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AN ACT
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relating to Medicaid reimbursement for the provision of certain |
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behavioral health and physical health services. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0246 to read as follows: |
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Sec. 32.0246. MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN |
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BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES. (a) In this |
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section, "behavioral health services" has the meaning assigned by |
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Section 533.00255(a), Government Code, and includes targeted case |
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management and psychiatric rehabilitation services. |
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(b) The commission shall provide to a public or private |
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provider of behavioral health services medical assistance |
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reimbursement through a fee-for-service delivery model for |
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behavioral health or physical health services provided to a |
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recipient before that recipient's enrollment with and receipt of |
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medical assistance services through a managed care organization |
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under Chapter 533, Government Code. |
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(c) The commission shall ensure that a public or private |
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provider of behavioral health services who is reimbursed under |
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Subsection (b) through a fee-for-service delivery model is provided |
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medical assistance reimbursement through a managed care model for |
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behavioral health or physical health services provided to a |
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recipient after that recipient's enrollment with and receipt of |
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medical assistance services through a managed care organization |
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under Chapter 533, Government Code. |
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SECTION 2. Section 32.024, Human Resources Code, is amended |
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by adding Subsection (ll) to read as follows: |
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(ll) The commission shall provide medical assistance |
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reimbursement to an authorized wound care education and training |
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services provider and establish outcome measures for evaluating the |
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physical health care outcomes of recipients who receive wound care |
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education and training services from an authorized wound care |
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education and training services provider. |
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SECTION 3. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0285 to read as follows: |
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Sec. 32.0285. CALCULATION OF MEDICAL EDUCATION ADD-ON FOR |
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REIMBURSEMENT OF TEACHING HOSPITALS THAT PROVIDE BEHAVIORAL HEALTH |
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AND PHYSICAL HEALTH SERVICES. The commission shall, on request |
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from a teaching hospital that provides behavioral health and |
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physical health services, update on a biannual basis the education |
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adjustment factor used to calculate the medical education add-on |
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using the most current Medicare education adjustment factor data |
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available under 42 C.F.R. Section 412.105 at the time the |
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commission makes the update. |
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SECTION 4. Section 32.0285, Human Resources Code, as added |
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by this Act, applies only to a request from a teaching hospital that |
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is made on or after September 1, 2022. |
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SECTION 5. The Health and Human Services Commission is |
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required to implement a provision of this Act only if the |
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legislature appropriates money to the commission specifically for |
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that purpose. If the legislature does not appropriate money |
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specifically for that purpose, the commission may, but is not |
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required to, implement a provision of this Act using other |
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appropriations that are available for that purpose. |
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SECTION 6. 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 7. This Act takes effect September 1, 2022. |
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______________________________ |
______________________________ |
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President of the Senate |
Speaker of the House |
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I hereby certify that S.B. No. 1921 passed the Senate on |
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May 4, 2021, by the following vote: Yeas 30, Nays 0; and that the |
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Senate concurred in House amendment on May 30, 2021, by the |
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following vote: Yeas 31, Nays 0. |
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______________________________ |
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Secretary of the Senate |
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I hereby certify that S.B. No. 1921 passed the House, with |
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amendment, on May 26, 2021, by the following vote: Yeas 96, |
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Nays 50, one present not voting. |
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______________________________ |
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Chief Clerk of the House |
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Approved: |
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______________________________ |
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Date |
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______________________________ |
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Governor |