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