88R27588 BDP-D

By: Klick, Raymond H.B. No. 4627

Substitute the following for H.B. No. 4627:

By: Frank C.S.H.B. No. 4627

A BILL TO BE ENTITLED

AN ACT

relating to the alternative electronic visit verification system recognized under Medicaid.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 531.024172, Government Code, is amended by amending Subsections (g), (g-1), and (g-2) to read as follows:

(g) The commission may recognize an alternative [a health care provider's proprietary] electronic visit verification system, including a system [whether] purchased or developed by a health care [the] provider, as complying with this section and allow a [the] health care provider to use an alternative electronic visit verification [that] system for a period determined by the commission if the commission determines that the system:

(1) complies with all necessary data submission, exchange, and reporting requirements established under this section; and

(2) meets all other standards and requirements established under this section.

(g-1) If feasible, the executive commissioner shall ensure a health care provider that uses an alternative [the provider's proprietary] electronic visit verification system recognized under Subsection (g) is reimbursed for the use of that system.

(g-2) For purposes of facilitating the use of an alternative [proprietary] electronic visit verification system [systems] by health care providers under Subsection (g) and in consultation with industry stakeholders and the work group established under Subsection (h), the commission or the executive commissioner, as appropriate, shall:

(1) develop an open model system that mitigates the administrative burdens identified by providers required to use electronic visit verification;

(2) allow providers to use emerging technologies, including Internet-based, mobile telephone-based, and global positioning-based technologies, in the alternative [providers' proprietary] electronic visit verification system recognized under Subsection (g) [systems]; and

(3) adopt rules governing:

(A) data submission; [and]

(B) provider reimbursement; and

(C) alternative electronic visit verification system approval.

SECTION 2. 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 3. This Act takes effect September 1, 2023.