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A BILL TO BE ENTITLED
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AN ACT
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relating to prior authorization or precertification for the repair |
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of complex rehabilitation technology equipment under Medicaid. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.031401 to read as follows: |
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Sec. 32.031401. REIMBURSEMENT FOR REPAIR OF COMPLEX |
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REHABILITATION TECHNOLOGY EQUIPMENT. (a) In this section, |
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"complex rehabilitation technology equipment" has the meaning |
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assigned by Section 532.0455, Government Code. |
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(b) The executive commissioner by rule shall establish a |
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reimbursement methodology for the repair of complex rehabilitation |
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technology equipment prescribed to a recipient under the medical |
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assistance program. |
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(c) The commission shall provide medical assistance |
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reimbursement for the repair of complex rehabilitation technology |
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equipment without requiring a medical assistance recipient or |
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health care provider to obtain prior authorization or |
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precertification for the repair. |
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SECTION 2. 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 3. This Act takes effect September 1, 2025. |