88R3703 JG-D
 
  By: Moody H.B. No. 1397
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of community recovery organization
  peer-to-peer services under Medicaid.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.09991 to read as follows:
         Sec. 531.09991.  COMMUNITY RECOVERY ORGANIZATIONS. (a) In
  this section, "community recovery organization" means a nonprofit
  organization that:
               (1)  mobilizes resources inside and outside of a local
  community to increase the prevalence and quality of long-term
  recovery for individuals with a substance use or mental health
  condition and their affected family members;
               (2)  is governed by members of the local community:
                     (A)  at least 51 percent of whom identify as an
  individual recovering from a substance use or mental health
  condition; and
                     (B)  the remainder of whom identify as an affected
  family member of an individual recovering from a substance use or
  mental health condition; and
               (3)  aligns with applicable national best practices
  recognized by the commission.
         (b)  The executive commissioner shall adopt rules to provide
  Medicaid reimbursement for peer-to-peer services provided by
  community recovery organizations, which must include:
               (1)  rules that establish training requirements for
  community recovery organization peer-to-peer service providers;
               (2)  rules that establish certification and
  supervision requirements for community recovery organizations;
               (3)  rules that define the scope of peer-to-peer
  services that community recovery organizations may provide;
               (4)  rules that distinguish peer-to-peer services
  provided by community recovery organizations from other services
  that a person must hold a license to provide; and
               (5)  any other rules necessary to protect the health
  and safety of individuals receiving services provided by community
  recovery organizations.
         (c)  The executive commissioner shall establish a work group
  to provide input for the adoption of rules under Subsection (b) and
  shall consider that input in adopting rules under that subsection.
  The work group is composed of at least nine but not more than 13
  members with expertise in substance use disorder recovery or
  community recovery organizations. The executive commissioner
  shall ensure that at least half of the work group members are from
  rural communities in this state.
         (d)  The executive commissioner shall appoint one work group
  member to serve as presiding officer.
         (e)  The work group is automatically abolished on the
  adoption of rules under Subsection (b).
         (f)  Subsections (c), (d), and (e) and this subsection expire
  September 1, 2025.
         SECTION 2.  Effective January 1, 2025, Section 32.024, Human
  Resources Code, is amended by adding Subsection (pp) to read as
  follows:
         (pp)  The commission in the commission's rules and standards
  governing the scope of services provided under the medical
  assistance program shall include peer-to-peer services provided by
  community recovery organizations as defined by Section 531.09991,
  Government Code, to the extent permitted by federal law.
         SECTION 3.  Not later than December 31, 2023, the executive
  commissioner of the Health and Human Services Commission shall
  establish the work group required by Section 531.09991, Government
  Code, as added by this Act.
         SECTION 4.  Not later than December 31, 2024, the executive
  commissioner of the Health and Human Services Commission shall
  adopt the rules required by Section 531.09991, Government Code, as
  added by this Act.
         SECTION 5.  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 6.  Except as otherwise provided by this Act, this
  Act takes effect September 1, 2023.