88R6196 SCP-F
 
  By: Manuel H.B. No. 3265
 
 
 
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.