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A BILL TO BE ENTITLED
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AN ACT
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relating to a report by the Health and Human Services Commission on |
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Medicaid eligibility determinations. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. (a) In this section, "commission" means the |
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Health and Human Services Commission. |
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(b) The commission shall prepare a written report on the |
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time frames within which Medicaid eligibility determinations were |
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made based on Medicaid applications submitted to the commission |
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each state fiscal year beginning with the state fiscal year ending |
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August 31, 2018. The report must include: |
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(1) for each state fiscal year covered by the report: |
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(A) the total number of Medicaid applications |
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submitted to the commission; |
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(B) the total number of Medicaid applications the |
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commission approved in accordance with the time frames described by |
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1 T.A.C. Section 358.530(a); |
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(C) the total number of Medicaid applications the |
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commission denied in accordance with the time frames described by 1 |
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T.A.C. Section 358.530(a) and the reason for each denial; |
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(D) the total number of Medicaid applications the |
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commission approved in a time frame that exceeded the time frames |
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described by 1 T.A.C. Section 358.530(a); |
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(E) the total number of Medicaid applications the |
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commission denied because the eligibility determination was not |
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made in accordance with the time frames described by 1 T.A.C. |
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Section 358.530(a); |
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(F) the average number of days between the date a |
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Medicaid application was submitted to the commission and the date |
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the application was approved or denied; and |
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(G) the median number of days between the date a |
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Medicaid application was submitted to the commission and the date |
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the application was approved or denied; |
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(2) the total number of Medicaid applications |
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submitted to the commission that are pending on the date the report |
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required by this subsection is prepared and, for each of those |
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applications, the number of days that have elapsed between the date |
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the application was submitted and the date the report is prepared; |
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and |
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(3) the highest number of days that elapsed between |
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the date a Medicaid application was submitted to the commission in |
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any state fiscal year and the date the application was approved or |
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denied. |
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(c) Not later than December 1, 2026, the commission shall |
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prepare and submit to the governor, lieutenant governor, speaker of |
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the house of representatives, and legislature the written report |
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the commission prepares under Subsection (b) of this section. |
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SECTION 2. This Act expires December 31, 2026. |
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SECTION 3. This Act takes effect September 1, 2025. |