Texas House Bill HB4561

Texas 2019 - 86th Regular

Caption

Relating to the system redesign for delivery of Medicaid acute care services and long term services and supports to persons with an intellectual or developmental disability and a pilot for certain populations with similar functional needs receiving services in managed care.

Impact

If passed, HB4561 will significantly alter how long-term services and supports are delivered in Texas, transitioning away from traditional models to incorporate managed care approaches. The bill mandates the establishment of pilot programs to facilitate this transition, which will assess the feasibility of different service coordination strategies. The intended outcomes include improved access to services, enhanced quality of care, and more individualized support tailored to the distinct needs of individuals with disabilities. This shift may also streamline service provision and potentially lower overall Medicaid costs through more efficient management of resources.

Summary

House Bill 4561 focuses on the redesign of the system for delivering Medicaid acute care services and long-term services and supports to persons with intellectual and developmental disabilities. This legislation proposes a pilot program to test new managed care strategies and payment models specifically tailored for these populations. It aims to evaluate the effectiveness of alternative service delivery methods within a managed care framework, emphasizing individual needs and preferences while prioritizing quality care and efficiency in service provision.

Contention

Despite the potential benefits, the bill has faced scrutiny and debate among various stakeholders. Proponents argue that the pilot programs will promote efficiency and better service outcomes, while critics express concerns about the risk of compromising care quality and continuity. There are fears that transitioning to managed care could lead to inequities in access to critical services, particularly for more vulnerable populations who may struggle to navigate the new systems. As the bill progresses, these points of contention surrounding the balance between cost-effectiveness and quality of care will be central to discussions among legislators and advocacy groups.