms;
                     (C)  avoidable transport; and
                     (D)  potentially avoidable hospital admissions
  and readmissions; and
               (2)  provide:
                     (A)  health care services; and
                     (B)  behavioral health services to individuals
  with behavioral health conditions or developmental or intellectual
  disabilities.
         (b)  The plan must focus on the delivery of health care
  services to patients with chronic conditions or limited mobility. 
         (c)  The plan may:
               (1)  include orientation and collaborative training
  for health care providers and emergency medical services personnel
  participating in the plan; and
               (2)  incorporate health benefit plan issuers and
  service organizations as considered necessary to implement a
  successful plan.
         Sec. 776.005.  RULES. The executive commissioner shall
  adopt rules to implement this chapter.
         SECTION 2.  This Act takes effect September 1, 2021.