| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to the submission of certain reports by the Health and |
|
|
Human Services Commission. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 531.06021(b), Government Code, is |
|
|
amended to read as follows: |
|
|
(b) The [Not later than the 30th day after the last day of |
|
|
each state fiscal quarter, the] commission shall submit to the |
|
|
governor, the lieutenant governor, the speaker of the house of |
|
|
representatives, the Legislative Budget Board, and each standing |
|
|
legislative committee with primary jurisdiction over Medicaid a |
|
|
semiannual report containing, for the preceding six-month period |
|
|
[most recent state fiscal quarter], the following information and |
|
|
data related to access to care for Medicaid recipients receiving |
|
|
benefits under the medically dependent children (MDCP) waiver |
|
|
program: |
|
|
(1) enrollment in the Medicaid buy-in for children |
|
|
program implemented under Section 531.02444; |
|
|
(2) [requests relating to interest list placements |
|
|
under Section 531.0601; |
|
|
[(3)] use of the Medicaid escalation help line |
|
|
established under Section 533.00253[, if the help line was |
|
|
operational during the applicable state fiscal quarter]; |
|
|
(3) [(4)] use of, requests for, and outcomes of the |
|
|
external medical review procedure established under Section |
|
|
531.024164; and |
|
|
(4) [(5)] complaints relating to the medically |
|
|
dependent children (MDCP) waiver program, categorized by |
|
|
disposition. |
|
|
SECTION 2. Section 536.003(g), Government Code, is amended |
|
|
to read as follows: |
|
|
(g) The commission shall include aggregate, nonidentifying |
|
|
data collected using the quality-based outcome measure described by |
|
|
Subsection (f) in the biennial [annual] report required by Section |
|
|
536.008 and may include the data in any other report required by |
|
|
this chapter. The commission shall determine the appropriateness |
|
|
of including the quality-based outcome measure described by |
|
|
Subsection (f) in the quality-based payments and payment systems |
|
|
developed under Sections 536.004 and 536.051. |
|
|
SECTION 3. The heading to Section 536.008, Government Code, |
|
|
is amended to read as follows: |
|
|
Sec. 536.008. BIENNIAL [ANNUAL] REPORT. |
|
|
SECTION 4. Section 536.008(a), Government Code, is amended |
|
|
to read as follows: |
|
|
(a) The commission shall submit to the legislature and make |
|
|
available to the public a biennial [an annual] report regarding: |
|
|
(1) the quality-based outcome and process measures |
|
|
developed under Section 536.003, including measures based on each |
|
|
potentially preventable event; and |
|
|
(2) the progress of the implementation of |
|
|
quality-based payment systems and other payment initiatives |
|
|
implemented under this chapter. |
|
|
SECTION 5. Sections 32.155(d) and (e), Health and Safety |
|
|
Code, are amended to read as follows: |
|
|
(d) The commission shall prepare and submit to the |
|
|
legislature and make available to the public a biennial [an annual] |
|
|
report that summarizes: |
|
|
(1) the commission's progress in developing or |
|
|
enhancing initiatives under this section; and |
|
|
(2) each managed care organization's progress in |
|
|
incorporating the required initiatives in the organization's |
|
|
managed care plans. |
|
|
(e) The commission shall [may] submit the report required |
|
|
under Subsection (d) with the report required under Section |
|
|
536.008, Government Code. |
|
|
SECTION 6. Section 255.005, Health and Safety Code, is |
|
|
amended to read as follows: |
|
|
Sec. 255.005. BIENNIAL REPORT. (a) The Health and Human |
|
|
Services Commission [department] shall assess and evaluate the |
|
|
effectiveness of the quality assurance early warning system and |
|
|
shall report its findings biennially [annually] to the governor, |
|
|
the lieutenant governor, and the speaker of the house of |
|
|
representatives. |
|
|
(b) The Health and Human Services Commission shall submit |
|
|
the report required under this section with the report required |
|
|
under Section 536.008, Government Code. |
|
|
SECTION 7. 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 8. This Act takes effect September 1, 2023. |